45 CFR 303.7 - Provision of Services in Intergovernmental IV-D; Federally Approved Forms

Forms and Documents

Document Name	Status
Form 1 Uniform Support Petition Form and Instruction	Modified
Form 1 Declaration in Support of Establishing Parentage Form and Instruction	Modified
Form 1 Request for Change of Support Payment Location Pursuant to UIFSA 319(b) Form and Instruction	Modified
Form 1 Child Support Agency Confidential Information Form Form and Instruction	Modified
Form 1 Personal Information Form for UIFSA § 311 Form and Instruction	Modified
Form 1 Letter of Transmittal Requesting Registration Form and Instruction	Modified
Form 1 Notice of Determination of Controlling Order Form and Instruction	Modified
Form 1 Transmittal #1 – Initial Request Acknowledgement Form and Instruction	Modified
Form 1 General Testimony Form	Modified
Form 1 Child Support Locate Request Form and Instruction	Modified
Form 1 Transmittal #1 – Initial Request Form and Instruction	Modified
Form 1 Transmittal #2 – Subsequent Action Form and Instruction	Modified
Form 1 Transmittal #3- Request for Assistance /Discovery Form and Instruction	Modified
Attachment 2 0970-0085 Final Comments Submitted 2019 updated 12112019.xlsx Supplementary Document	2019-12-12
Attachment 1 Policy References 10172019.docx Supplementary Document	2019-10-22
Supporting Statements Intergovt forms 12122019 final with OMB changes.doc Supporting Statement A	2019-12-12

IC Document Collections

IC ID	Document Title	Status
9837	Uniform Support Petition Form and Instruction	Modified
222799	Declaration in Support of Establishing Parentage Form and Instruction	Modified
222798	Request for Change of Support Payment Location Pursuant to UIFSA 319(b) Form and Instruction	Modified
222797	Child Support Agency Confidential Information Form Form and Instruction	Modified
222796	Personal Information Form for UIFSA § 311 Form and Instruction	Modified
222795	Letter of Transmittal Requesting Registration Form and Instruction	Modified
222794	Notice of Determination of Controlling Order Form and Instruction	Modified
222792	Transmittal #1 – Initial Request Acknowledgement Form and Instruction	Modified
182929	General Testimony Form	Modified
182928	Child Support Locate Request Form and Instruction	Modified
182925	Transmittal #1 – Initial Request Form and Instruction	Modified
182924	Transmittal #2 – Subsequent Action Form and Instruction	Modified
182923	Transmittal #3- Request for Assistance /Discovery Form and Instruction	Modified

ICR Details

OMB Control No: 0970-0085	ICR Reference No: 201910-0970-007
Status: Active	Previous ICR Reference No: 201608-0970-001
Agency/Subagency: HHS/ACF	Agency Tracking No: OCSE
Title: 45 CFR 303.7 - Provision of Services in Intergovernmental IV-D; Federally Approved Forms
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/13/2019
	Date Received in OIRA: 10/25/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2022	36 Months From Approved	12/31/2019
Responses	5,975,802	0	9,620,424
Time Burden (Hours)	722,635	0	771,310
Cost Burden (Dollars)	0	0	0

---

Abstract: The federally approved intergovernmental forms are used to facilitate interstate child support case processing when more than one state child support agency is involved. The forms are readily recognizable and provide the information states agree is needed to process a case. More than one state may become involved in a child support case when the parents live in different states, where the parties no longer reside in the state that issued the support order, or when assets are sought in states other than the state enforcing the support order. Intergovernmental cases are the most complex and difficult cases. About 15-25 percent of child support cases are believed to involve more than one state.

---

Authorizing Statute(s): US Code: 42 USC 666(f) Name of Law: Requirement of statutorily prescribed procedures to improve effectiveness of child support enforceme
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 28304	06/18/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 57439	10/25/2019
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 13

IC Title	Form No.	Form Name
Transmittal #1 – Initial Request	1	Transmittal 1 - Initial Request
Letter of Transmittal Requesting Registration	1	Letter of Transmittal Requesting Registration
Child Support Locate Request	1	Child Support Locate Request
Personal Information Form for UIFSA § 311	1	Personal Information Form
Uniform Support Petition	1	Uniform Support Petition
Transmittal #3- Request for Assistance /Discovery	1	Transmittal 3
Transmittal #2 – Subsequent Action	1	Transmittal 2
General Testimony	1	General Testimony
Transmittal #1 – Initial Request Acknowledgement	1	Transmittal 1 Acknowledgment
Notice of Determination of Controlling Order	1	Notice of Determination of Controlling Order
Child Support Agency Confidential Information Form	1	Child Support Agency Confidential Information
Request for Change of Support Payment Location Pursuant to UIFSA 319(b)	1	Request For Change of Support Payment Location
Declaration in Support of Establishing Parentage	1	Declaration in Support of Establishing Parentage

---

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	5,975,802	9,620,424	0	0	-3,644,622	0
Annual Time Burden (Hours)	722,635	771,310	0	0	-48,675	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: The estimate of annual burden hours has declined from 771,309 hours in the last approval to 722,635 hours in this request. Changes in burden are due to the decline in the overall child support caseload over the last several years and also changes in estimate in response times based on reading time estimates per HHS guidance. States use these forms to process cases between jurisdictions; these intergovernmental cases are a percentage of each state’s overall caseload. Therefore, as the total number of cases declines, so does the number of intergovernmental cases.

---

Annual Cost to Federal Government: $898,560

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

---

Common Form ICR:  No

---

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: 10/25/2019

---