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Income withholding order/notice (Courts, private attorneys, custodial parties or their representatives)
Income Withholding for Support (IWO)
OMB: 0970-0154
IC ID: 227079
OMB.report
HHS/ACF
OMB 0970-0154
ICR 202006-0970-003
IC 227079
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0154 can be found here:
2023-09-20 - No material or nonsubstantive change to a currently approved collection
2023-09-18 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
0970-0154 IWO Instructions - Revised 2020 clean.pdf
Instruction
1 IWO Form
0970-0154 IWO OrderForm clean.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Income withholding order/notice (Courts, private attorneys, custodial parties or their representatives)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
0970-0154 IWO Instructions - Revised 2020 clean.pdf
Yes
Yes
Fillable Printable
Form
1
IWO Form
0970-0154 IWO OrderForm clean.pdf
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
4,091,591
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
4,091,591
0
391,800
0
0
3,699,791
Annual IC Time Burden (Hours)
340,966
0
32,650
0
0
308,316
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.