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

Forms and Documents

Document Name	Status
Form 1 Annex B: Application for Enforcement of a Decision Made or Recognized in the Requested State, including restricted information on the applicant Form and Instruction	Modified
Form 1 Annex E: Financial Circumstances Form Form and Instruction	Modified
Form 1 Annex D: Status of Application Report-Article 12 Form and Instruction	Modified
Form 1 Annex D: Application for Modification of a Decision, including Restricted Information on the Applicant Form and Instruction	Modified
Form 1 Annex C: Status of Application Report-Article 12 Form and Instruction	Modified
Form 1 Annex C: Application for Establishment of a Decision, including restriced information on the Applicant Form and Instruction	Modified
Form 1 Annex B: Status of Application Report, Article 12 Form and Instruction	Modified
Form 1 Annex A: Status of Application Report Form and Instruction	Modified
Form 1 Annex A: Statement of Proper Notice Form and Instruction	Modified
Form 1 Annex A: Statement of Enforceability of Decision Form and Instruction	Modified
Form 1 Annex A: Abstract of Decision Form and Instruction	Modified
Form 1 Annex A: Application for Recognition and Enforcement, including restricted including restricted information on the applicant Form and Instruction	Modified
Form 1 Annex II: Acknowledgment from under Article 12(3) Form and Instruction	Modified
Form 1 Annex I: Transmittal form under Article 12(2) Form and Instruction	Modified
Supporting Statement Hague forms_12.20.19.doc Supporting Statement A	2019-12-20

IC Document Collections

IC ID	Document Title	Status
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	Modified
224050	Annex E: Financial Circumstances Form Form and Instruction	Modified
224049	Annex D: Status of Application Report-Article 12 Form and Instruction	Modified
224048	Annex D: Application for Modification of a Decision, including Restricted Information on the Applicant Form and Instruction	Modified
224047	Annex C: Status of Application Report-Article 12 Form and Instruction	Modified
224046	Annex C: Application for Establishment of a Decision, including restriced information on the Applicant Form and Instruction	Modified
224045	Annex B: Status of Application Report, Article 12 Form and Instruction	Modified
224044	Annex A: Status of Application Report Form and Instruction	Modified
224043	Annex A: Statement of Proper Notice Form and Instruction	Modified
224031	Annex A: Statement of Enforceability of Decision Form and Instruction	Modified
224030	Annex A: Abstract of Decision Form and Instruction	Modified
224028	Annex A: Application for Recognition and Enforcement, including restricted including restricted information on the applicant Form and Instruction	Modified
224027	Annex II: Acknowledgment from under Article 12(3) Form and Instruction	Modified
223996	Annex I: Transmittal form under Article 12(2) Form and Instruction	Modified

ICR Details

OMB Control No: 0970-0488	ICR Reference No: 201912-0970-005
Status: Active	Previous ICR Reference No: 201612-0970-007
Agency/Subagency: HHS/ACF	Agency Tracking No: OCSE
Title: Provision of Child Support Services in IV-D cases under the Hague Child Support Convention
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/24/2020
	Date Received in OIRA: 01/02/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2023	36 Months From Approved	04/30/2020
Responses	18,360	0	19,116
Time Burden (Hours)	13,001	0	13,476
Cost Burden (Dollars)	0	0	0

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Abstract: On January 1, 2017, the multilateral 2007 Hague Convention on the International Recovery of Child Support and Other Forms of Family Maintenance (the Hague Child Support Convention) came into force for the U.S. The U.S. now has reciprocal relationships with 36 other foreign countries under the Hague Convention and that number is growing. Countries that are party to the Hague Child Support Convention use 14 standardized Convention case processing forms, which were designed to greatly reduce the complexity of case processing in the international context. Section 311(b) of the Uniform Interstate Family Support Act (UIFSA) 2008, which has been enacted by all 50 states, the District of Columbia, Guam, Puerto Rico and the Virgin Islands, requires states to use forms mandated by federal law. (UIFSA enactment was required by Public Law (P.L.) 113-183.) Regulations under 45 CFR 303.7 also require child support programs to use federally-approved forms in intergovernmental IV-D cases unless a country has provided alternative forms as a part of its chapter in a Caseworker's Guide to Processing Cases with Foreign Reciprocating Countries.

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Authorizing Statute(s): PL: Pub.L. 113 - 183 301 Name of Law: Preventing Sex Trafficking and Strengthening Families Act
  

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 38991	08/08/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 71951	12/30/2019
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 14

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

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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	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

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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: From the last information collection, the number of burden hours decreased slightly due to a decline in the national caseload: from 13,478 annual burden hours to 13,001 burden hours in this information collection. However, in this estimate, we included a higher hourly wage and fringe benefits rate, so that this collection estimates a higher average hourly wage, which accounts for a higher annual cost of $447,754, as compared to $294,494 in the last information collection.

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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: 01/02/2020

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