Form 1 e-NMSN: State Profile

OMB Control No: 0970-0370
Expiration Date: xx-xx-xxxx

Department of Health and Human Services
Administration for Children and Families
Office of Child Support Enforcement

Agreement to Exchange Electronic National
Medical Support Notices
By completing and providing the information on this form, the state agrees it will:
Transmit NMSNs electronically to employers, plan administrators, third-party processors, and agents
that participate in OCSE’s e-NMSN process.
Treat e-NMSNs in the same manner as mailing paper notices to the employer.
Consider the electronic version of the NMSN admissible as evidence in the same way as paper
documents.
Not impersonate any individual, entity, or association; use false headers; or otherwise conceal or provide
misleading information when sending NMSNs electronically.
Provide true, correct, current, and complete information about the state identified in the profile form.
Provide written notice to the federal Office of Child Support Enforcement at least 30 days before you
intend to stop sending e-NMSNs.
Agree to accept paper versions of the Part-B response from plan administrators, unions, or labor
organizations not participating in OCSE’s e-NMSN process.
Acknowledge it is the state’s responsibility to contact an employer directly if a Part-A and, when
appropriate, Part-B response is not received after sending an e-NMSN.

Accept

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Decline

e-NMSN State Profile Form
Instructions
To complete this form, you must use Adobe Acrobat Reader version 10 or later. To download this free software, go to
https://www.adobe.com/acrobat/pdf-reader.html.
You must complete the required fields followed by a red asterisk *. If there are errors, a popup box will appear with
information about correcting the error..

General Information
Date:
(The date you are completing the form using MM/DD/YYYY format.)

FIPS/Locator
Code: *

(Enter the FIPS/Locator code as five numeric characters, including three trailing zeros. For
example, enter 04000, not 04.)

State Name: *

Address Information

Enter the state child support office’s address.
Address Line 1: *

Address Line 2:

City: *

State: *

ZIP Code: *

ZIP Code Extension
-

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(Enter a five-digit ZIP code and the optional four-digit
extension.)

Contact Information
Enter the state’s primary business, primary technical and additional contact information.

Primary Business Contact Information
Enter the business contact information for working with OCSE to set up e-NMSN and assist with issue resolution.
MI:

First Name: *

Last Name: *

Email: *

Send email notifications, including file processing information, to this email address.
Phone Number: *

Fax Number:

(Enter numeric characters only. Include
the area code. Format: 1231231111)

Phone Ext:

(Enter numeric characters only. Include
the area code. Format: 1231231111)

Is the primary business contact also the primary technical contact?

Yes

No

Primary Technical Contact Information
Enter a network or system administrator who can provide Internet Protocol (IP) address information and batchsystem

information.
First Name:

MI:

Last Name:

Email:

Send email notifications, including file processing information, to this email address.
Phone Ext:

Phone Number:
(Enter numeric characters only. Include
the area code. Format: 1231231111)

Fax Number:

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(Enter numeric characters only. Include
the area code. Format: 1231231111)

Additional Business Contact Information
Enter the contact information that will be shared with employers, third-party providers, plan administrators, and other
stakeholders for case-specific questions.
MI:
Last Name:
First Name:

Email:

Send email notifications, including file processing information, to this email address.
Phone Number:
Fax Number:

(Enter numeric characters only. Include
the area code. Format: 1231231111)

Phone Ext:

(Enter numeric characters only. Include
the area code. Format: 1231231111)

File Processing Information
Use this section of the form to specify whether you will send and receive files in XML or flat file format. You can
choose to use the standard e-NMSN file naming convention or your state’s file naming convention.
Make selections below based on the best option for your state.

General File Information
Enter information about the file exchange.
Encrypt files: *

Select Yes if you want OCSE to encrypt all files delivered to your server. OCSE uses
GPG for encryption.
If you select Yes, you must attach in a separate email your state’s PGP or GPG
encryption key when returning this profile form.

Are your files stored behind your organization firewall?
This field is required only if you selected No for the Encrypt files option.

Error File
The file submitter will receive an error file for the following conditions:
•
•
•

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If there are problems with the file header, file trailer, or other file-level structures, the entire file will be returned.
If errors are in the batch header or batch trailer, the entire batch will be returned with all notice records.
If there are notice record errors, the records with errors are returned in the file with their batch header and trailers.
Multiple batches can be returned in the file.

File Information
Select the file format below.
File format: *
Flat files have a .txt file extension.

1. In the Standard/State-Supplied File Naming Convention column, select whether you want to use your state’s file
naming convention or OCSE’s standard file naming convention.
2. In the File Naming Convention column:
– Enter the file naming convention if you are using your state’s file naming convention. For example, for files
with notices (Outgoing State Notice Files), you can enter enmsn.mybiz.notices.txt. This is the name of the
file you will send that includes your notices.
– Select “OCSE Standard” if you are using OCSE’s standard file naming convention. An example file name
is in the table below. For more information about file naming conventions and formats, refer to the eNMSN Software Interface Specifications.
3. If states will receive FEIN push files, select the State-Supplied check box in the Standard/State-Supplied File Naming
Convention column and enter the state’s file naming convention in the File Naming Convention column. There is no
OCSE standard file naming convention for FEIN push files.
File Naming Convention:
Standard/State-Supplied
File Naming Convention

File Type
Outgoing State Notice Files *

OCSE Standard

File Naming Convention
(Example: 180000000.
ENR.2020011701157.0000.txt)

State-Supplied
Incoming Part-A Response Files *

OCSE Standard

(Example: 180000000.
PAR.2020011701157.0000.txt)

State-Supplied
Incoming Part-B Response Files *

OCSE Standard

(Example: 180000000.
PBR.2020011701157.0000.txt)

State-Supplied
FEIN Push Files *

State-Supplied

Server Information
To send and receive e-NMSN files, we need the following server information:
• Separate directory/folder names Server ID
• Server passwords
This information is required for both the production and test environments. An IP address is required; a host name is
optional. The following are the only methods available to transmit e-NMSN data to our servers:
• SFTP over a VPN tunnel
• FTPS over a VPN tunnel
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We can only use FTPS with a state server that has our Certificate Authority installed, which dedicates that server to
exchanging files using only FTPS with our server.
File transfer preference: *

Pick-Up Server Information
Enter your state’s server information for file pick-up.
Production Server User ID:

Test Server User ID:

Production Server Password:

Test Server Password:

Production Server IP Address:

Test Server IP Address:

Production Server Host Name:

Test Server Host Name:

Production Server Port:

Test Server Port:

Production Server Directory Name: *

Test Server Directory Name:

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Drop-Off Server Information
Enter your state’s server information for file drop-off.
Production Server User ID:

Test Server User ID:

Production Server Password:

Test Server Password:

Production Server IP Address:

Test Server IP Address:

Production Server Host Name:

Test Server Host Name:

Production Server Port:

Test Server Port:

Production Server Directory Name: *

Test Server Directory Name:

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is to provide uniformity
and standardization. Public reporting burden for this collection of information is estimated to average two to five minutes per response, including the time for
reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a mandatory collection of information
in accordance with 45 CFR 303.100 of the Child Support Enforcement Program. An agency may not conduct or sponsor, and a person is not required to
respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control
number. If you have any comments on this collection of information, please contact OCSEFedSystems@acf.hhs.gov.

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