Information Collection Request

Provision of Child Support Services in IV-D cases under the Hague Child Support Convention

ICR 201912-0970-005 · OMB 0970-0488 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 Statement of Enforceability of a Decision Form and Instruction Modified Available
Form 1 Financial Circumstances Form Form and Instruction Modified Available
Form 1 Status of Application Report Article 12 Form and Instruction Modified Available
Form 1 Application for Modification of a Decision Form and Instruction Modified Available
Form 1 Status of Application Report Form and Instruction Modified Available
Form 1 Application for Establishment of a Decision Form and Instruction Modified Available
Form 1 Status of Application Report Form and Instruction Modified Available
Form 1 Status of Application Report Form and Instruction Modified Available
Form 1 Statement of Proper Notice Form and Instruction Modified Available
Form 1 Statement of Enforceability of a Decision Form and Instruction Modified Available
Form 1 Annex A: Abstract of a Decision Form and Instruction Modified Available
Form 1 Application for Recognition or Recognition and Enforcement Form and Instruction Modified Available
Form 1 Annex 2 Acknowledgement Form and Instruction Modified Available
Form 1 Annex 1 Transimittal Form and Instruction Modified Available
Supporting Statement Hague forms_12.20.19.doc Supporting Statement A Uploaded 2019-12-20 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
224052 Annex B: Application for Enforcement of a Decision Made or Recognized in the Requested State, including restricted information on the applicant Form and Instruction ModifiedStatement of Enforceability of a Decision
224050 Annex E: Financial Circumstances Form Form and Instruction ModifiedFinancial Circumstances Form
224049 Annex D: Status of Application Report-Article 12 Form and Instruction ModifiedStatus of Application Report Article 12
224048 Annex D: Application for Modification of a Decision, including Restricted Information on the Applicant Form and Instruction ModifiedApplication for Modification of a Decision
224047 Annex C: Status of Application Report-Article 12 Form and Instruction ModifiedStatus of Application Report
224046 Annex C: Application for Establishment of a Decision, including restriced information on the Applicant Form and Instruction ModifiedApplication for Establishment of a Decision
224045 Annex B: Status of Application Report, Article 12 Form and Instruction ModifiedStatus of Application Report
224044 Annex A: Status of Application Report Form and Instruction ModifiedStatus of Application Report
224043 Annex A: Statement of Proper Notice Form and Instruction ModifiedStatement of Proper Notice
224031 Annex A: Statement of Enforceability of Decision Form and Instruction ModifiedStatement of Enforceability of a Decision
224030 Annex A: Abstract of Decision Form and Instruction ModifiedAnnex A: Abstract of a Decision
224028 Annex A: Application for Recognition and Enforcement, including restricted including restricted information on the applicant Form and Instruction ModifiedApplication for Recognition or Recognition and Enforcement
224027 Annex II: Acknowledgment from under Article 12(3) Form and Instruction ModifiedAnnex 2 Acknowledgement
223996 Annex I: Transmittal form under Article 12(2) Form and Instruction ModifiedAnnex 1 Transimittal

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/28/2023 36 Months From Approved 04/30/2020
18,360 0 19,116
13,001 0 13,476
0 0 0





Reginfo record details
14
table that charts list of burden
IC Title Form No. Form Name
Annex A: Abstract of Decision 1
Annex A: Application for Recognition and Enforcement, including restricted including restricted information on the applicant 1
Annex A: Statement of Enforceability of Decision 1
Annex A: Statement of Proper Notice 1
Annex A: Status of Application Report 1
Annex B: Application for Enforcement of a Decision Made or Recognized in the Requested State, including restricted information on the applicant 1
Annex B: Status of Application Report, Article 12 1
Annex C: Application for Establishment of a Decision, including restriced information on the Applicant 1
Annex C: Status of Application Report-Article 12 1
Annex D: Application for Modification of a Decision, including Restricted Information on the Applicant 1
Annex D: Status of Application Report-Article 12 1
Annex E: Financial Circumstances Form 1
Annex I: Transmittal form under Article 12(2) 1
Annex II: Acknowledgment from under Article 12(3) 1

table that charts list 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 18,360 19,116 0 -54 -702 0
Annual Time Burden (Hours) 13,001 13,476 0 -9 -466 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No