No
material or nonsubstantive change to a currently approved
collection
No
Regular
05/28/2025
Requested
Previously Approved
11/30/2025
11/30/2025
9,771,527
9,771,527
1,657,190
1,657,190
0
0
The Office of Child Support Services
(OCSS) developed the National Medical Support Notice (NMSN) Part A
as a standard, required form for child support agencies to use to
ensure dependent children are enrolled in available
employer-sponsored medical coverage, if required by a support
order. The NMSN Part A was most recently approved on 11/22/2022 and
the current expiration date is11/30/2025. Currently, child support
agencies download the paper NMSN form from the OCSS website,
complete the form manually, and exchange NMSNs with employer
partners by U.S. mail. Some states (e.g. TX) allow employers to
retrieve the NMSN from their employer portal but there are not many
states that do so. Currently, states send the completed NMSN to
employers via U.S. mail, the employer responds to the state child
support agencies by U.S. mail, and employers send the NMSN to their
plan administrators, also by U.S. mail. OCSS developed an
electronic option for child support agencies to exchange NMSNs with
employer partners. To exchange that information, OCSS created the
e-NMSN record specifications to accompany the currently approved
NMSN Part A. With the electronic e-NMSN process, states, employers,
and plan administrators may exchange the documents electronically
without using the U.S. mail, thereby saving time and mailing costs.
Note that use of the e-NMSN electronic reporting process will not
change any of the data elements collected under the currently
approved NMSN Part A. Adding the newly developed e-NMSN record
specifications to the NMSN Part A allows states and tribes to
program their systems to send the notice electronically to
employers participating in e-NMSN. The electronic process reduces
the time for states and tribes to send and employers to receive and
process medical support orders allowing coverage for children to
begin much sooner. This e-NMSN process is voluntary for all states,
tribes, and employers. The following ICR has been updated with non
substantive changes in response to the Defending Women from Gender
Ideology Extremism and Restoring Biological Truth to the Federal
Government Executive Order (Defending Women EO) and recent
Presidential Actions related to diversity, equity, and inclusion
(DEI), such as those covered under the EO Initial Recissions of
Harmful Executive Orders and Actions.
US Code:
29
USC 1169 Name of Law: Additional standards for group health
plans
US Code: 45
USC 303.32 Name of Law: National Medical Support Notice
PL:
Pub.L. 105 - 200 401(c) Section 609 Name of Law: Child Support
Performance and Incentive Act
US Code: 42
USC 666 Name of Law: Requirement of statutorily prescribed
procedures to improve effectiveness of child supp enforcement
The requested addition of the
e-NMSN record specifications to the currently approved NMSN - Part
A has added initial programming costs to users who choose to use
the NMSN electronic version. This initial programming cost will
eliminate paper forms and mailings, reducing the overall hourly
burden and mailing costs for users. OCSS has also estimated the
burden separately for the e-NMSN submissions.
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:
(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;
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.
Form NMSN Matrix State Medical Support Contacts and Program Requirement Matrix (State Respondents)
NonSub Change - Update to ACF ICs - Protecting Women and DEI EOs - 04.25.2025.docx
National Medical Support Notice – Part A – Notice to Withhold for Health Care Coverage e-NMSN record specification layout Electronic system to system (Employer Respondents)