[Federal Register Volume 87, Number 182 (Wednesday, September 21, 2022)]
[Notices]
[Pages 57701-57703]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-20367]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Children and Families


Submission for Office of Management and Budget (OMB) Review; 
National Medical Support Notice Part A (OMB No.: 0970-0222)

AGENCY: Office of Child Support Enforcement, Administration for 
Children and Families, Department of Health and Human Services.

ACTION: Request for public comments.

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SUMMARY: The Office of Child Support Enforcement (OCSE), Administration 
for Children and Families (ACF), is

[[Page 57702]]

requesting a three-year extension of the National Medical Support 
Notice (NMSN) Part A. This request includes minor revisions to the NMSN 
Part A form, revisions to and separation of the instructions into a 
stand-alone attachment, a Part A sample, and the addition of the State 
Medical Support Contacts and Program Requirements matrix.
    To allow states to program the changes to the proposed NMSN Part A, 
OCSE also requests an extension of the current version of the NMSN Part 
A for an additional year. The current Office of Management and Budget 
(OMB) approval expires on October 31, 2022.

DATES: Comments due within 30 days of publication. OMB must make a 
decision about the collection of information between 30 and 60 days 
after publication of this document in the Federal Register. Therefore, 
a comment is best assured of having its full effect if OMB receives it 
within 30 days of publication.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to https://www.reginfo.gov/public/do/PRAMain. Find this 
particular information collection by selecting ``Currently under 30-day 
Review--Open for Public Comments'' or by using the search function. You 
can also obtain copies of the proposed collection of information by 
emailing [email protected]. Identify all emailed requests by 
the title of the information collection.

SUPPLEMENTARY INFORMATION: 
    Description: Federal law requires that all child support orders 
under Title IV-D of the Social Security Act include medical coverage. 
The Child Support Performance and Incentive Act of 1998 (CSPIA) 
requires enforcement of this provision; the NMSN Part A is the means to 
enforce health care orders.
    This information collection expedites requests for medical coverage 
between state child support enforcement agencies and employers. OCSE 
maintains Part A of the NMSN, which states initiate and send to a 
parent's employer to complete. States must supply some sensitive 
information to the parent's employer in order to enroll the child(ren) 
in the correct health coverage plan. This information includes names, 
dates of birth, Social Security numbers, and addresses. The employer 
retains the income withholding part of the form and withholds from the 
employee/obligor's income any premium payments that may be required by 
the employer's health care plan. Then the employer's health care 
administrator enrolls the child(ren) in the health care plan. The 
Department of Labor (DOL) maintains Part B of the NMSN. This request 
includes minor revisions to the NMSN Part A form, revisions to and 
separation of the instructions into a stand-alone attachment, a Part A 
sample, and the addition of the State Medical Support Contacts and 
Program Requirements matrix. OCSE will also request from OMB that the 
NMSN Part A expiration date match the expiration date of the NMSN Part 
B, which will be submitted by DOL.
    Respondents: States and employers.
    Annual Burden Estimates:

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                                                                  Annual  number      Average
          Information collection title             Total number    of  responses   burden hours    Annual burden
                                                  of respondents  per respondent   per response        hours
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                                2019 Form--Estimated Burden for Use Through 2023
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National Medical Support Notice--Part A--Notice               54          90,194             .17         827,981
 to Withhold for Health Care Coverage--States...
National Medical Support Notice--Part A--Notice        1,310,727            3.72             .17         828,904
 to Withhold for Health Care Coverage--Employers
                                                 ---------------------------------------------------------------
    Estimated Annual Burden 2022-2023:..........  ..............  ..............  ..............       1,656,885
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                            Revised Form--Estimated Burden for Implementation in 2023
----------------------------------------------------------------------------------------------------------------
National Medical Support Notice--Part A--Notice               54          90,194             .17         827,981
 to Withhold for Health Care Coverage--States...
National Medical Support Notice--Part A--Notice        1,310,727            3.72             .17         828,904
 to Withhold for Health Care Coverage--Employers
State Medical Support Contacts and Program                    54               1               1              54
 Requirement Matrix--States.....................
                                                 ---------------------------------------------------------------
    Estimated Annual Burden Beginning 2023:.....  ..............  ..............  ..............       1,656,939
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[[Page 57703]]

    Estimated Total Annual Burden Hours: 1,656,885 while states update 
systems and then 1,656,939 once states use the revised collection.
    Authority: 45 U.S.C. 303.32; the Personal Responsibility and Work 
Opportunity Reconciliation Act of 1996, Pub. L. 104-193; CSPIA, Pub. L. 
105-200, Sec. 401(c); Sec. 609(a)(5)(C) of the Employee Retirement 
Income Security Act of 1974.

Mary B. Jones,
ACF/OPRE Certifying Officer.
[FR Doc. 2022-20367 Filed 9-20-22; 8:45 am]
BILLING CODE 4184-41-P