Income withholding orders/termination of employment/income status (Employers and other income withholders)

Income Withholding for Support (IWO)

OMB: 0970-0154

IC ID: 227080

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

View Information Collection (IC)

Income withholding orders/termination of employment/income status (Employers and other income withholders)
 
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_062123.docx Yes Yes Fillable Printable
Instruction 0970_0154_Instructions_OCSS_091523.docx Yes Yes Fillable Printable
Instruction 0970-0154_IWO Sample Form_091523.docx Yes Yes Fillable Printable

Community and Social Services Social Services

 

1,277,952 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   95 %

  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 10,236,396 0 0 0 0 10,236,396
Annual IC Time Burden (Hours) 341,213 0 0 0 0 341,213
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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