Electronic income withholding orders/termionation of employment/income status (Employers and other income withholders)

Income Withholding for Support (IWO)

Documents and Forms

Document Name Document Type
0970-0154_E-IWO_Record_Layout_071223.pdf Other-Record Layout
0970-0154_E-IWO_Record_Layout_071223.pdf Other-Record Layout

Information Collection (IC) Details

IC Title:	Electronic income withholding orders/termionation of employment/income status (Employers and other income withholders)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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
Other-Record Layout			0970-0154_E-IWO_Record_Layout_071223.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: 33,746	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: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2,284,604	2,284,604
Annual IC Time Burden (Hours)	19,038	19,038
Annual IC Cost Burden (Dollars)	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.