Form 1 Agreement to Exchange Electronic Income Withholding Orde

OMB Control No: 0970-0370
Expiration Date: xx-xx-xxxx

Department of Health and Human Services
Administration for Children and Families
Office of Child Support Enforcement

Agreement to Exchange Electronic Income Withholding Orders/Notices
By completing and providing the information o n th i s f or m, the employer, company, or
government agency agrees that:
The employer, company, or government agency shall have appropriate procedures in place to promptly report
confirmed or suspected information security or privacy incidents, including, but not limited to, unauthorized use or
disclosure of Personally Identifiable Information (PII) involving confidential child support information submitted
through OCSE to your organization. As soon as reasonably practicable after discovery, but in no case later than one
hour after discovery of the incident, the employer, company, or government agency shall report confirmed or
suspected incidents to OCSE as specified in this paragraph. The requirement for the employer, company, or
government agency to report confirmed or suspected incidents involving PII to OCSE is based on federal
guidance/requirements from the Office of Management and Budget (OMB), Health and Human Services (HHS), the
Federal Information Security Modernization Act of 2014 (FISMA), and the United States Computer Emergency
Readiness Team (US-CERT).
Incidents must be reported via email to OCSE using the security mailbox address:
[email protected]
The organization will electronically receive and respond to IWOs issued by states, tribes or territories in the
same manner as mailed notices, within the required timeframes. Response timeframes and other
instructions are available at:
https://ocsp.acf.hhs.gov/irg/irgpdf.pdf?geoType=OGP&groupCode=EMP&addrType=EIW&addrClassType=E
MP.
The organization will not impersonate any individual, entity, or association; use false headers; or
otherwise conceal or provide misleading information about their identity while receiving IWOs
electronically.
The organization’s representative completing this form is authorized to act on behalf of the employer
and agrees to provide true, correct, current, and complete information about the entity identified in
the profile form.
The organization will consider the electronic version of the IWO admissible as evidence in
the same way as paper documents.
The organization will provide written notice to the federal Office of Child Support Enforcement at least 30 days before
it intends to stop accepting e-IWOs.
A third-party provider certifies that it has authorization to participate in e-IWO on behalf of their clients and will
provide company names, FEINs, and related information to OCSE for the purpose of processing e-IWOs.

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e-IWO Employer/Payroll Provider Profile Form

e-IWO
Instructions

To complete this form and to respond to e-IWOs using PDF forms, you must use Adobe Acrobat Reader
version 10 or later. To download this free software, go to https://acrobat.adobe.com/us/en/acrobat/pdfreader.html.
You must complete the required fields followed by a red asterisk *. If there are errors, a popup box will
appear with information about correcting the error.
•

Register as an employer or a third-party payroll provider with this form.

•

If applicable, use the e-IWO FEINs Spreadsheet to identify each subsidiary/employer for which you will
receive e-IWOs at the server location entered on this form.

General Information
Date: *

FEIN: *

Organization Name*:

(The date you are completing the form using MM/DD/YYYY format.)

(Primary Federal Employer Identification Number – enter as nine numeric
characters with no hyphen after the second number. This is the FEIN used for the
files being transferred.)

Organization Known as Name (Doing Business As):

NDNH Address Information
Enter the address as reported to the National Directory of New Hires.
Address Line 1: *

Address Line 2:
City: *

ZIP Code: *

State: *

ZIP Code Extension:
(Enter a five-digit ZIP code and the optional four-digit extension.)

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Printed Address Information
Enter the employer or third-party provider’s address where child support agencies should mail paper
IWOs.
Address Line 1: *

Address Line 2:
City: *

ZIP Code: *

State: *

ZIP Code Extension:
(Enter a five-digit ZIP code and the optional four-digit extension.)

Contact Information
Enter the employer’s business, technical support, and alternate contact information.
Note: At least one person must be designated to received automated emails.

Business Contact Information
Enter business contact information.
First Name: *

MI:

Last Name: *

Email: *

Phone Number: *

Fax Number: *

Enter numeric characters only.
Include the area code.
Format: 1231231111)
Enter numeric characters only.
Include the area code.
Format: 1231231111)

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Phone Ext:

Technical Contact Information
Enter network or system administrator who can provide corporate Internet Protocol (IP) address
information and batch system information.
First Name: *

MI:

Last Name: *

Email: *

Phone Number: *

Fax Number: *

Enter numeric characters only.
Include the area code.
Format: 1231231111)

Phone Ext:

Enter numeric characters only.
Include the area code.
Format: 1231231111)

Alternate Business Contact Information
Enter additional business contact information. None of the fields are required.
First Name:

MI:

Last Name:

Email:

Phone Number:

Fax Number:

Enter numeric characters only.
Include the area code.
Format: 1231231111)
Enter numeric characters only.
Include the area code.
Format: 1231231111)

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Phone Ext:

Alternate Technical Contact Information
Enter additional technical contact information. None of the fields are required.
First Name:

MI:

Last Name:

Email:

Phone Number:

Fax Number:

Enter numeric characters only.
Include the area code.
Format: 1231231111)
Enter numeric characters only.
Include the area code.
Format: 1231231111)

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Phone Ext:

File Processing Information
How do you want to receive and respond to e-IWOs?
No Programming
(PDF or XLS Format)

Programming
(System-to-System)

For No Programming fill in the information below. For Programming (System-to-System) skip to
page #7.

No Programming File Information
Review the default selections below and make updates as needed, based on the best option for your organization.
Encrypt Files:

Select Yes if you want OCSE to encrypt all files delivered to
your server. OCSE uses GPG for encryption.
If you select Yes, you must provide your company’s PGP or
GPG encryption key in a separate email when sending this
profile.

Email Notification:
Click ‘Always’ if you want to receive emails for notification of
files received, acknowledgement of files sent and errors.
Click ‘When Errors’ if you only want to receive e-mails when
there are errors profile.

Acknowledgement File Format:

PDF files have a format:
123456789.OAD.TEST.360000907020923101.0002.A.PDF for acknowledgement files
123456789.OAD.TEST.360000907020923101.0002.N.PDF for result files
Excel files have a format:
123456789.ACW.201001111327040.0000.XLS - for
acknowledgement files
123456789.ACW.ERR.201001111327040.0000.XLS - for
result files

Note: Adobe Reader is the only PDF editing software compatible with e-IWO.

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Programming (System-to-System) File Information
If you selected No Programming, skip to ‘Server Information’ on page 8. Review the default selections below
and make updates as needed, based on the best option for your organization.
Select e-IWO file format:

Flat files have a ‘txt’ extension.

Do you want a copy of the e-IWO in PDF file format?

In addition to receiving a flat file or XML document for the
orders, the organization can elect to also receive the orders as
individual PDF forms.
Enter information about the file exchange.
Encrypt Files:

Select Yes if you want OCSE to encrypt all files delivered to
your server. OCSE uses GPG for encryption.
If you select Yes, you must provide your company’s PGP or
GPG encryption key in a separate email when sending this
profile.
Email Notification:
Click ‘Always’ if you want to
receive emails for notification of files received,
acknowledgement of files sent and errors.
Click ‘When Errors’ if you only want to receive e-mails when
there are errors profile.

Result File Sent:

The result file is created by the OCSE batch portal and sent to
the organization. It is a notification that an acknowledgement
file was sent by the organization and received by the portal.

Click 'Always' to always receive a result file.
Click ‘When Errors’ if you only want to receive a result file for the following conditions:
• If there are problems with file header, file trailer, or other file-level structures, the entire file will be
returned.
• If errors are in the batch header or batch trailer, the entire batch will be returned with all response
records.
• If there are response record errors, the records with errors are returned in the file with
their batch header andtrailers. There can be multiple batches returned in the file.

File Naming Convention
Files can be named using OCSE’s standard file naming convention or the organization’s file naming
convention. The naming convention for PDF files is standard for this process.
1.
2.

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In the Standard/Organization-Supplied File Naming Convention column, select whether
you want to use your organization’s file naming convention or OCSE’s standard file
naming convention.
In the File Naming Convention column, take the following steps:
• If you are using your organization’s file naming convention, enter the file
naming convention. For example, for the file with notices (Incoming State

Notice Files), you can enter enmsn.mybiz.notices.txt. This is the name of the file
you will receive that includes your notices.
• If you are using OCSE’s standard file naming convention, an example file name is
in the table below. For more information about file naming conventions and
formats, refer to the e-IWO Software Interface Specifications.
File Type
Incoming State Order Files

Standard/Organization Supplied File
Name Convention
OCSE Standard

File Name
Convention
(Example: 123456789.
RSI.200708060115087.0000.txt)

Organization Supplied
Incoming Acknowledgement Result Files

OCSE Standard

(Example: 123456789.
NEA.200708060115087.0000.txt)

Organization Supplied
Outgoing Acknowledgement Files

OCSE Standard

(Example: 123456789.
ACK.200708060115087.0000.txt)

Organization Supplied

Server Information (Required for Both Options)
This information is required for the No Programming and Programming (System to System) file
information.
To send and receive e-IWO files, we need the following server information:
•
Different directory/folder names
•
Server ID
•
Server passwords
An IP address is required; a host name is optional. Information is required for the production environment and
optional for the test environment. The Pick-Up and Drop-Off directory names must be different.
The only methods offered for transferring e-IWO data is for our servers to initiate the sending and
retrieving of files using SFTP or FTPS.
We can only use FTPS with a partner's server that has installed our Certificate of Authority (CA) which
makes that server dedicated to exchanging files via FTPS only with our server.
File transfer preference: *
SFTP
FTPS

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Pick Up Service Information
Enter your organization’s server information for the e-IWO server to retrieve files.

Production Server User ID:

Test Server User ID:

Production Server Password:

Test Server Password:

Production Server IP Address:

Test Server IP Address:

Production Server Host Name:

Test Server Host Name:

Production Server Port:

Test Server Port:

Production Server Directory Name: *

Test Server Directory Name:

Drop-Off Server Information
Enter your organization’s server information for the e-IWO server to deliver notices.
Production Server User ID:

Test Server User ID:

Production Server Password:

Test Server Password:

Production Server IP Address:

Test Server IP Address:

Production Server Host Name:

Test Server Host Name:

Production Server Port:

Test Server Port:

Production Server Directory Name: *

Test Server Directory Name:

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PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this statutorily
required information collection, in accordance with 42 USC § 454a(g), is for OCSE to implement the electronic IWO
process and capture preferences for employers. Public reporting estimated burden for this collection of information is
0.22 hours per respondent, including the time for reviewing instructions, gathering and maintaining the data needed,
and reviewing the collection of information. As provided by 42 U.S.C. § 653(m)(2), any confidential information
collected for this program is accessed only by authorized users. A federal agency may not conduct or sponsor an
information collection without a valid OMB Control Number. No individual or entity is required to respond to, nor shall
an individual or entity be subject to a penalty for failure to comply with a collection of information subject to the
requirements of the Paperwork Reduction Act of 1995, without a current valid OMB Control Number. If you have any
comments on this collection of information, please contact [email protected].

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