Information Collection Request

Notice to Account Holder for Garnishment of Accounts Containing Federal Benefit Payments

ICR 202309-1505-003 · OMB 1505-0230 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
1505-0230 Garnishment Supporting Stmnt 2023.docx Supporting Statement A Uploaded 2023-09-28 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
196153 Notice of Right to Garnish Federal Benefits to a Child Support Order Sent to a Financial Institution Instruction Unchanged
191955 Notice to Account Owner and Record Retention Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 09/30/2023
487,750 130,250
76,687 23,354
0 0





Reginfo record details
2
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IC Title Form No. Form Name
Notice of Right to Garnish Federal Benefits to a Child Support Order Sent to a Financial Institution
Notice to Account Owner and Record Retention

table that charts list of burden
  Total Request 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 487,750 130,250 0 0 357,500 0
Annual Time Burden (Hours) 76,687 23,354 0 0 53,333 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No