Information Comparision with Insurance Data

Forms and Documents

Document Name	Status
Form 1 Insurance Match File Form and Instruction	Modified
Form 1 Components of an Insurance Match Agreement Form and Instruction	Modified
Insurance_Match_PRA_Supporting_Statement_06272011FINAL.docx Supporting Statement A	2011-06-27

IC Document Collections

IC ID	Document Title	Status
183595	Insurance Match File Form and Instruction	Modified
183594	Components of an Insurance Match Agreement Form and Instruction	Modified

ICR Details

OMB Control No: 0970-0342	ICR Reference No: 201106-0970-006
Status: Historical Active	Previous ICR Reference No: 200801-0970-006
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Information Comparision with Insurance Data
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/05/2011
	Date Received in OIRA: 06/28/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2014	36 Months From Approved	09/30/2011
Responses	286	0	795
Time Burden (Hours)	143	0	398
Cost Burden (Dollars)	3,526	0	1,866

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Abstract: The Deficit Reduction Act of 2005 amended Section 452 of the Social Security Act (the Act) to authorize the Secretary of Health and Human Services, through the Federal Parent Locator Service (FPLS), to conduct comparisons of information concerning individuals owing past-due child support with information maintained by insurance companies (or their agents) concerning insurance claims, settlements, awards, and payments. The Federal Office of Child Support Enforcement (OCSE) operates the FPLS in accordance with section 453(a)(1) of the Act. The Federal Case Registry of Child Support Orders (FCR) is maintained in the FPLS and contains all State caseloads in accordance with section 453(h)(1) of the Act. At the option of an insurer, the comparison may be accomplished by either of the following methods: under the first method, an insurer or the insurer's agent will submit to OCSE information concerning claims, settlements, awards, and payments. OCSE will then compare that information with information pertaining to individuals owing past-due support; under the second method, OCSE will furnish to the insurer or the insurer's agent a file containing information pertaining to individuals owing past-due support. The insurer or the insurer's agent will then compare that information with information pertaining to claims, settlements, awards, and payments. The insurer will furnish the information resulting from the comparison to OCSE. On a daily basis, OCSE will furnish the results of the comparison to the State CSE agencies responsible for collecting the past-due child support by transmitting the Insurance Match Response Record via the FCR. The results of the comparison will be used by the State agencies to collect past-due child support from the insurance proceeds. This match is optional for both States and insurers or their agents.

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Authorizing Statute(s): US Code: 42 USC 652 Name of Law: Information Comparisons with Insurance Data
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 8742	02/15/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 36133	06/21/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Insurance Match File	1	Match File
Components of an Insurance Match Agreement	1	Insurance Match Agreement

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	286	795	0	0	-509	0
Annual Time Burden (Hours)	143	398	0	0	-255	0
Annual Cost Burden (Dollars)	3,526	1,866	0	0	1,660	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: An adjustment was made to the number of respondents from the previous PRA approval, from 15 to 22 respondents and the frequency was adjusted from weekly to monthly because some of the participants are not able to match weekly. This will change the total burden hours from 398 hours to 143 hours.

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Annual Cost to Federal Government: $654,533

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/28/2011

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