Information Collection

Income withholding orders/termination of employment/income status (Employers and other income withholders) - 2020

IC 262210 under ICR 202309-0970-008 · OMB 0970-0154.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0154 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Income withholding orders/termination of employment/income status (Employers and other income withholders) - 2020	Form
0970-0154 IWO Instructions - Revised 2020 clean.pdf	Instruction
0970-0154 IWO Instructions - Revised 2020 clean.pdf	Instruction
1 IWO Form - 2020 0970-0154 IWO OrderForm_Approved_2020.pdf	Form
1 IWO Form - 2020 0970-0154 IWO OrderForm_Approved_2020.pdf	Form

IC Title:

Income withholding orders/termination of employment/income status (Employers and other income withholders) - 2020

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	IWO Form - 2020	0970-0154 IWO OrderForm_Approved_2020.pdf		Yes	Yes	Fillable Printable
Instruction			0970-0154 IWO Instructions - Revised 2020 clean.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: 1,256,624

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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	11,397,580	11,397,580
Annual IC Time Burden (Hours)	379,919	379,919
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.