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Employer Services Profile
Child Support Portal Registration
OMB: 0970-0370
IC ID: 233423
OMB.report
HHS/ACF
OMB 0970-0370
ICR 201909-0970-001
IC 233423
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0370 can be found here:
2024-12-09 - Revision of a currently approved collection
2023-11-03 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Employer Services Profile
Form and Instruction
1 Employer Services Agreement and Profile Form
EmployerServicesProfileWIP.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Employer Services Profile
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
1
Employer Services Agreement and Profile Form
EmployerServicesProfileWIP.pdf
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,144
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
2,144
0
0
0
0
2,144
Annual IC Time Burden (Hours)
172
0
0
0
0
172
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.