Income Withholding for Support (IWO)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 IWO Form - 2020	Form	Unchanged	Available
Form 1 Income withholding orders/termination of employment/income status (Employers and other income withholders) - 2020	Form	Unchanged	Available
Form 1 IWO Form - 2020	Form	Unchanged	Repair queued
Form 1 Income withholding order/notice (Courts, private attorneys, custodial parties or their representatives) - 2020	Form	Unchanged	Available
Form 1 IWO Form	Form	Modified	Available
Form 1 Income withholding orders/termination of employment/income status (Employers and other income withholders)	Form	Modified	Repair queued
Form 1 IWO Form	Form	Modified	Available
Form 1 Income withholding order/notice (Courts, private attorneys, custodial parties or their representatives)	Form	Modified	Repair queued
IWO_Non-Sub_Change_Memo2_replace doc_9.20.23.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-09-20	Repair queued
IWO_Non-Sub_Change_Memo_091823_fnl.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-09-18	Repair queued
IWO_0970-0154_Supporting Statement_Extension Requst_091823_FINAL.docx	Supporting Statement A	Uploaded 2023-09-18	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
262213	Electronic income withholding orders/termionation of employment/income status (Employers and other income withholders) - 2020	Other-Record Layout	Unchanged
262210	Income withholding orders/termination of employment/income status (Employers and other income withholders) - 2020	Form	Unchanged	IWO Form - 2020
262210	Income withholding orders/termination of employment/income status (Employers and other income withholders) - 2020	Form	Unchanged
262210	Income withholding orders/termination of employment/income status (Employers and other income withholders) - 2020	Instruction	Unchanged
262209	Income withholding order/notice (Courts, private attorneys, custodial parties or their representatives) - 2020	Form	Unchanged	IWO Form - 2020
262209	Income withholding order/notice (Courts, private attorneys, custodial parties or their representatives) - 2020	Form	Unchanged
262209	Income withholding order/notice (Courts, private attorneys, custodial parties or their representatives) - 2020	Instruction	Unchanged
227081	Electronic income withholding orders/termionation of employment/income status (Employers and other income withholders)	Other-Record Layout	Unchanged
227080	Income withholding orders/termination of employment/income status (Employers and other income withholders)	Form	Modified	IWO Form
227080	Income withholding orders/termination of employment/income status (Employers and other income withholders)	Form	Modified
227080	Income withholding orders/termination of employment/income status (Employers and other income withholders)	Instruction	Modified
227079	Income withholding order/notice (Courts, private attorneys, custodial parties or their representatives)	Form	Modified	IWO Form
227079	Income withholding order/notice (Courts, private attorneys, custodial parties or their representatives)	Form	Modified
227079	Income withholding order/notice (Courts, private attorneys, custodial parties or their representatives)	Instruction	Modified

ICR Details

OMB Control No: 0970-0154	ICR Reference No: 202309-0970-008
Status: Historical Active	Previous ICR Reference No: 202309-0970-006
Agency/Subagency: HHS/ACF	Agency Tracking No: OCSE
Title: Income Withholding for Support (IWO)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/30/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/20/2023
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2026	08/31/2026	08/31/2026
Responses	34,534,388	0	34,534,388
Time Burden (Hours)	1,487,593	0	1,487,593
Cost Burden (Dollars)	0	0	0

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Abstract: OMB approved the IWO for an additional three years on August 23, 2023. During the OMB review period, OCSS found references to “child support enforcement (CSE) agencies” that were not updated to “child support agency (CSA)” as intended. As a result, the IWO program team submitted the forms for additional quality review, which resulted in additional minor edits to the form and instructions. States are required to use the IWO form to issue income withholding orders. OCSS would like to give states the option to use the previously approved IWO form for an additional 12 months so that child support agencies remain compliant with federal law while making any system changes to accommodate the proposed edits to the IWO form. States will be required to use the proposed form once programming is complete. The original submission and the recently approved materials do not reflect an extension request for this transition. OCSS requests an extension of the previously approved IWO form for an additional 12 months to allow states to program their systems to accommodate the recently approved revisions to the IWO form and instructions. OCSS made the following changes as a result of the additional quality review and to clarify instructions around forms during programming transitions: 1.) Revised all “child support enforcement (CSE) agencies” references to “child support agencies (CSA)” on the IWO form, instructions, and sample IWO form 2.) Made minor edits to simplify the language in the instructions 3.) Added an explanation under #1.d of the instructions to clarify that the “Expiration Date” pertains to OMB approval of the form and is not the date enforcing the withholding order expires. 4.) Added an explanation under #1.d of the instructions notifying state to issue orders using the previous form while programming to use the new form. The IWO Record Specifications did not change.

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Authorizing Statute(s): US Code: 42 USC 666(a)(1), (a)(8) and 666(b)(6 Name of Law: Social Security Act Requirement of Statutorily Prescribed Procedures to Improve Effectiveness of CSE
  

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:
	88 FR 3994	01/23/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 44363	07/12/2023
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
Income withholding orders/termination of employment/income status (Employers and other income withholders) - 2020	1	IWO Form - 2020
Electronic income withholding orders/termionation of employment/income status (Employers and other income withholders)
Electronic income withholding orders/termionation of employment/income status (Employers and other income withholders) - 2020
Income withholding order/notice (Courts, private attorneys, custodial parties or their representatives)	1	IWO Form
Income withholding order/notice (Courts, private attorneys, custodial parties or their representatives) - 2020	1	IWO Form - 2020
Income withholding orders/termination of employment/income status (Employers and other income withholders)	1	IWO Form

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ICR Summary of Burden

table that charts list 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	34,534,388	34,534,388	0	0	0	0
Annual Time Burden (Hours)	1,487,593	1,487,593	0	0	0	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: No

Burden Reduction Due to:

Short Statement: OCSS requests an extension of the previously approved IWO form for an additional 12 months to allow states to program their systems to accommodate the recently approved revisions to the IWO form and instructions. Burden has been added to cover this option for states.

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Annual Cost to Federal Government: $953,334

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? No

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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: 09/20/2023

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