View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0970-0154	ICR Reference No: 200403-0970-003
Status: Historical Active	Previous ICR Reference No: 200012-0970-007
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Order to Withhold Income for Child Support and Notice of an Order to Withhold Income for Child Support
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/28/2004
	Date Received in OIRA: 03/29/2004
Terms of Clearance: Approved. Upon next submission, ACF should report on progress of effort to create a universal case number across IV-D agencies. Progress in this effort should lead to a re-examination of the need to report the child's name and date of birth and possible through increased reliance on the case number.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2007	05/31/2007	05/31/2004
Responses	216,000	0	54
Time Burden (Hours)	980,230	0	16,056
Cost Burden (Dollars)	0	0	0

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