45 CFR 303.7 - Provision of Services in Intergovernmental IV-D; Federally Approved Forms

Forms and Documents

Document Name	Status
Form 1 Uniform Support Petition Form and Instruction	Modified
Form 1 Declaration in Support of Establishing Parentage Form and Instruction	New
Form 1 Request for Change of Support Payment Location Pursuant to UIFSA 319(b) Form and Instruction	New
Form 1 Child Support Agency Confidenial Information Form Form and Instruction	New
Form 1 Personaql Information Form for UIFSA sec. 311 Form and Instruction	New
Form 1 Letter of Transmittal Requesting Registration Form and Instruction	New
Form 1 Notice of Determination of Controlling Order Form and Instruction	New
Form 1 Transmillal #1- Initial Request Acknowledgement Form and Instruction	New
Form 1 Affidavit / Paternity Form and Instruction	Removed
Form 1 General Testimony Form	Modified
Form 1 Locate Data Sheet Form and Instruction	Modified
Form 1 Contolling Order Form and Instruction	Removed
Form 1 Registration Statement Form and Instruction	Removed
Form 1 Transmittal 1-Initial Request Form and Instruction	Modified
Form 1 Transmittal 2 Form and Instruction	Modified
Form 1 Transmittal #3- Request for Assistance /Discovery Form and Instruction	Modified
Attachment 2 OMB Response to Comments 06062016.xlsx Supplementary Document	2016-12-20
Attachment 1 Policy References 06222016.docx Supplementary Document	2016-12-20
Supporting Statement 12222016 final.docx Supporting Statement A	2016-12-27

IC Document Collections

IC ID	Document Title	Status
9837	Uniform Support Petition Form and Instruction	Modified
222799	Declaration in Support of Establishing Parentage Form and Instruction	New
222798	Request for Change of Support Payment Location Pursuant to UIFSA 319(b) Form and Instruction	New
222797	Child Support Agency Confidenial Information Form Form and Instruction	New
222796	Personaql Information Form for UIFSA sec. 311 Form and Instruction	New
222795	Letter of Transmittal Requesting Registration Form and Instruction	New
222794	Notice of Determination of Controlling Order Form and Instruction	New
222792	Transmillal #1- Initial Request Acknowledgement Form and Instruction	New
182930	Affidavit / Paternity Form and Instruction	Removed
182929	General Testimony Form	Modified
182928	Locate Data Sheet Form and Instruction	Modified
182927	Contolling Order Form and Instruction	Removed
182926	Registration Statement Form and Instruction	Removed
182925	Transmittal 1-Initial Request Form and Instruction	Modified
182924	Transmittal 2 Form and Instruction	Modified
182923	Transmittal #3- Request for Assistance /Discovery Form and Instruction	Modified

ICR Details

OMB Control No: 0970-0085	ICR Reference No: 201608-0970-001
Status: Historical Active	Previous ICR Reference No: 201312-0970-002
Agency/Subagency: HHS/ACF	Agency Tracking No: OCSE
Title: Title: 45 CFR 303.7 - Provision of Services in Intergovernmental IV-D; Federally Approved Forms
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: 12/29/2016
	Date Received in OIRA: 08/04/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2019	36 Months From Approved	02/28/2017
Responses	9,620,424	0	3,916,458
Time Burden (Hours)	771,310	0	676,682
Cost Burden (Dollars)	0	0	0

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Abstract: The federally approved intergovernmental forms are used to facilitate interstate child support case processing when more than one state child support agency is involved. The forms are readily recognizable and provide the information states agree is needed to process a case. More than one state may become involved in a child support case when the parents live in different states, where the parties no longer reside in the state that issued the support order, or when assets are sought in states other than the state enforcing the support order. Intergovernmental cases are the most complex and difficult cases. About 15-25 percent of child support cases are believed to involve more than one state.

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Authorizing Statute(s): US Code: 42 USC 666(f) Name of Law: Uniform Interstate Family Support Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 46286	08/04/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 17086	07/20/2016
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 13

IC Title	Form No.	Form Name
Personaql Information Form for UIFSA sec. 311	1	Personal Information Form
Uniform Support Petition	1	Uniform Support Petition
Transmittal #3- Request for Assistance /Discovery	1	Transmittal 3
Transmittal 2	1	Transmittal 2
Transmittal 1-Initial Request	1	Transmittal 1
Letter of Transmittal Requesting Registration	1	Letter of Transmittal Requesting Registration
Registration Statement	1	Registration Statement
Locate Data Sheet	1	Child Support Locate Request
General Testimony	1	General Testimony
Contolling Order	1	Controlling Order
Transmillal #1- Initial Request Acknowledgement	1	Transmittal 1 Acknowledgment
Affidavit / Paternity	1	Affidavit
Notice of Determination of Controlling Order	1	Notice of Determination of Controlling Order
Child Support Agency Confidenial Information Form	1	Child Support Agency Confidential Information
Request for Change of Support Payment Location Pursuant to UIFSA 319(b)	1	Request For Change of Support Payment Location
Declaration in Support of Establishing Parentage	1	Declaration in Support of Establishing Parentage revised final

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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	9,620,424	3,916,458	0	5,703,966	0	0
Annual Time Burden (Hours)	771,310	676,682	0	94,628	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: There are program changes to the forms and four new ICs.

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Annual Cost to Federal Government: $13,087,008

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]? 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? Uncollected

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Common Form ICR:  No

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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: 08/04/2016

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