August 6, 1993
TO:STATE AND TERRITORIAL AGENCIES PROVIDING ASSISTANCE UNDER TITLE IV-D OF THE SOCIAL SECURITY ACT, AND OTHER INTERESTED ORGANIZATIONS, AGENCIES, AND INDIVIDUALS.
SUBJECT:Implementation of Form OCSE-34, a revised financial reporting form for the Child Support Enforcement Program.
REFERENCES:Sections 403(b)(2)(c), 452(a)(6), 452(a)(10)(A), 454(10), and 458 of the Social Security Act.
EFFECTIVE DATE: State agencies and Territories are to initiate the use of this revised form to report collections for the quarter ending December 31, 1993.
PURPOSE:This Action Transmittal informs States and Territories of the approval by the Office of Management and Budget (OMB) of the revised Form OCSE-34.
BACKGROUND:The Child Support Enforcement Program Quarterly Report of Collections Form OCSE-34 is used by States to report collections made under Title IV-D of the Social Security Act. Prior approval of the use of Form OCSE-34 was made by the OMB under OMB Number 0970-0013 for use through February 28, 1993.
The Administration for Children and Families has revised the form by adding two lines to collect information on collections distributed as medical support payments, and fees retained by responding States. On June 10, 1993, OMB approved use of the revised form through June 30, 1996 under OMB NO. 0970-0013
ATTACHMENTS: 1. Copy of the revised Form OCSE-34
2. Instructions for the completion of Form
INFORMATION: The following revisions have been included in this edition of the Form OCSE-34.
1.References to "Family Support Administration" and "FSA" have been replaced with "Administration for Children and Families" and "ACF", respectively in recognition of the April 1991 agency reorganization.
2.A line has been added to reflect collections distributed as medical support payments to families and Medicaid. In AFDC and Foster Care cases, these are collections of specific dollar amounts designated in the support order for medical purposes forwarded to the Medicaid agency for distribution in accordance with 45 CFR 302.51(e)(1). In non-AFDC cases, there are collections forwarded to the Medicaid agency for distribution in accordance with 45 CFR 302.51(e)(1), and to the family. This information is collected on line 12 which has been changed from the previous version of this report.
3.A line has been added to reflect fees and costs retained by the responding State. These are any amounts deducted by the responding State as a fee or cost recovery from collections forwarded to the reporting State during the quarter. This information is collected on line 19 which has been changed from the previous version of this report.
4.The information previously reported on line 18 has been eliminated.
5.Beginning with line 13, all information requested on previously numbered lines will now be requested on the next line. For example, information previously asked for on line 12 will now be asked for on line 13 etc...
ACTION REQUIRED:States and Territories are requested to photocopy sufficient copies of the form and instructions included as attachments to this Action Transmittal to meet their reporting requirements.
SUBMISSION:There is no change in the submittal schedule. Form OCSE-34 is to be submitted by States and Territories within thirty days of the end of each fiscal quarter.
- Two copies, one with an "original signature" should be submitted to:
The Administration for Children and Families
Office of Financial Management
Division of Formula, Entitlement and Block Grants
370 L'Enfant Promenade, S.W.
Mail Stop: OFM/DFEBG
Washington, D.C. 20447
- An additional photocopy should be submitted to the ACF Regional Administrator.
INQUIRIES: Inquiries should be made to the appropriate ACF Regional Administrator.
Norman L. Thompson
Office of Financial Management
cc: ACF Regional Administrators
Office of Management and Budget
The form OCSE-34 can be obtained from the Training Center. It is not included here.
INSTRUCTIONS FOR COMPLETING FORM OCSE-34
State agencies administering the Child Support Enforcement program under title IV-D of the Social Security Act are required to complete and submit this report within thirty (30) days of the end of each fiscal quarter in accordance with instructions issued by OCSE.
Column (a): AFDC. Child support payments received on behalf of families receiving AFDC and who have assigned support rights to the State under the State plan. Include AFDC arrearage payments on behalf of families who are no longer AFDC recipients.
Column (b): Non-AFDC. Child support payments received on behalf of families who are not AFDC recipients.
Column (c): Foster Care. Child support payments received on behalf of children placed in foster care facilities funded under title IV-E of the Act.
Line 1: Collections Undistributed at the End of Last Quarter. The "starting balance" of collections undistributed at the end of last quarter. (These amounts are the same as reported on line 15 of last quarter's OCSE-34.)
Line 2: Collections Made by the Internal Revenue Service Through Federal Tax Offsets. Collections received through the IRS tax refund offset process. (Collections received through the "full collection" process should be included on line 6.)
Line 3: Collections Made through the Offset of State Income Tax Refunds. Collections received through the State's income tax refund offset process.
Line 4: Collections Made Through the Offset of Unemployment Compensation Payments. Collections received through the offset of unemployment compensation insurance payments.
Line 5: Collections Made Through the Withholding of Wages and Other Income. Collections received through the process of wage withholding. Include both voluntary and involuntary withholding actions as well as withholding actions initiated prior to the effective date of Section 466(a) (1) of the Social Security Act.
Line 6: Other Collections Made by the State on Its Own Behalf. All other collections received through the State's own collections procedures, other than the amounts reported on lines 2 through 5. Include amounts received directly by the State IV-D agency from absent parents living in other States and within the reporting State. Include also collections received through the IRS' full collection process.
Line 7: Collections Received from Other States. Amounts collected by other State IV-D agencies and forwarded to thereporting State during the quarter.
Line 8: Adjustments to Previously Reported Collections. Any corrections to amounts reported in items 2 through 7 of previous reports, including amounts reported in the wrong category--AFDC, Non-AFDC or Foster Care. (The amount(s) reported on this line may be a negative number.)
Line 9: Total Amount Available for Distribution. The collections that were available for the State's distribution process during the quarter. (Sum of lines 1 through 8).
Line 10: Collections Distributed as Payments to Families and Disregarded in AFDC Eligibility. Collections paid directly to the family pursuant to Section 457(b) (1) of the Social Security Act.
Line 11: Collections Distributed as Payments to Families and Foster Care Facilities. AFDC: The collections forwarded to AFDC families under Section 457(b) (3) and (b) (4) (B) of the Act. Non-AFDC: Collections forwarded to non-AFDC families. Foster Care: The collections forwarded to foster care maintenance facilities under Section 457(d) (2) of the Act.
Line 12: Collections Distributed as Medical Support Payments to Families and Medicaid. In AFDC and Foster Care cases, collections on specific dollar amounts designated in the support order for medical purposes forwarded to the Medicaid agency for distribution in accordance with 45 CFR 302.51(e) (1). In non-AFDC cases, collections forwarded to the Medicaid agency for distribution in accordance with 45 CFR 302.51(e)(1), and to the family.
Line 13: Collections Distributed as Reimbursement of Assistance or Foster Care Payments. Collections that will be distributed between the State and Federal governments as reimbursements of their respective shares of either AFDC assistance payments or foster care maintenance payments under Section 457, paragraphs (b)(2), (b)(4)(A), (d)(1) and (d)(3) of the Act. (NOTE: No amount is to be entered for column b, Non-AFDC.)
Line 14: Total Amount Distributed. The collections that were actually distributed by the State during the quarter. (Equal to: Lines l0+ll+l2+13.)
Line 15: Collections Remaining Undistributed. The "ending balance" of available collections not distributed during the quarter. (Equal to: Line 9 minus line 14.) (These amounts are to be reported on line 1 of next quarter's OCSE-34.)
Line 16: Federal Share of Collections. The portion of collections (line 13) used to reimburse the Federal government for its share of past AFDC assistance payments or past foster care maintenance payments. (AFDC: Calculated as line 13(a) x theregular or Federal Medical Assistance Percentage. Foster Care: Calculated as line 13(c) x the Federal Medical Assistance Percentage.) (NOTE: No amount is to be entered for column b, Non-AFDC.)
Line 17: Incentive Payments Retained by the State. The amounts calculated by ACF as the estimated AFDC and Non-AFDC incentive payments for the quarter. (NOTE: No amount is entered for column c, Foster Care. Foster Care collections are combined with AFDC collections in determining the AFDC incentive payment.)
Line 18: Net Federal Share of Collections. AFDC: The net amount of collections which will be used to reduce the Federal share of the quarterly grant award to the State under title IV-A. (Equal to: Line 16(a) less 17(a) + (b).) Non-AFDC: Not applicable. Foster Care: The net amount of collections which will be used to reduce the Federal share of expenditures in the quarterly grant award to the State under title IV-E. (Equal to: Line 16(c).) (The amount shown on line 18(a) will be reported to the AFDC program; the amount shown on line 18(c) will be reported to the Foster Care Program.)
Line 19: Fees and Costs Retained by responding State. Any amount deducted by the responding State as a fee or cost recovery from collections forwarded to the reporting State during the quarter.
Line 20: Collections Made on Behalf of Other States. Collections made during the quarter by the reporting State on behalf of other States. Amounts reported on this line are not included on any other line of this report.
Signatures. This report must be signed by the State official with the authority for supervising the financial administration of the child support enforcement program. Space is provided for signatures by the director of the State's IV-D program and an additional State official. Indicate position title(s) and agency name(s). Also indicate date submitted to ACF. The person(s) signing this report are certifying to the correctness and accuracy of the information provided here and on all accompanying documents.
Report Submittal. Two copies of this report (at least one of which must bear original signatures) should be submitted to the Administration for Children and Families, Office of Financial Management, Division of Formula, Entitlement and Block Grants, 370 L'Enfant Promenade, S.W., Washington, D.C. 20447.