Administrative Subpoena and Notice of Interstate Lien

Forms and Documents

Document Name	Status
Form 1 Administrative Subpoena Form and Instruction	Modified
Form 1 Notice of Lien Form and Instruction	New
Admin Subpoena and Lien supp statement 10072016.docx Supporting Statement A	2016-10-07

IC Document Collections

IC ID	Document Title	Status
9910	Administrative Subpoena Form and Instruction	Modified
223832	Notice of Lien Form and Instruction	New

ICR Details

OMB Control No: 0970-0152	ICR Reference No: 201610-0970-003
Status: Historical Active	Previous ICR Reference No: 201309-0970-001
Agency/Subagency: HHS/ACF	Agency Tracking No: ocse
Title: Administrative Subpoena and Notice of Interstate Lien
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: 03/24/2017
	Date Received in OIRA: 10/13/2016
Terms of Clearance: We appreciate ACF's agreement to continue to continue consulting with states regarding revisions to these forms, and to submit a revised package by June of 2018.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2018	36 Months From Approved	03/31/2017
Responses	1,948,235	0	53,488
Time Burden (Hours)	494,895	0	26,744
Cost Burden (Dollars)	0	0	0

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Abstract: Section 452(a)(11) of the Social Security Act requires the Secretary of HHS to promulgate a form for administrative subpoenas to be used by State child support enforcement programs to collect information for use in the establishment, modification and enforcement of child support orders in interstate cases. Section 454(9)(E) of the Act requires each State to cooperate with any other State in using the Federal form for issuance of administrative subpoenas in interstate child support cases. Tribes are not required to use this form, but may chose to do so.

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Authorizing Statute(s): PL: Pub.L. 104 - 193 452 Name of Law: Social Security Act
   US Code: 42 USC 652 Name of Law: Social Security 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:
	81 FR 31242	05/18/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 68421	10/04/2016
Did the Agency receive public comments on this ICR? No

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

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

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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	1,948,235	53,488	0	1,916,891	-22,144	0
Annual Time Burden (Hours)	494,895	26,744	0	479,223	-11,072	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 changes are primarily due to an adjustment in the child support caseload rather than due to a change in the information collection itself. The adjustment in burden for the Administrative Subpoena is due to a decrease in the number of Federal Parent Locator Service locate requests which resulted in a decrease in the number of forms a State may use. The adjustment in burden for the Notice of Lien form is due to a small increase in the number of cases with orders being established. Since both forms are mandated under section 454(9)(E) of the Social Security Act and processed within the same PRA time frames, OCSE is submitting these forms in one PRA package.

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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]? 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: 10/13/2016

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