No material or nonsubstantive change to a currently approved collection
No
Regular
05/28/2025
Requested
Previously Approved
11/30/2025
11/30/2025
9,771,527
9,771,527
1,657,190
1,657,190
0
0
The Office of Child Support Services (OCSS) developed the National Medical Support Notice (NMSN) Part A as a standard, required form for child support agencies to use to ensure dependent children are enrolled in available employer-sponsored medical coverage, if required by a support order. The NMSN Part A was most recently approved on 11/22/2022 and the current expiration date is11/30/2025.
Currently, child support agencies download the paper NMSN form from the OCSS website, complete the form manually, and exchange NMSNs with employer partners by U.S. mail. Some states (e.g. TX) allow employers to retrieve the NMSN from their employer portal but there are not many states that do so. Currently, states send the completed NMSN to employers via U.S. mail, the employer responds to the state child support agencies by U.S. mail, and employers send the NMSN to their plan administrators, also by U.S. mail.
OCSS developed an electronic option for child support agencies to exchange NMSNs with employer partners. To exchange that information, OCSS created the e-NMSN record specifications to accompany the currently approved NMSN Part A. With the electronic e-NMSN process, states, employers, and plan administrators may exchange the documents electronically without using the U.S. mail, thereby saving time and mailing costs.
Note that use of the e-NMSN electronic reporting process will not change any of the data elements collected under the currently approved NMSN Part A. Adding the newly developed e-NMSN record specifications to the NMSN Part A allows states and tribes to program their systems to send the notice electronically to employers participating in e-NMSN. The electronic process reduces the time for states and tribes to send and employers to receive and process medical support orders allowing coverage for children to begin much sooner.
This e-NMSN process is voluntary for all states, tribes, and employers.
The following ICR has been updated with non substantive changes in response to the Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government Executive Order (Defending Women EO) and recent Presidential Actions related to diversity, equity, and inclusion (DEI), such as those covered under the EO Initial Recissions of Harmful Executive Orders and Actions.
US Code:
29 USC 1169
Name of Law: Additional standards for group health plans
US Code:
45 USC 303.32
Name of Law: National Medical Support Notice
PL:
Pub.L. 105 - 200 401(c) Section 609
Name of Law: Child Support Performance and Incentive Act
US Code:
42 USC 666
Name of Law: Requirement of statutorily prescribed procedures to improve effectiveness of child supp enforcement
The requested addition of the e-NMSN record specifications to the currently approved NMSN - Part A has added initial programming costs to users who choose to use the NMSN electronic version. This initial programming cost will eliminate paper forms and mailings, reducing the overall hourly burden and mailing costs for users. OCSS has also estimated the burden separately for the e-NMSN submissions.
$183,727
No
Yes
No
No
No
No
No
Molly Buck 202 205-4724 mary.buck@acf.hhs.gov
No
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:
(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;
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.
Form NMSN Matrix State Medical Support Contacts and Program Requirement Matrix (State Respondents)
NonSub Change - Update to ACF ICs - Protecting Women and DEI EOs - 04.25.2025.docx
National Medical Support Notice – Part A – Notice to Withhold for Health Care Coverage e-NMSN record specification layout Electronic system to system (Employer Respondents)