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Used for income withholding in tribal, intrastate, and interstate cases

Tribal Plan Pages

OMB 0970-0218
April 5, 2023

Issues optional tribal plan pages for the streamlined plan process

Hague Child Support Convention Forms

OMB 0970-0488
March 20, 2023

Hague Child Support Convention forms for processing cases between Hague countries

Federally approved standard intergovernmental child support enforcement forms for processing cases between states

Insurers must complete this form to register to participate in the debt inquiry service

National Medical Support Notice Forms & Instructions (Updated)

OMB 0970-0222 & 1210-0113
January 19, 2023

Legal notice that the employee is obligated to provide health care coverage for the child(ren) identified

Provides the Thrift Savings Plan (TSP) IWO form for state agencies

Used by state officials to report statistical and some financial information on their child support program to HHS

Used by multistate employers to register to report all newly hired employees to one state

e-IWO Employer Agreement and Profile Form

OMB 0970-0370
September 7, 2022

Employers must complete the form to use the electronic Income Withholding Order process