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OMB Control No: 0970-0154	ICR Reference No: 202309-0970-008
Status: Historical Active	Previous ICR Reference No: 202309-0970-006
Agency/Subagency: HHS/ACF	Agency Tracking No: OCSE
Title: Income Withholding for Support (IWO)
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: 09/30/2023
	Date Received in OIRA: 09/20/2023
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2026	08/31/2026	08/31/2026
Responses	34,534,388	0	34,534,388
Time Burden (Hours)	1,487,593	0	1,487,593
Cost Burden (Dollars)	0	0	0

Abstract: OMB approved the IWO for an additional three years on August 23, 2023. During the OMB review period, OCSS found references to “child support enforcement (CSE) agencies” that were not updated to “child support agency (CSA)” as intended. As a result, the IWO program team submitted the forms for additional quality review, which resulted in additional minor edits to the form and instructions. States are required to use the IWO form to issue income withholding orders. OCSS would like to give states the option to use the previously approved IWO form for an additional 12 months so that child support agencies remain compliant with federal law while making any system changes to accommodate the proposed edits to the IWO form. States will be required to use the proposed form once programming is complete. The original submission and the recently approved materials do not reflect an extension request for this transition. OCSS requests an extension of the previously approved IWO form for an additional 12 months to allow states to program their systems to accommodate the recently approved revisions to the IWO form and instructions. OCSS made the following changes as a result of the additional quality review and to clarify instructions around forms during programming transitions: 1.) Revised all “child support enforcement (CSE) agencies” references to “child support agencies (CSA)” on the IWO form, instructions, and sample IWO form 2.) Made minor edits to simplify the language in the instructions 3.) Added an explanation under #1.d of the instructions to clarify that the “Expiration Date” pertains to OMB approval of the form and is not the date enforcing the withholding order expires. 4.) Added an explanation under #1.d of the instructions notifying state to issue orders using the previous form while programming to use the new form. The IWO Record Specifications did not change.

Authorizing Statute(s): US Code: 42 USC 666(a)(1), (a)(8) and 666(b)(6 Name of Law: Social Security Act Requirement of Statutorily Prescribed Procedures to Improve Effectiveness of CSE

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:
	88 FR 3994	01/23/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 44363	07/12/2023
Did the Agency receive public comments on this ICR? Yes

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	34,534,388	34,534,388
Annual Time Burden (Hours)	1,487,593	1,487,593
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: OCSS requests an extension of the previously approved IWO form for an additional 12 months to allow states to program their systems to accommodate the recently approved revisions to the IWO form and instructions. Burden has been added to cover this option for states.

Annual Cost to Federal Government: $953,334

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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