Income withholding order/notice (Courts, private attorneys, custodial parties or their representatives)

Income Withholding for Support (IWO)

OMB: 0970-0154

IC ID: 227079

Documents and Forms
Document Name
Document Type
Form
Instruction
Instruction
Instruction
Instruction
Form
Form
Information Collection (IC) Details

View Information Collection (IC)

Income withholding order/notice (Courts, private attorneys, custodial parties or their representatives)
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 IWO Form 0970_0154_IWO_Form_OCSS_090523.docx Yes Yes Fillable Printable
Instruction 0970_0154_Instructions_OCSS_091523.docx Yes Yes Printable Only
Instruction 0970-0154_IWO Sample Form_091523.docx Yes Yes Fillable Printable

Community and Social Services Social Services

 

4,694,517 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   90 %

  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 4,694,517 0 0 0 0 4,694,517
Annual IC Time Burden (Hours) 391,210 0 0 0 0 391,210
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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