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

Income Withholding for Support (IWO)

⚠️ Notice: This information collection may be referencing outdated material.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_Instructions_Sample_Form_OCSS_071223.pdf Instruction
0970_0154_Instructions_Sample_Form_OCSS_071223.pdf Instruction
1 IWO Form 0970_0154_IWO_Form_OCSS_062123.docx Form
1 IWO Form 0970_0154_IWO_Form_OCSS_062123.docx Form

Information Collection (IC) Details

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_Instructions_Sample_Form_OCSS_071223.pdf		Yes	Yes	Fillable Printable
Form	1	IWO Form	0970_0154_IWO_Form_OCSS_062123.docx		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: 4,694,517	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: 90 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,694,517	602,926	4,091,591
Annual IC Time Burden (Hours)	391,210	50,244	340,966
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.