[Federal Register Volume 90, Number 119 (Tuesday, June 24, 2025)]
[Notices]
[Pages 26818-26819]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2025-11585]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families
Proposed Information Collection Activity: National Medical
Support Notice Part A (Office of Management and Budget #: 0970-0222)
AGENCY: Office of Child Support Services, Administration for Children
and Families, U.S. Department of Health and Human Services.
ACTION: Request for public comments.
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SUMMARY: The Office of Child Support Services (OCSS) (Services),
Administration for Children and Families (ACF) is requesting the Office
of Management and Budget (OMB) to approve the National Medical Support
Notice (NMSN) Part A with minor changes, for an additional 3 years. The
current OMB approval expires on November 30, 2025. To allow states to
program the changes to the proposed NMSN Part A, OCSS requests that the
current NMSN Part A be extended 1 year.
DATES: Comments due August 25, 2025. In compliance with the
requirements of the Paperwork Reduction Act of 1995, ACF is soliciting
public comment on the specific aspects of the information collection
described above.
ADDRESSES: You can obtain copies of the proposed collection of
information and submit comments by emailing [email protected].
Identify all requests by the title of the information collection.
SUPPLEMENTARY INFORMATION:
Description: The Personal Responsibility and Work Opportunity
Reconciliation Act of 1996 (PRWORA) requires all child support orders
under title IV-D of the Social Security Act to provide medical support
coverage. The Child Support Performance and Incentive Act of 1998
(CSPIA) requires compliance through the NMSN Part A. NMSN Part A
expedites requests for medical coverage between state child support
agencies, employers, and health care administrators. OCSS maintains
Part A of the NMSN. States populate it and send it to the parent's
employer to complete. Then the employer's health care administrator
enrolls the children in the health care plan. OCSS provides the NMSN
Part A Sample and Instructions for employers as a resource to review
while completing the information collection. Minor deletions and
changes have been made to the NMSN Part A, the instructions, and the
sample language for clarification.
Respondents: States, employers, and health care administrators.
Annual Burden Estimates: The estimated time per response remains
the same, but the estimated number of respondents and number of
responses has been updated to reflect assumptions for the next 3 years.
OCSS estimates it will take state child support agencies about 1 year
to implement the revised form.
Table 1 below shows burden hour estimates for respondents to
continue to use the currently approved NMSN during an initial
implementation period for the updated version. Table 2 shows the burden
estimates for respondents once the new version of the NMSN is fully
implemented in 2026.
[[Page 26819]]
Table 1--Current Form in Use During Implementation Through 2026
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Total number Annual number Average burden
Information collection title of annual of responses hours per Annual burden
respondents per respondent response hours
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NMSN--Part A--Notice to Withhold for Health Care 54 90,194 .17 827,891
Coverage--States...............................
NMSN--Part A--Notice to Withhold for Health Care 1,310,727 3.72 .17 828,904
Coverage--Employers............................
State Medical Support Contacts and Program 54 1 1 54
Requirement Matrix--States.....................
NMSN--Part A--Notice to Withhold for Health Care 5 5,000 .01 250
Coverage e-NMSN record specification layout
Electronic system to system--States............
NMSN--Part A--Notice to Withhold for Health Care 25 3.72 .01 1
Coverage e-NMSN record specification layout
Electronic system to system--Employers.........
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Estimated Annual Burden..................... .............. .............. .............. 1,657,100
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Table 2--Revised Form--Estimated Burden After 2026 Implementation
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Total number Annual number Average burden
Information collection title of annual of responses hours per Annual burden
respondents per respondent response hours
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NMSN--Part A--Notice to Withhold for Health Care 54 86,818 .17 796,989
Coverage--States...............................
NMSN--Part A--Notice to Withhold for Health Care 1,263,267 3.71 .17 796,742
Coverage--Employers............................
NMSN--Part A--Notice to Withhold for Health Care 7 5,000 .01 350
Coverage e-NMSN record specification layout
Electronic system to system--States............
NMSN--Part A--Notice to Withhold for Health Care 25 3.72 .01 1
Coverage e-NMSN record specification layout
Electronic system to system--Employers.........
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Estimated Annual Burden..................... .............. .............. .............. 1,567,082
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Comments: The Department specifically requests comments on (a)
whether the proposed collection of information is necessary for the
proper performance of the functions of the agency, including whether
the information shall have practical utility; (b) the accuracy of the
agency's estimate of the burden of the proposed collection of
information; (c) the quality, utility, and clarity of the information
to be collected; and (d) ways to minimize the burden of the collection
of information on respondents, including through the use of automated
collection techniques or other forms of information technology.
Consideration will be given to comments and suggestions submitted
within 60 days of this publication.
Authority: Section 466(a)(19) of the Social Security Act, 42 U.S.C.
666(a)(19); 45 U.S.C. 303.32 National Medical Notice; The Personal
Responsibility and Work Opportunity Reconciliation Act of 1996 (PWRORA)
Pub. L. 104-193; Child Support Performance and Incentives Act of 1998
(CSPIA) Pub. L. 105-200, section 401(c); 609(a)(5)(C) of the Employee
Retirement Income Security Act of 1974 (ERISA), Pub. L. 93-406.
Mary C. Jones,
ACF/OPRE Certifying Officer.
[FR Doc. 2025-11585 Filed 6-23-25; 8:45 am]
BILLING CODE 4184-41-P