OMB-Approved Insurance Match Standard Input File Record – Expires January 31, 2024

IM-21-02

Publication Date: February 24, 2021

INFORMATION MEMORANDUM

IM-21-02

DATE: February 24, 2021

TO: State and Tribal IV-D Agencies

SUBJECT: OMB-approved Insurance Match Standard Input File Record – Expires January 31, 2024

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, 2024.

Linda Boyer
Acting Commissioner
Office of Child Support Enforcement

Last Reviewed Date: