No material or nonsubstantive change to a currently approved collection
No
Regular
Approved without change
06/04/2026
05/29/2026
table that charts list comparision
Inventory as of this Action
Requested
Previously Approved
12/31/2028
12/31/2028
12/31/2028
9,512,998
0
19,181,513
1,615,119
0
3,251,272
0
0
0
The Office of Child Support Enforcement (OCSE) developed the National Medical Support Notice (NMSN) - Part A in accordance with the Child Support Performance and Incentives Act of 1998 and the Employee Retirement Income Security Act of 1974. The laws required OCSE to promulgate NMSN regulations, which were issued jointly by the Departments of Health and Human Services and Labor.
The information collection activities associated with the NMSN are authorized by (1) 42 U.S.C. § 666, which requires all child support orders to include a provision for medical support, and where appropriate, enforced through the National Medical Support Notice; and (2) 29 U.S.C. § 1169, which provides for medical coverage pursuant to a qualified medical support order.
The NMSN Part A is a standard, required form that child support agencies (CSAs) use to ensure employers enroll dependent children in available employer-sponsored medical coverage, if required by a child support order. The Department of Labor develops and maintains the required Part B form (OMB #: 1210-0113) that employers use to inform a plan administrator that a participant is obligated by an order to provide health care coverage for dependent children.
As part of the most recent revision request, ACF requested an implementation period and estimated burden for a one year implementation period. In reviewing the request in ROCIS, ACF has realized that burden was double counted by the way it was entered into the system. This request fixes that error.
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
US Code:
29 USC 1169
Name of Law: Additional standards for group health plans
In reviewing the request in ROCIS, ACF has realized that burden was double counted by the ICs were entered into the system. ACF would like to update the request to provide the average annual burden estimates accurately. To do so, a new burden table was added to Section A12 of SSA to summarize annual burden.
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.
National Medical Support Notice – Part A – Notice to Withhold for Health Care Coverage e-NMSN record specification layout Electronic system to system (Employer Respondents) - 2026 Forward