Annex II: Acknowledgment from under Article 12(3)

Provision of Child Support Services in IV-D cases under the Hague Child Support Convention

Documents and Forms

Document Name Document Type
Form 1 Annex II: Acknowledgment from under Article 12(3) Form and Instruction
1 Annex 2 Acknowledgement Annex_2_acknowledgement_form under Article 12(2) OMB.docx Form and Instruction
1 Annex 2 Acknowledgement Annex_2_acknowledgement_form under Article 12(2) OMB.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Annex II: Acknowledgment from under Article 12(3)	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
Form and Instruction	1	Annex 2 Acknowledgement	Annex_2_acknowledgement_form under Article 12(2) OMB.docx		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 54	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,374	-486	4,860
Annual IC Time Burden (Hours)	2,187	-243	2,430
Annual IC Cost Burden (Dollars)	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.