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OMB Control No: 0970-0152	ICR Reference No: 202108-0970-018
Status: Historical Active	Previous ICR Reference No: 202104-0970-001
Agency/Subagency: HHS/ACF	Agency Tracking No: OCSE
Title: Administrative Subpoena and Notice of Interstate Lien
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/03/2021
	Date Received in OIRA: 08/26/2021
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2024	06/30/2024	06/30/2024
Responses	1,814,724	0	1,814,724
Time Burden (Hours)	907,376	0	907,376
Cost Burden (Dollars)	0	0	0

Abstract: Section 452(a)(11) of the Social Security Act requires the Secretary of the Department of Health and Human Services to promulgate forms for administrative subpoenas and imposition of liens used by state child support enforcement (Title IV-D) agencies in interstate cases. Section 454(9)(E) of the Social Security Act requires each state to cooperate with any other state in using the federal forms for issuance of administrative subpoenas and imposition of liens in interstate child support cases. The forms included in this information collection request – Administrative Subpoena and Notice of Lien – fulfill these requirements. These forms are used by state child support agencies and by individuals; the federal office – the Office of Child Support Enforcement (OCSE) – provides these forms for use by agencies and individuals, but does not use the information collected on the forms. State IV-D agencies use the Administrative Subpoena to obtain income and other financial information regarding noncustodial parents for purposes of establishing, enforcing, and modifying child support orders. State IV-D agencies also use the Notice of Lien form to impose liens on noncustodial parents for the purpose of enforcement. On the Notice of Lien form that OMB recently approved, under section V, there are two check boxes that should be labeled “A” and “B.” The “A” label on the first checkbox, however, is missing. The “A” label was in place on the previously approved version of the form, but OCSE inadvertently deleted it when making minor updates to the form during the recent PRA review process. OCSE requests permission to make a non-substantive edit to the form to restore the “A” label to the checkbox, for clarity and consistency. (See the attached revised document with the “A” label restored.)

Authorizing Statute(s): US Code: 42 USC 654 Name of Law: Social Security Act
   PL: Pub.L. 104 - 193 454(9)(E) Name of Law: Social Security Act
   US Code: 42 USC 652 Name of Law: Social Security Act
   PL: Pub.L. 104 - 193 452(a)(11) Name of Law: Social Security Act

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:
	86 FR 307	01/05/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 20700	04/21/2021
Did the Agency receive public comments on this ICR? Yes

Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Administrative Subpoena	1
Notice of Lien	1

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	1,814,724	1,814,724
Annual Time Burden (Hours)	907,376	907,376
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

Annual Cost to Federal Government: $0

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. No

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: Molly Buck 202 205-4724 mary.buck@acf.hhs.gov

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