OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Income withholding orders/termination of employment/income status (Employers and other income withholders)

IC 227080 under ICR 202607-0970-002 · OMB 0970-0154.

Documents and Forms
Document Name
Document Type
Form
Instruction
Instruction
Form
Information Collection (IC) Details

View Information Collection (IC)

Income withholding orders/termination of employment/income status (Employers and other income withholders)
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 IWO Form Income Withholding Order for Support (IWO) Form Clean.docx Yes Yes Fillable Printable
Instruction IWO Instructions - Clean.docx Yes Yes Fillable Printable
Instruction IWO Sample Form Clean.docx Yes Yes Fillable Printable

Community and Social Services Social Services

 

1,214,289 0
   
Private Sector Businesses or other for-profits
 
   95 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 6,350,731 0 -3,885,665 0 0 10,236,396
Annual IC Time Burden (Hours) 209,574 0 -131,639 0 0 341,213
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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