Instrument 2: Study MIS to track receipt of services

OMB #: 0970-0505

EXPIRATION DATE: XX/XX/XXXX

INFORMATION COLLECTION ACTIVITY #2

Procedural Justice informed alternatives to contempt (pjac)

Study MIS to Track Receipt of Services
	Contacts/outreach
		All contact attempts/contacts and dates
		Was contact with custodial parent, noncustodial parent, or other?
		Purpose/intent of contact
		Result of contact
	Enhanced investigation/locating
		Social media search conducted and dates
		Administrative database search conducted and dates
		Paid locate services used and dates
		Other investigation approaches pursued and dates
	Case Management
		Assessment of barriers conducted and date
		Dispute resolution conducted and date
		Case errors corrected and date
		Ability to pay determination conducted and date
		Case action plan determination and date
		DV screening conducted and date
		Case conference attendance and dates (CP and NCP)
		Case conference outcome
		Case review and date
	Enhanced child support services
		Administrative license reinstatement and date
		Suppression of enforcement actions and date
		Type of enforcement actions suppressed
		Order reviewed and date
		Cash payment agreement established and date
		Non-cash payment agreement established and date
		Arrears compromise and date
		Arrears adjustment and date
		Compromised/adjusted arrears owed to state, CP, or both?
	Supportive services and participation
		Referrals to services and dates
		Type of referral
		Participation in referral services and dates
		Transportation support amount and date
		Other support service provided (please specify) and date

The purpose of this information collection is to assess the feasibility and efficacy of incorporating principles of procedural justice into child support services as a cost-effective alternative to civil contempt proceedings. Public reporting burden for this collection of information is estimated to average 3 minutes per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of information. 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 control number is 0970-0505 and it expires on XX/XX/XXXX. If you have comments regarding this collection of information, including suggestions for reducing this burden, please send them to Cindy Redcross, 200 Vesey Street 23^rd Floor New York, NY 10281; Attn: OMB-PRA (0970-0505).