View Information Collection Request (ICR) Package
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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:
0970-0342
ICR Reference No:
202010-0970-006
Status:
Historical Active
Previous ICR Reference No:
201710-0970-004
Agency/Subagency:
HHS/ACF
Agency Tracking No:
OCSE
Title:
Information Comparision with Insurance Data
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
01/05/2021
Retrieve Notice of Action (NOA)
Date Received in OIRA:
11/04/2020
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
01/31/2024
36 Months From Approved
01/31/2021
Responses
28,390
0
21,210
Time Burden (Hours)
2,818
0
2,102
Cost Burden (Dollars)
0
0
0
Abstract:
The Insurance Match program is a cooperative effort between states, insurers, and the federal Office of Child Support Enforcement (OCSE) to help state child support agencies collect past-due child support from noncustodial parents. Using an efficient, secure, and cost-effective automated matching process, OCSE works with participating insurers to help states collect past-due support for families by comparing noncustodial parents active on the OCSE Debtor File to individuals eligible to receive a payment from an insurance claim, settlement, award, or payment (hereinafter, “claim”). State agency and insurer participation in the Insurance Match program is voluntary; however, there are 12 states that have specific mandates for insurers to report claims. The Insurance Match program assists with meeting these state mandates. This request is for a revision of a currently approved information collection. Changes since the previous approval pertain to an increase in the burden due to an increase in the number of participating insurers. The information collection instruments have not changed.
Authorizing Statute(s):
US Code:
42 USC 652(m)
Name of Law: Information Comparisons with Insurance Data
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
85 FR 27745
05/11/2020
30-day Notice:
Federal Register Citation:
Citation Date:
85 FR 68885
10/30/2020
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
4
IC Title
Form No.
Form Name
Insurance Match File: Daily Reporting Electronically
1
OCSE Insurance Match Standard Input File Record
Insurance Match File: Daily Reporting Manually
Insurance Match File: Monthly Reporting Electronically
1
OCSE Insurance Match Standard Input File Record
Insurance Match File: Weekly Reporting Electronically
1
OCSE Insurance Match Standard Input File Record
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
28,390
21,210
0
7,180
0
0
Annual Time Burden (Hours)
2,818
2,102
0
716
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
The burden hour increased from the previous approval, from 2,102 hours to 2,817.21 hours. This adjustment is the result of an increase in the number of new Insurance Match program respondents from 111 to 145. The estimated average amount of time for each response is unchanged.
Annual Cost to Federal Government:
$1,254,610
Does this IC contain surveys, censuses, or employ statistical methods?
No
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
Yes
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
Yes
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
No
Agency Contact:
Camille Wilson 202 565-0162 camille.wilson@acf.hhs.gov
Common Form ICR:
No
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:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(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;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
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.
Certification Date:
11/04/2020
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