National Medical Support Notice - Part A

Forms and Documents

Document Name	Status
Form Part A National Medical Support Notice-Part A (Employer Respondents) Form and Instruction	New
Form Part A National Medical Support Notice-Part A (State Respondents) Form and Instruction	Modified
Attachment A Comments Received 06062019.xlsx Supplementary Document	2019-07-12
Supporting Statement NMSN 07182019.doc Supporting Statement A	2019-07-18

IC Document Collections

IC ID	Document Title	Status
236881	National Medical Support Notice-Part A (Employer Respondents) Form and Instruction	New
10060	National Medical Support Notice-Part A (State Respondents) Form and Instruction	Modified

ICR Details

OMB Control No: 0970-0222	ICR Reference No: 201907-0970-003
Status: Historical Active	Previous ICR Reference No: 201606-0970-008
Agency/Subagency: HHS/ACF	Agency Tracking No: OCSE
Title: National Medical Support Notice - Part A
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/04/2019
	Date Received in OIRA: 07/15/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2022	36 Months From Approved	10/31/2019
Responses	9,674,851	0	4,130,946
Time Burden (Hours)	1,644,725	0	702,261
Cost Burden (Dollars)	0	0	0

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Abstract: Section 401 of the Child Support Performance and Incentives Act of 1998 (CSPIA) Pub.L. 105-200 requires state child support agencies under title IV-D of the Social Security Act (the Act) to enforce the health care coverage provision in a child support order, and to use the National Medical Support Notice (NMSN) as the means of enforcement. The law requires the NMSN to be promulgated by regulations issued jointly by the Departments of Health and Human Service (HHS) and Labor (DOL). This request includes the following changes: 1. A checkbox was added to distinguish between the National Medical Support Order/Notice (NMSN) and the Termination Order/Notice. 2. The following instruction was added under Employer Responsibilities: 3. If the Termination Order/Notice checkbox is checked, you are required to terminate the health care coverage for the child(ren) identified in the order. 3. Updates were made based on comments in response to the 60 Day Federal Register Notice (84 FR 10096) (See Attachment A).

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Authorizing Statute(s): PL: Pub.L. 105 - 200 401(c) Section 609 Name of Law: Child Support Performance and Incentive Act
   US Code: 45 USC 303.32 Name of Law: National Medical Support Notice
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 10096	03/19/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 33266	07/12/2019
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
National Medical Support Notice-Part A (State Respondents)	Part A	National Medical Support Notice - Part A
National Medical Support Notice-Part A (Employer Respondents)	Part A	National Medical Support Notice – Part A

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	9,674,851	4,130,946	0	5,543,905	0	0
Annual Time Burden (Hours)	1,644,725	702,261	0	942,464	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: OCSE’s estimate of the number of NMSNs being sent by state IV-D agencies increased from 76,499 to 89,634 responses per respondent since the last submission due to the impact of options available under the Affordable Care Act. The average hourly rate for a state-level employee was $21.86/hour in the previous submission and is $23.90/hours in this submission. Estimates were based on BLS data. The average hourly rate for an employer was $18.12/hour in the previous submission and is $22.67/hours in this submission. Estimates were based on BLS data. The number of employers grew from 1,027,484 in 2013 to 1,275,624 in 2016, a difference of 248,140 employers. The above changes account for the burden hour increase of approximately 240,433, which is less than half of the increase in 2013.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/15/2019

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