Child Support Enforcement Program Financial Report Child Support Enforcement Program Quarterly Report of Collections

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
9990	Child Support Enforcement Program Financial Report Child Support Enforcement Program Quarterly Report of Collections Form	Migrated

ICR Details

OMB Control No: 0970-0181	ICR Reference No: 200304-0970-001
Status: Historical Active	Previous ICR Reference No: 200209-0970-002
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Child Support Enforcement Program Financial Report Child Support Enforcement Program Quarterly Report of Collections
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: 06/19/2003
	Date Received in OIRA: 04/24/2003
Terms of Clearance: The revised collection is approved for use on the following conditions: 1) ACF will revise the instructions for OCSE 34A lines 9c and 9d to incorporate the changes recommended in the comment letter from NCCSD dated May 21, 2003. 2) ACF will revise the both forms to reflect an expiration date of 06/30/2006. 3) ACF will submit a change worksheet (OMB 83-C) when electronic method of submission is implemented with an updated assessment of burden hours.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2006	07/31/2006	09/30/2004
Responses	432	0	432
Time Burden (Hours)	3,456	0	3,456
Cost Burden (Dollars)	2,000,000	0	2,000,000

---

Abstract: These forms are used by States to report the expenditures made and the collections of child support payments received under Title IV-D of the Social Security Act during each fiscal quarter. This includes a breakdown of the portion of the collected payments that are distributed to the custodial parent or to the Federal or State governments. These forms are also used by the States to provide semiannual budget estimates for the program. The reported expenditure and collection information is used to calculate quarterly grant awards and annual incentive payments to the States, and is published in an Annual Report, available...

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Child Support Enforcement Program Financial Report Child Support Enforcement Program Quarterly Report of Collections	OCSE-396A, OCSE-34A

---

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	432	432	0	0	0	0
Annual Time Burden (Hours)	3,456	3,456	0	0	0	0
Annual Cost Burden (Dollars)	2,000,000	2,000,000	0	0	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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

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: 04/24/2003

---