Instrument 1: Staff data entry on participant baseline information

OMB #: 0970-0505

EXPIRATION DATE: XX/XX/XXXX

INFORMATION COLLECTION ACTIVITY #1

Procedural Justice informed alternatives to contempt (pjac)

Staff Data Entry on Participant Baseline Information*
	Data Elements
	NCP SSN
	Case ID(s)
	Type of establishment(s)
	Order establishment date(s)
	Open TANF case(s) at time of RA?
	NCP ever served with contempt (Y/N) and date of most recent occurrence
	Monthly order amount(s) at time of RA
	Total arrears amount(s) at time of RA

The purpose of this information collection is to assess the feasibility and efficacy of incorporating principles of procedural justice into child support services as a cost-effective alternative to civil contempt proceedings. Public reporting burden for this collection of information is estimated to average 3 minutes per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. The control number is 0970-0505 and it expires on XX/XX/XXXX. If you have comments regarding this collection of information, including suggestions for reducing this burden, please send them to Cindy Redcross, 200 Vesey Street 23^rd Floor New York, NY 10281; Attn: OMB-PRA (0970-0505).