Information Comparision with Insurance Data

Forms and Documents

Document Name	Status
Form 1 Insurance Match File: Daily Reporting Manually Form and Instruction	New
Form 1 Insurance Match File: Daily Reporting Electronically Form and Instruction	New
Form 1 Insurance Match File: Weekly Reporting Electronically Form and Instruction	New
Form 1 Insurance Match File: Monthly Reporting Electronically Form and Instruction	New
Form 1 Components of an Insurance Match Agreement Form and Instruction	Removed
2017_09_12_Insurance_Match_PRA_Supporting_Statement_0970-0342_FINAL.docx Supporting Statement A	2017-10-05
01 Standard Input File.doc Supplementary Document	2014-09-11

IC Document Collections

IC ID	Document Title	Status
228579	Insurance Match File: Daily Reporting Manually Form and Instruction	New
228578	Insurance Match File: Daily Reporting Electronically Form and Instruction	New
228577	Insurance Match File: Weekly Reporting Electronically Form and Instruction	New
228576	Insurance Match File: Monthly Reporting Electronically Form and Instruction	New
183594	Components of an Insurance Match Agreement Form and Instruction	Removed

ICR Details

OMB Control No: 0970-0342	ICR Reference No: 201710-0970-004
Status: Historical Active	Previous ICR Reference No: 201409-0970-001
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Information Comparision with Insurance Data
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: 01/08/2018
	Date Received in OIRA: 10/12/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2021	36 Months From Approved	01/31/2018
Responses	21,210	0	336
Time Burden (Hours)	2,102	0	168
Cost Burden (Dollars)	0	0	1,680

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Abstract: The Insurance Match program is a cooperative effort between states, insurers, and the federal Office of Child Support Enforcement (OCSE) to help state child support agencies collect past-due child support from noncustodial parents. Using an efficient, secure, and cost-effective automated matching process, OCSE works with participating insurers to help states collect past-due support for families by comparing noncustodial parents active on the OCSE Debtor File to individuals eligible to receive a payment from an insurance claim, settlement, award, or payment (hereinafter, “claim”). State and insurer participation in the Insurance Match program is voluntary.

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Authorizing Statute(s): US Code: 42 USC 652(m) Name of Law: Information Comparisons with Insurance Data
  

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:
	82 FR 26106	06/06/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 47527	10/12/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Insurance Match File: Daily Reporting Manually	1	OCSE Insurance Match Standard Input File Record
Components of an Insurance Match Agreement	1	File input
Insurance Match File: Monthly Reporting Electronically	1	OCSE Insurance Match Standard Input File Record
Insurance Match File: Weekly Reporting Electronically	1	OCSE Insurance Match Standard Input File Record
Insurance Match File: Daily Reporting Electronically	1	OCSE Insurance Match Standard Input File Record

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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	21,210	336	0	20,874	0	0
Annual Time Burden (Hours)	2,102	168	0	1,934	0	0
Annual Cost Burden (Dollars)	0	1,680	0	-1,680	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 was a burden hour adjustment from the previous approval, from 168 hours to 2102 hours. This adjustment is due to the estimated increase in the number of new Insurance Match program respondents from 28 to 111. The average burden hour has reduced due to an increase in technology allowing respondents to gather and share electronic data quickly. Current estimates are reduced to an average of 5 minutes for automated electronic reporting and 6 minutes for manual reporting through the Child Support Portal. Although technology has enhanced the respondent’s ability to gather and share data quickly, the typical input provided has not been impacted. The OCSE INSURANCE MATCH STANDARD INPUT FILE DETAIL RECORD (SIF) was updated to incorporate the ‘Plain Language’ principals. These updates made the document visually inviting, logically organized, and understandable on the first reading. This resulted in improved customer satisfaction; allowing customers to find what is need faster and easier. Changes were made to standardize the field definitions and include additional values in one field; the Insurance Product Claim Type. This provides the ability to increase the number of respondents and properly identify insurance claim types and will have no impact on the individual respondent’s burden. Three optional fields were added to existing filler fields: Claim Adjuster Name, Claim Adjuster Phone, and National Association of Insurance Commissioners NAIC code. These were added to capture existing data ISO shares with OCSE, which other respondents rarely use. Adding these have a minimal impact that it is unmeasurable as respondents are not required to provide this information. The Insurance Match program is now supporting respondents (other than ISO) opting to be a matching partner. Matching partners match noncustodial parents active on the Debtor File to their claimants and return matches to OCSE using the SIF record. The Debtor File Layout displaying records sent to matching partners is now included in the SIF. It is a standard, fixed-format file used to send individuals owing a child support debt to matching partners.

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Annual Cost to Federal Government: $989,289

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? 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: 10/12/2017

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