Information Collection

Income withholding order/notice (Courts, private attorneys, custodial parties or their representatives)

IC 227079 under ICR 202006-0970-003 · OMB 0970-0154.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0154 can be found here:

Documents and Forms

Document Name Document Type
0970-0154 IWO Instructions - Revised 2020 clean.pdf Instruction
1 IWO Form 0970-0154 IWO OrderForm clean.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Income withholding order/notice (Courts, private attorneys, custodial parties or their representatives)	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
Instruction			0970-0154 IWO Instructions - Revised 2020 clean.pdf		Yes	Yes	Fillable Printable
Form	1	IWO Form	0970-0154 IWO OrderForm clean.pdf		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,091,591	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	4,091,591	391,800	3,699,791
Annual IC Time Burden (Hours)	340,966	32,650	308,316
Annual IC Cost Burden (Dollars)	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.