State Self-Assessment Review and Report

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 CSE Program Self-Assessment Report	Form and Instruction	Modified	Available
Form 1 State Self-Assessment Review and Report	Form and Instruction	Modified	Repair queued
State Self-Assessment Report_Delaware Comments_FINAL_email 11.4.24.docx	Public Comments	Uploaded 2024-11-04	Available
State Self-Assessment Report (per OMB No. 0970-0223 & ACF-OCSS-DCL-24-11)_email 11.4.24.pdf	Public Comments	Uploaded 2024-11-04	Available
Open Comment Period State-Self Assessment Report_email 11.1.24.docx	Public Comments	Uploaded 2024-11-01	Available
OCSE FR 2024-19806 Proposed Information Collection Activity; State Self Assessment Review and Report 10.30.24 Final 1_email 11.4.24.pdf	Public Comments	Uploaded 2024-10-30	Available
SARR SuppStat_Part B_FINAL_4.24.25.docx	Supporting Statement B	Uploaded 2025-04-24	Repair queued
SARR SuppStat_Part B_FINAL_4.24.25.docx	Supporting Statement B	Uploaded 2025-04-24	Repair queued
SARR SuppStat_Part A_FINAL_4.10.25.docx	Supporting Statement A	Uploaded 2025-04-16	Available
SARR SuppStat_Part A_FINAL_4.10.25.docx	Supporting Statement A	Uploaded 2025-04-16	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
10062	State Self-Assessment Review and Report	Form and Instruction	Modified	CSE Program Self-Assessment Report
10062	State Self-Assessment Review and Report	Form and Instruction	Modified

ICR Details

OMB Control No: 0970-0223	ICR Reference No: 202504-0970-013
Status: Active	Previous ICR Reference No: 202202-0970-014
Agency/Subagency: HHS/ACF	Agency Tracking No: OCSE
Title: State Self-Assessment Review and Report
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/30/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/28/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2028	36 Months From Approved	06/30/2025
Responses	54	0	54
Time Burden (Hours)	432	0	432
Cost Burden (Dollars)	0	0	0

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Abstract: The Office of Child Support Enforcement (OCSE) oversees the administration of participating child support programs in the 54 states and territories (states). OCSE sets program standards and policy, evaluates state child support agency (CSA) performance and offers technical assistance and training to the state CSAs. The authority requiring state CSAs to submit an annual State Self-Assessment Review and Report (SARR) and for OCSE to collect and use the information for oversight purposes is found in section 454 (15)(A) of the Social Security Act. 42 U.S.C. § 654 (15)(A). In its oversight role, OCSE provides recommendations to state CSAs for additional or corrective action, offers technical assistance, and identifies best practices among state CSAs. This request is for an extension. Contact information has been updated to ensure it is current.

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Authorizing Statute(s): US Code: 42 USC 654(15)(A) Name of Law: SSA
  

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:
	89 FR 71905	09/04/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 22296	05/27/2025
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
State Self-Assessment Review and Report	1	CSE Program Self-Assessment Report

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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	54	54	0	0	0	0
Annual Time Burden (Hours)	432	432	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:

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Annual Cost to Federal Government: $57,179

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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.     No

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: 05/28/2025

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