Tribal Plan Cover Sheet

Tribal Plan

CHILD SUPPORT ENFORCEMENT PROGRAM

(TITLE IV-D)

TABLE OF CONTENTS

	Cover Page
Section 1	Description of Population Subject to Tribal Court or Agency Jurisdiction
Section 2	Application Procedures
Section 3	Due Process Protections
Section 4	Administrative and Management Procedures Required Attachment: 4A Organizational chart or description
Section 5	Safeguarding Procedures
Section 6	Records Maintenance
Section 7	Tribal Laws, Codes, and Regulations Required Attachment: 7A-1 Tribal laws, codes, regulations Optional Attachment: 7A-2 Tribal policies and procedures
Section 8	Locate Procedures
Section 9	Paternity Establishment Procedures
Section 10	Child Support Guidelines Required Attachments: 10A Child support guidelines
Section 11	Income Withholding Procedures
Section 12	Distribution Procedures
Section 13	Intergovernmental Case Processing Procedures
Section 14	Tribally-Determined Performance Targets
Agreements	Cooperative Agreements Required Attachments: Agreements, Contracts, or Tribal Resolutions

TRIBAL PLAN FOR SUPPORT COLLECTION AND ESTABLISHMENT OF PATERNITY UNDER TITLE OF IV-D OF THE SOCIAL SECURITY ACT

Tribe

As a condition to the receipt of the Federal funds under title IV-D of the Social Security Act, the

(NAME OF THE TRIBAL IV-D AGENCY)

submits herewith the Tribal Plan for the program of support collection and establishment of paternity under title IV-D of the Act and hereby agrees to administer the program

in accordance with the provisions of this Tribal Plan, the Act and all applicable Federal laws, regulations and other official issuances of the Department.

The official text of said laws, regulations, and official issuances govern and the Tribal agency acknowledges its responsibility to adhere to them.

The Paperwork Reduction Act of 1995 (Pub. L. 104-13) Statement of Public Burden: Through this information collection, ACF is gathering information on the tribal plan for tribal child support programs. Public reporting burden for this collection of information is estimated to average 1.75 hours per grantee, 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 order for states to receive funding under Title IV-D of the Social Security Act (42 U.S.C. §§ 651 - 669). 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. The OMB # is 0970-0218 and the expiration date is XX/XX/XXXX. If you have any comments on this collection of information, please contact OCSE.Tribal@acf.hhs.gov.