Information Collection

Electronic income withholding orders/termionation of employment/income status (Employers and other income withholders) - 2020

IC 262213 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⚠️ Notice: This information collection may be referencing outdated material.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
Attachment 1 - Rev 2020_05_13_eIWO_Record_Layout_Detail.docx	Other-Record Layout
Attachment 1 - Rev 2020_05_13_eIWO_Record_Layout_Detail.docx	Other-Record Layout

IC Title:

Electronic income withholding orders/termionation 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
Other-Record Layout			Attachment 1 - Rev 2020_05_13_eIWO_Record_Layout_Detail.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: 19,000

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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,829,700	1,829,700
Annual IC Time Burden (Hours)	15,247	15,247
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.