Insurance Match Standard Input File Record – Expires January 31, 2021
DATE: April 20, 2018
TO: State and Tribal IV-D Agencies
SUBJECT: Insurance Match Standard Input File Record — Expires January 31, 2021
ATTACHMENT: Insurance Match Implementation Guide
The Office of Management and Budget (OMB) approved the Insurance Match Standard Input File Record (OMB No. 0970-0342), which is available for insurers to use and can be accessed in the Insurance Match Implementation Guide.
OMB approved the current form for use until January 31, 2021.
Scott M. Lekan
Office of Child Support Enforcement