Information Collection

Income withholding order/notice (Courts, private attorneys, custodial parties or their representatives)

IC 227079 under ICR 202607-0970-002 · OMB 0970-0154.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 IWO Form Income withholding order/notice (Courts, private attorneys, custodial parties or their representatives)	Form
IWO Instructions - Clean.docx	Instruction
IWO Sample Form Clean.docx	Instruction
1 IWO Form Income Withholding Order for Support (IWO) Form Clean.docx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Yes	Yes	Fillable Printable
Instruction		Yes	Yes	Printable Only
Instruction		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,439,580

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,439,580	-1,254,937	4,694,517
Annual IC Time Burden (Hours)	285,485	-105,725	391,210
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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