Extension without change of a currently approved collection
No
Regular
11/25/2025
Requested
Previously Approved
36 Months From Approved
11/30/2025
10,753,708
19,352,287
896,142
1,215,658
5,927,982
6,400,769
Pursuant to section 401(a) of the
CSPIA, the Department of Labor (the Department) and HHS jointly
promulgated the National Medical Support Notice Final Rule on
December 27, 2000 (65 FR 82128) (NMSN Regulation). The NMSN
Regulation simplifies the issuance and processing of medical child
support orders; standardizes communication between State agencies,
employers, and Plan Administrators; and creates a uniform and
streamlined process for enforcement of medical child support to
ensure that all eligible children receive the health care coverage
to which they are entitled. The NMSN Regulation, codified at 29 CFR
2590.609-2, includes a model National Medical Support Notice (NMSN)
that is comprised of two parts: part A is a notice from the State
agency to the employer, entitled: “Notice to Withhold for Health
Care Coverage;” and part B is a notice from the employer to the
Plan Administrator, entitled: “Medical Support Notice to Plan
Administrator.” Both parts have detailed instructions informing the
recipient to whom responses are due depending on varying
circumstances. This ICR addresses the Plan Administrator's
responsibilities under NMSN Regulation to complete part B of the
NMSN, the “Plan Administrator Response,” pursuant to the CSPIA and
section 609(a)(5)(C) of title I of ERISA. The “Plan Administrator
Response” in part B of the NMSN requires the Plan Administrator to
provide information verifying whether the child is or will be
receiving health care coverage from the group health plan. If
enrollment has already occurred or can begin immediately, the Plan
Administrator's response in part B serves as notice to the State
agency, the participant (parent), the child, their non-participant
parent or guardian and the employer that the child is or will begin
receiving dependent health care coverage pursuant to the group
health plan. When the child is eligible for more than one coverage
option, the Administrator must first send the part B response to
the State agency so that the agency may choose one option. The Plan
Administrator must also use the part B response to notify all of
the above-affected persons of any waiting period before enrollment
of the child can occur.
US Code:
29
USC 1169(a) Name of Law: Employee Retirement Income Security
Act of 1974
In 2022, this information
collection was revised to require an additional addendum for all
states without e-NMSN. The costs to prepare these addendums were
one-time costs, which will now be simply included with the overall
notice. As a result, there is no separate cost for the addendum.
This will substantially lower the costs associated with this
information collection. Additionally, the Department has updated
the plan data, health insurance data, wage rates, and material
costs. The Department has also used an updated methodology to
estimate the costs associated with mailing. As a result, the number
of responses decreased by 8,598,579, the hour burden decreased by
319,516 hours, and the cost burden by $472,787.
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.
1210-0113 NMSN SS 11-14-2025.docx
National Medical Support Notice - Part B