Request for Change of Support Payment Location Pursuant to UIFSA 319(b)

45 CFR 303.7 - Provision of Services in Intergovernmental IV-D; Federally Approved Forms

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0085 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Request for Change of Support Payment Location Pursuant to UIFSA 319(b) Form and Instruction
1 Request For Change of Support Payment Location Request for Change of Support Payment Location Pursuant to UIFSA Section 319 2019 Final 12112019.docx Form and Instruction
1 Request For Change of Support Payment Location Request for Change of Support Payment Location Pursuant to UIFSA Section 319 2019 Final 12112019.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Request for Change of Support Payment Location Pursuant to UIFSA 319(b)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 303.7(a)(4)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Request For Change of Support Payment Location	Request for Change of Support Payment Location Pursuant to UIFSA Section 319 2019 Final 12112019.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: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	4,320	-594	4,914
Annual IC Time Burden (Hours)	216	-79	295
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.