**INSTRUCTIONS FOR COMPLETING FORM OCSE-157**

**THE CHILD SUPPORT ENFORCEMENT ANNUAL DATA REPORT**

**GENERAL REPORTING INSTRUCTIONS**

State officials will use the OCSE‑157 to report statistical and some
financial information on their Child Support Enforcement (CSE) program
to the Department of Health and Human Services (HHS). The reporting of
this information will enable the Secretary of HHS to comply with Section
409, 452(a) and (g), 458, and 469 of the Social Security Act. (the Act)
The Act requires the Secretary to establish standards for an effective
Child Support Enforcement program, to establish minimum organization and
staffing requirements and to make an annual report to congress on
program activities. Information submitted by states will also enable HHS
to compute individual State incentive, penalty, and outcome measures to
be used in evaluating State performance in running a CSE program. The
authority to collect this information is also set forth in regulations
at 45 CFR 302.15(a).

**1. Submittal, Due Dates, and Revised Reports**

The OCSE‑157 report is to be completed by State IV‑D (child support)
agencies for each Federal fiscal year ending September 30^th^. The
report is due within 30 calendar days after the last day of the fiscal
year. Each year all states are expected to submit complete, accurate
reports by October 31^st^. States may revise previously submitted
reports by submitting new ones. All revised, final reports must be
received in OCSE by December 31^st^ of each year. Resubmitted reports
with corrected unreliable data for previous fiscal years must also meet
the December 31^st^ deadline. Revised data will only be used if needed
to determine a state's percentage point increase over the previous year
or if needed to calculate a reliable paternity measure.

A signed OCSE-157 report must me sent to the Office of Child Support
Enforcement (OCSE) Central Office at the following address via mail or
online reporting:

Department of Health and Human Services

Administration for Children and Families

Office of Child Support Enforcement

DPRE, Fourth Floor East

370 L\'Enfant Promenade, S.W.

Washington, D.C. 20447

Also, one copy of each report **must** be submitted to the appropriate
ACF Regional Office.

States should note that a hard copy must be sent to their ACF regional
office even though they may also have submitted their report
electronically.

**2. Consequences of Reporting Unreliable Data**

States must not estimate counts for reporting on the OCSE-157. Actual
numbers must be reported.

Legislation requires that state-submitted data, used to calculate
incentive measures, be reliable and complete. Data to calculate
individual State incentive measures will be taken from ten of the
OCSE-157 line items. These lines will be audited for completeness and
reliability and include: Lines 1 and 2 for the Support Orders measure,
Lines 5 and 6 or 8 and 9 for the Paternity Establishment measure. Lines
24 and 25 for the Current Support measure, and Lines 28 and 29 for the
Arrears measure. Refer to OCSE-AT-01-01, and 458 of the Act for detailed
information on incentive formulas and requirements.

In fiscal year 2004, states agreed to two possible incentive measures
addressing medical support. The medical suppport establishment and
enforcement measures will be subject to data reliability audits just as
the other incentive measures are. In addition, lines needed for furture
medical support inidators will also be audited including (2e)
arrears-only IV-D cases with orders established, (21) cases open in
which medical support is ordered, and (21a) cases open in which medical
support is ordered and provided.

States must have an audit trail available that consists of the case
information used to compile the line items mentioned above that will be
used to calculate incentive measures. **If audit results find that a
State's data are incomplete or unreliable, the State will not be
eligible for an incentive payment for measures which use these data and
the amounts otherwise payable to the state under Title IV-A may be
reduced by 1 to 5 percent.**

**3. Internal Edits**

OCSE will perform the following edits on data received from States and
encourages States to check their data against these edits before sending
in their reports:

Line 1 a \< Line 1 Line 5 \< Line 4

Line 1 b \< Line 1 Line 7 \< Line 4

Line 1c \< Line 1 Line 10 \< Line 9

Line 1a + 1b + 1c + 1d + 1e +1f + 1g + 1h is not equal to Line 1 Line
18a \< Line 18

Line 2a \< Line 2 Line 22 [\<]{.underline} Line 21

Line 2b \< Line 2 Line 23 \< Line 22

Line 2c \< Line 2 Line 29 \< Line 28

Line 2d \< Line 2 Lines 40 thru 45=Line 2

Line 2a + 2b + 2c + 2d + 2e + 2f + 2g + 2h +2i is not equal to Line 2

Line 3 \< Line 1

**4. Paternity Establishment Percentage (PEP) Reporting**

Check the appropriate bracket (IV‑D or Statewide) on the \"Section B\"
line of the OCSE‑157 to indicate the PEP measures by which the state
chooses to be evaluated. The option can be changed at

a later date; however, for calculation purposes, "like" data must be
compared from year‑to‑year. For example, if a State uses the IV‑D PEP in
Years 1 and 2 and decides to use the Statewide PEP in Year 3\--the State
must also provide OCSE with Statewide data for Years 1 and 2, so that
yearly increases and decreases can be determined using comparable data.

**5. Online Reporting**

The Administration for Children and Families developed the On-line Data
Collection (OLDC) System to allow States to submit their OCSE-157
reports electronically through the HHS Website.

The web address for accessing the online system is:

> [[https://extranet.acf.hhs.gov/oldc/]{.underline}](https://extranet.acf.hhs.gov/oldc/)

States are encouraged to use this online system since it is the quickest
way of submitting information to OCSE. Please refer to DCL-04-37 for
detailed information about the system. If you need to obtain a user ID
and password, please contact the Office of Child Support Enforcement,
Division of Planning, Research and Evaluation. State officials are
reminded that a hard copy of the report must be sent to the Regional
Office, even if the OCSE-157 is submitted to the Central Office via
online reporting.

**6. Signature**

The OCSE‑157 must be signed and dated by the director of the State\'s
Title IV‑D program. For purposes of online reporting, each State Child
Support Director will be assigned a special ID and password. Approving
the electronic OCSE-157 under these IDs and passwords indicates that the
appropriate person has reviewed and approved the report. Signatures on
the OCSE-157 forms submitted electronically or mailed indicate that the
State director has verified the report and is certifying that the
information provided on the report is accurate, to the best of his or
her knowledge and belief.

**7. Public Reporting**

**THE PAPERWORK REDUCTION ACT OF 1995**

Public reporting burden for this collection of information is estimated
to average 7.0 hours per response, including the time for reviewing
instructions, gathering and maintaining the data needed, and reviewing
the collection of information.

An agency may not conduct or sponsor, and a person is not required to
respond to a collection of information unless it displays a currently
valid OMB control number. The OMB control number for this report is
0970-0177.

Send comments regarding this burden estimate or any other aspect of this
request for information, including suggestions for reducing this burden,
to Reports Clearance Officer, Administration for

Children and Families, Department of Health and Human Services, 370
L\'Enfant Promenade, S.W., Washington, D.C. 20447.

**DEFINITIONS TO USE IN COMPLETING FORM OCSE‑157,**

**CHILD SUPPORT ENFORCEMENT PROGRAM ANNUAL DATA REPORT**

The following definitions of terms are to be used in completing form
OCSE‑157.

**Case Inventory Definitions**

**IV‑D Case** ‑ A parent (mother, father, putative father) who is now or
eventually may be obligated under law for the support of a child or
children receiving services under the State Title IV‑D program.

A parent is reported as a separate IV‑D case for each family with a
dependent child or children that the parent may be obligated to support.
**If both parents are absent and liable or potentially liable for
support of a child or children living with a relative or caretaker
receiving services under the Title IV‑D program, each parent is
considered a separate IV‑D case.**

**1. Current Assistance IV-D Case** ‑ A case where the children are: (1)
recipients of Temporary Assistance For Needy Families (TANF) under Title
IV‑A of the Social Security Act or (2) entitled to Foster Care
maintenance payments under Title IV‑E of the Social Security Act. In
addition, the children\'s support rights have been assigned by a
caretaker relative to a State, and a referral to the State IV‑D agency
has been made.

**a. TANF IV-D Case** ‑ A case where the children have been determined
to be eligible for Temporary Assistance for Needy Families (TANF) under
Title IV‑A of the Social Security Act the children\'s support rights
have been assigned by a caretaker relative to a State, and a referral to
the State IV‑D agency has been made. A TANF case is reported as a
current assistance case.

**b. Foster Care IV-D Case** ‑ A case involving children entitled to
foster care maintenance payments under Title IV‑E of the Social Security
Act, for whom a referral to the State IV‑D agency has been made. A
foster care case is reported as a current assistance case.

**2. Former Assistance IV-D Case** ‑ A case where the children formerly
received Title IV-A (AFDC or TANF), or Title IV‑E Foster Care services.

**3. Never Assistance IV-D Case** ‑ A case where the children are
receiving services under the Title IV‑D program, but are not currently
determined to be eligible for and have not previously received
assistance under Titles IV‑A or IV‑E of the Social Security Act.

A never assistance case includes cases where the family is receiving
IV‑D services as a result of a written application for IV‑D services,
including cases where the children are receiving State (not Title IV‑E)
foster care services, or a cases in which they are Medicaid recipients
not receiving additional assistance. Tribal and international cases are
considered never assistance cases if the case status is unknown.

a.  **Medicaid-Only IV-D Case -** A case where the children have been
    determined eligible for or are receiving Medicaid under Title XIX of
    the Social Security Act but who are not current or former recipients
    of aid under Title IV‑A or IV‑E of the Act. A Medicaid-Only case is
    reported as a never assistance case.

**4. Arrears-Only IV-D Case** - A IV-D case in which the only reason the
case is open is to collect child or medical support arrearages owed to
the state or to the family. Do not include judgments under state laws
that create a debt owed to the state by the non‑custodial parent for
public assistance paid for that parent\'s child or children (laws of
general obligation).

**State-Tribal IV-D Case -** A case under the state's IV-D program
received from, or sent to, a tribal IV-D program for case processing.

**International IV-D Case -** An international case under the state's
IV-D program received from, or referred to, a foreign country which has
entered into an agreement under section 459A of the Social Security Act
with the United States (a Foreign Reciprocating Country or FRC), or a
foreign country with which the state has entered a reciprocal agreement.
International cases also include IV-D cases in which there is an
application for services from a resident of a foreign country.

**Services Definitions**

**Child Support Order** ‑ The legal establishment of: (1) an amount of
money that is due and owed by a parent for the support of the parent's
children and/or (2) the responsibility to provide health insurance
and/or medical support, as defined below, for those children. This
amount or responsibility must be established by court order or
administrative process, voluntary agreement (in States where such
agreements are filed in the court or agency of the administrative
process as an order and are legally enforceable) or other legal process.
This includes a judgment for child support arrears.

This does not include judgments under State laws that create a debt owed
to the State by the non‑custodial parent for public assistance paid for
that parent\'s child or children (laws of general obligation).

**Medical Coverage -** Medical coverage is any health coverage provided
for a child or children, including: (1) private health insurance, (2)
publicly-funded health coverage, (3) cash medical support, or (4)
payment of medical bills (including dental or eye care). Medical
coverage may be provided by the custodial parent, noncustodial parent or
other person, such as a step-parent. Medical coverage is sometimes
provided in the absence of a court order.

**Medical Support ‑** Medical support is a subset of medical coverage
and includes health coverage provided for a child or children in a IV-D
case in which there is a medical support order. This includes: (1)
private health insurance, (2) publicly-funded health coverage if a
parent is ordered by a court or administrative process to provide cash
medical support payments to help pay the cost of

Medicaid or State Child Health Insurance Program (SCHIP), (3) cash
medical support, including payment of health insurance premiums, and (4)
payment of medical bills (including dental or eye care). Indian Health
Service and Tricare are acceptable forms of medical support. Medical
support may be provided by either the custodial parent, noncustodial
parent or any other person, such as a step-parent.

**Paternity** ‑ The legal establishment of fatherhood for a child,
either by court determination, administrative process, or voluntary
acknowledgment. A paternity acknowledgment involves the legal
establishment of fatherhood for a child through a voluntary
acknowledgement signed by both parent's as part of an in‑hospital or
other acknowledgement service. Paternity resolved refers to all children
born within a marriage, legitimized by marriage or adoption and children
with paternity established or acknowledged.

**SECTION AND LINE ITEM INSTRUCTIONS FOR THE OCSE-157**

The OCSE‑157 report was developed to obtain information on the status
and accomplishments of each State\'s Child Support Enforcement program.
The form contains ten sections: A‑Case Inventory, B‑Paternity
Establishment, C‑Services Required, D‑Services Provided, E‑Medical
Support, F‑Collections Due and Distributed, G‑Staff, H-Medicaid,
I‑Noncooperation and Good Cause, and J‑Collection Rates.

Each section's introduction and line item information give specific
details related to that section or line. Particular attention must be
given to the time period for counting the line items\--during the fiscal
year or on the last day of the fiscal year, and whether reporting is
required in the individual status columns (b through d) or just the
total column (a). With the exception of Section B: Paternity
Establishment Lines 5-10, all open good cause cases must be included in
the counts.

**SECTION A: CASE INVENTORY**

In this section, report the number of IV‑D cases in the state\'s
inventory in each of three status categories: (b) current assistance
cases; (c) former assistance cases; and (d) never assistance cases. It
is not necessary to report in column (a) in the case inventory section,
with the exception of arrears-only and international cases. Totals will
be determined at OCSE using the information provided by states for
columns (b) through (d).

Remember, a IV‑D case is a parent (mother, father or putative father)
who is or may be liable for support. A parent is reported as a separate
case for each family with a dependent child or children that the parent
may be obligated to support. See definition section at the front of this
AT. If there are multiple putative fathers for one child, only one case
is to be reported.

Report all IV‑D cases open at the end of the fiscal year. If a parent
has more than one child in the same family and any of the children are
currently receiving assistance, report the case as a current assistance
case.

Include both cases sent to and received from other states in the count.
County‑to‑county transfers of cases and multiple county involvement in
cases within a state must not be reflected in case inventory counts. A
case must be counted only once within a state.

When IV‑D services continue to be provided to former IV‑A or IV‑E
recipients, change status to a former assistance case. Also, report as a
former assistance case any former IV‑A or IV‑E case in which the family
has declined continued IV‑D services, but there are arrearages assigned
to the state that the state will attempt to collect.

*States must report information on spousal support cases when a child in
a IV-D case is involved.  Once the child is emancipated or otherwise no
longer involved, it becomes the state's option whether or not to
continue servicing or reporting spousal cases.  However, there had to
have been a child involved at one time to be reported.  If the state
decides to continue servicing and reporting*

*on these cases, the state must be consistent in what they do and report
the case on all lines that apply.*

**Line 1 ‑ Cases Open at the End of the Fiscal Year**

Report the number of IV‑D cases open on the last day of the fiscal year.
Include cases open at end of the fiscal year as a result of requests for
assistance received from other states, tribal IV-D programs, or foreign
countries with a federal-level or state-level agreement with the
reporting state. Include open cases that were referred to another state,
tribal IV-D program, or foreign country. Do not include tribal and
international cases reported on line 3.

Cases received on standard interstate forms from other states are
counted as open IV‑D cases only if specific action is required on the
part of the responding state\'s IV‑D agency and the activity required
qualifies for Federal financial participation.

Report under columns (b), (c), and (d) for each item, except for Line
1c, which must be reported under column (d) only, and Lines 1d, 1g, and
1h, which must be reported under column (a) only.

**Line 1a ‑ Interstate Cases Initiated in This State Open at the End of
the Fiscal Year**

Report the number of cases open on the last day of the fiscal year
initiated in this state and sent to another state. Report a case only
once, even if the case was sent to more than one state. Cases included
on this line are a subset of and must have been counted on Line 1.

Line 1b ‑ Interstate Cases Received From Another State Open at the End
of the Fiscal Year

Report the number of cases open on the last day of the fiscal year
received from another state. Report a case only once, even if the case
was received from more than one state. These cases are a subset of and
must have been counted on Line 1.

**Line 1c ‑ Medicaid-Only IV-D Cases Open at the End of the Fiscal
Year**

Report the number of Medicaid-Only IV-D cases open on the last day of
the fiscal year. Report these cases under column (d). These cases are a
subset of and must have been counted on Line 1. Medicaid-Only cases that
were previously on assistance are considered former assistance cases and
are not reported on this line.

**Line 1d -- Arrears-Only IV-D Cases Open at the End of the Fiscal
Year**

Report the number of arrears-only IV-D cases open on the last day of the
fiscal year. Report these cases under column (a). Include open cases for
which there is no current support order being enforced by the state.

**Line 1e - State-Tribal IV-D Cases Initiated in this State Open at the
End of the Fiscal Year**

Report the number of cases open on the last day of the fiscal year that
were initiated in this state and sent to a Tribal IV-D program for
action. Report a case only once. Cases included on this line are a
subset of and must have been counted on Line 1. Cases reported in this
line must not be reported on Line 3.

Line 1f - State-Tribal IV-D Cases Received From a Tribal IV-D Program
Open at the End of the Fiscal Year

Report the number of cases open on the last day of the fiscal year
received from a Tribal IV-D program. Report a case only once. These
cases are a subset of and must have been counted on Line 1. Cases
reported in this line must not be reported on Line 3.

**Line 1g - International IV-D Cases Initiated in This Country Open at
the End of the Fiscal Year**

Report the number of international cases open on the last day of the
fiscal year initiated in this state and sent to another country. Report
these cases under column (a). Report a case only once, even if the case
was sent to more than one country. Cases included on this line are a
subset of and must have been counted on Line 1. Cases reported in this
line must not be reported on Line 3.

Line 1h - International IV-D Cases Received from Another Country Open at
the End of the Fiscal Year

Report the number of international cases open on the last day of the
fiscal year received from another country. Report these cases under
column (a). Report a case only once, even if the case was received from
more than one country. These cases are a subset of and must have been
counted on Line 1. Cases reported in this line must not be reported on
Line 3.

**Line 2 ‑ Cases Open at the End of the Fiscal Year With Support Orders
Established**

Report the number of IV‑D cases open on the last day of the fiscal year
that have support orders established. Cases reported on Line 2 are a
subset of and should have been included on Line 1. Include cases with
orders entered prior to the case becoming a IV‑D case, as well as, cases
with orders established by the IV‑D agency. Include judgments for
arrears, regardless of whether there is a payment schedule or an order
for ongoing support. Do not include judgments under state laws that
create a debt owed to the state by the non‑custodial parent for public
assistance paid for that parent\'s child or children (laws of general
obligation). Remember, count cases only once regardless of the number of
orders. Do not include voluntary support agreements in this line unless
the agreements are legally enforceable in the reporting state. Include
all interstate cases-‑both cases sent to and

received from other states. If a case has a valid order that is no
longer in effect the case should be included.

Report under columns (b), (c), and (d) for each item, except for Line
2d, that must be reported under column (d) only and Lines 2e, 2h, and 2i
that must be reported under column (a) only. Include all

cases received from or sent to another state or jurisdiction that have
an order for support---regardless of when or where the order was
established.

**Line 2a -- Interstate Cases Initiated in This State With Support
Orders Established at the End of the Fiscal Year**

Report the number of cases open on the last day of the fiscal year that
have a support order established or a judgment for arrears that this
state referred to another state, tribe, or country. Do not include
judgments under laws of general obligation. These cases are a subset of
and must be counted on Line 2.

**Line 2b - Interstate Cases Received From Another State With Support
Orders Established at the End of the Fiscal Year**

Report the number of cases open on the last day of the fiscal year that
have a support order established or a judgment for arrears that this
state received from another state, tribe, or country. Do not include
judgments under laws of general obligation. These cases are a subset of
and must be counted on Line 2.

**Line 2c ‑ Cases With Orders Established for Zero Cash Support Open at
the End of the Fiscal Year**

Report the number of cases open on the last day of the fiscal year that
have an order established but no amount of cash support is included in
the order. This must include orders that were established, for health
insurance only. Do not include judgments under laws of general
obligation. These cases are a subset of and should have been counted on
Line 2.

**Line 2d -- Medicaid-Only IV-D Cases With Orders Established Open at
the End of the Fiscal Year**

Report the number of Medicaid-Only cases with orders open on the last
day of the fiscal year that have a support order established or a
judgment for arrears. Do not include judgments under laws of general
obligation. Report these cases under column (d). These cases are a
subset of and must be counted on Line 2. Medicaid-Only cases that were
previously on assistance are considered former assistance cases and are
not reported on this line.

**Line 2e -- Arrears-Only IV-D Cases With Orders Established Open at the
End of the Fiscal Year**

Report the number of IV-D arrears-only cases open on the last day of the
fiscal year. Do not include judgments under state laws that create a
debt owed to the state by the non‑custodial parent for public

assistance paid for that parent\'s child or children (laws of general
obligation). These cases are a subset of and should have been counted in
line 2.

**Line 2f -- State-Tribal IV-D Cases Initiated in this State With
Support Orders Established Open at the End of the Fiscal Year**

Report the number of cases open on the last day of the fiscal year that
have a support order established or a judgment for arrears that have
been sent to a Tribal IV-D program. These cases are a subset of and must
have been counted on Line 2.

**Line 2g -- State-Tribal IV-D Cases With Support Orders Established
Received from a Tribe Open at the End of the Fiscal Year**

Report the number of cases open on the last day of the fiscal year that
have a support order established or a judgment for arrears that were
received from a Tribal IV-D program. These cases are a subset of and
should be counted on Line 2.

**Line 2h -- International IV-D Cases With Support Orders Established
Initiated in This State at the End of the Fiscal Year**

Report the number of international cases open on the last day of the
fiscal year that have a support order established or a judgment for
arrears that this state referred to another country. Report these cases
under column (a). These cases are a subset of and should be counted on
Line 2.

**Line 2i -- International IV-D Cases with Support Orders Established
Received from Another Country at the End of the Fiscal Year**

Report the number of international cases open on the last day of the
fiscal year that have a support order established or a judgment for
arrears that the state received from another country. Report these cases
under column (a). These cases are a subset of and should be counted on
Line 2.

**Line 3 ‑ Cases Open at the End of the Fiscal Year for Which the State
has No Jurisdiction**

Report the number of open cases on the last day of the fiscal year over
which the state has no jurisdiction. This includes cases that involve an
individual over whom the IV‑D agency has no civil jurisdiction (e.g.
subject matter, territorial, or personal jurisdiction) available to
pursue or effectuate any child support actions. In addition, no formal
or informal reciprocal or cooperative agreement or other mechanism is in
place to enable the state agency to take actions necessary to establish
paternity, establish a child support order, or enforce an order.
International cases for countries which the state has no reciprocal
agreement and/or there is no bi-lateral arrangement with the United
States under Section 459A of the Act should be included on this line. In
addition, non-IV-D tribal cases for which the state has no jurisdiction
must also be reported on this line.

These cases most often involve a non‑custodial parent who resides in the
civil jurisdictional boundaries of another country or an Indian Tribe,
which the state or

United States has no reciprocal agreement, and no income or assets of
this individual are located or derived from outside that jurisdiction.
However, these cases remain open for IV‑D purposes and are

periodically monitored to determine if there is a change in
circumstances that could lead to further action.

Non‑jurisdiction cases reported on this line must not be reported in any
other section and on any other line on this report. Please note that the
accuracy of this information is subject to audit review.

**SECTION B: PATERNITY ESTABLISHMENT**

Some of the out‑of‑wedlock birth and paternity information provided in
this section will be used to compute States' Paternity Establishment
Percentage (PEP) for incentive and penalty purposes. States are to
report the number of children in each line item and not the number of
cases. Include children in both initiating and responding interstate,
IV‑D cases, and in state-tribal, or international IV-D cases. A
paternity can only be counted once. Use the date the voluntary
acknowledgement is signed or the date of the order determining
paternity. Emancipated children may be included in the count, at the
state's option.

At the states option, adopted children and children born out-of-wedlock,
children whose parent's subsequent marriage is considered an
acknowledgement of paternity, and children with acknowledged paternity
may be included in all lines in this section. **Children over age 18 may
be counted on Lines 5 and 6 but not on Lines 8 and 9.** However, if a
child turned 18 during the reporting year that child must also be
included in the count for these lines.

For incentive and penalty purposes, states have the choice of being
evaluated on a PEP that includes all the children in their caseload (the
IV‑D PEP) or all the children in their state (the Statewide PEP**).**
Check the appropriate bracket (IV‑D or Statewide) on the \"Section B\"
line of the OCSE‑157. The option can be changed at a later date,
however, for calculation purposes, "like" data must be compared from
year‑to‑year. For example, if a state uses the IV‑D PEP in Years 1 and 2
and decides to use the Statewide PEP in Year 3‑‑ state must also provide
OCSE with Statewide data for Years 1 and 2, so that yearly increases and
decreases can be determined using comparable data.

Report the data only under column (a) in Section B: Paternity
Establishment. **Reporting**

**Line 9 is no longer optional\--states must report this information.**
If a state chooses not to use the Statewide PEP, they must still report
data on Line 9.

According to section 452(g) of the Social Security Act, for purposes of
calculating a state\'s paternity establishment percentage, "the total
number of children shall not include any child who is a dependent child
by reason of the death of a parent, [unless]{.underline} paternity is
established for that child.\" Therefore, states must not include such
children on Lines 5 through 10, unless paternity has been established
for the child.

Section 452(g) of the Act further states that the total number of
children shall not include..."any child with respect to whom an
applicant or recipient is found by the state to qualify for a good cause
or other exception to cooperation pursuant to section 454(29)."
Therefore, states must not include such children on Lines 5 through 10.

**The Federal Fiscal year is the preferred method of reporting. However,
as long as "like" data are used and compared from year-to-year, calendar
or state fiscal year data are acceptable. This exception applies to
Lines 8, 8a, and 9 only\--all other lines in this section must be
reported by the Federal Fiscal year.**

**Line 4 ‑ Number of Children in Cases Open at the End of the Fiscal
Year**

Report the total number of children in cases open at the end of the
Federal fiscal year reported on Line 1. If there is more than one
putative father for a child, count the child only once. All children
over age 18 may be included in the count at the state's option.

Line 5‑ Children in IV‑D Cases Open at the End of the
[Current]{.underline} Federal Fiscal Year Who Were Born Out of Wedlock.

Report the number of children in the IV-D caseload, in cases open at the
end of the Federal Fiscal year, who were born out-of-wedlock. *Report
the information for the [current]{.underline} reporting year.*

Line 5a ‑ Children in IV‑D Cases Open at the End of the
[Prior]{.underline} Federal Fiscal Year Who Were Born Out of Wedlock.

Report the number of children in the IV‑D caseload in cases open at the
end of the prior Federal Fiscal year who were born out-of-wedlock.
*Report the information for the [prior]{.underline} reporting fiscal
year.*

This number must be the audited (if applicable) data taken from Line 5
of the state's prior year's OCSE-157 report. If the state did not pass
the audit for line 5 in the prior year, the state may submit a corrected
number on line 5a and the state's data for this line will be reaudited
for data reliability, if the data are need for incentive or penalty
purposes.

Line 6 ‑ Children in IV‑D Cases Open During or at the End of the Fiscal
Year With Paternity Established or Acknowledged

Report the number of children born out-of-wedlock in the IV‑D caseload
in cases open at the end of the Federal fiscal year who have paternity
established or acknowledged. States have the option of including
paternities established or acknowledged for cases that closed during the
Federal fiscal year. Paternity does not have to have been established by
the IV‑D agency.

Line 7‑ Children in IV‑D Cases Open at the End of the Fiscal Year With
Paternity Resolved

Report the number of children in the IV‑D caseload open at the end of
the fiscal year with paternity resolved. Include all children born
within a marriage, legitimized by marriage or adoption and children with
paternity established or acknowledged.

**Line 8 ‑ Children in the State Born Out of Wedlock During the
[Current]{.underline} Year.**

Report the total number of children living in the state who were born
out-of-wedlock during the year*. Report the information for the
[current]{.underline} reporting year.*

States who are unable to obtain the necessary out-of-wedlock birth
information for the current reporting year may leave this line blank.
However, they [must]{.underline} report the prior year's information on
Line 8a.

**Line 8a ‑ Children in the State Born Out of Wedlock During the
[Prior]{.underline} Year.**

Report the total number of children living in the state who were born
out-of-wedlock during the prior year. *Report the information for the
prior reporting year. This may include children born out- of-wedlock in
another state who are living in the reporting state.*

This number must be the audited (if applicable) data taken from Line 8
of the state's prior year's OCSE-157 report. If the state did not pass
the audit for line 8 in the prior year, the state may submit a corrected
number on line 8a and the state's data for this line will be reaudited
for data reliability if the data are need for incentive or penalty
purposes.

If the state was unable to report a number on Line 8 of the prior year's
report, the state [must]{.underline} report on this line and the data
will be audited for reliability.

Line 9 ‑ Children in the State with Paternity Established or
Acknowledged During the Year

Report the number of minor children living in the state who were born
out-of-wedlock for whom paternity has been established or acknowledged
during the year. This may include paternity established or acknowledged
in another state for children who are living in the reporting state. *In
addition, as long as the state established paternity, the child did not
have to be born in the reporting state.*

Line 10 ‑ Children in the State With Paternity Acknowledged During the
Fiscal Year

Report the number of children living in the state born out-of-wedlock,
for whom paternity has been acknowledged during the fiscal year. This
includes acknowledgments after genetic testing, but before adjudication,
if applicable. Include children with paternity acknowledged

through the state\'s voluntary in‑hospital acknowledgment program and
other acknowledgment processes. This count is a subset of and must have
been included on Line 9.

**SECTION C: SERVICES REQUIRED**

In this section, report the number of IV‑D cases open at the end of the
fiscal year that need the specific service listed. In interstate cases
both the initiating and responding state report services required.

Under Section C, report the information by case status under columns (b)
through (d).

A parent responsible for the support of children of more than one
custodial parent is counted as a separate case for each-‑thus, a parent
responsible for supporting children of three custodial parent's would be
counted as three cases needing an order.

**Line 11 -- Reserved.** No entries.

**Line 12 ‑ Cases Open at the End of the Fiscal Year Requiring Services
to Establish an Order**

Report the number of IV‑D cases open at the end of the fiscal year that
need services to establish a support order.

Line 13‑ Children Requiring Paternity Determination Services in Cases
Open at the End of the Fiscal Year

Report the number of children in cases open at the end of the fiscal
year requiring paternity establishment.

Count all children, whose paternity has not been established, including
children in the process of having paternity established. If there is
more than one putative father for a child, count the child only once.

**SECTION D: SERVICES PROVIDED**

In this section, report the number of cases in which services were
successfully provided at any time during the fiscal year. Count each
service that a case received. If a case changed status during the fiscal
year (e.g. from an assistance to a former assistance case), report the
case status as of the end of the fiscal year. In interstate cases, both
the initiating and the responding states report the service that either
provided.

In Section D, report under column (a) only for Line 14 and report under
columns (b) through (d) for Lines 16 through 20.

Line 14 ‑ Title IV‑A Cases Closed During the Fiscal Year Where a Child
Support Payment Was Received

Report all cases terminated from TANF during the fiscal year in which
there was any child support collection in the month of termination.
Report the information for the fiscal year in which it is received from
the IV‑A agency, regardless of when the termination actually took place.

The month of termination is the last month for which a grant is paid.
Include a case in the count for this line whenever the case was
terminated from TANF and a child support payment was received in the
same month\--even if the payment was received after the case was
terminated.

Line 15 -- Reserved. No entries.

Line 16 ‑ Children in the IV‑D Caseload for Whom Paternity Was
Established or Acknowledged During the Fiscal Year

Report the number of children in cases in the IV‑D caseload for whom
paternity was established or acknowledged during the fiscal year. A
paternity established or acknowledged prior to a case\'s referral to
IV‑D is [not]{.underline} to be counted in this item. If more than one
child is included in a single paternity action, each child is counted
separately. If a paternity determination action includes an order for
support, the paternity is counted on Line 16 and the support order is
counted on Line 17.

**Line 17 ‑ Cases With Support Orders Established During the Fiscal
Year**

Report the number of cases in which support orders were established by
the IV‑D agency during the fiscal year. Include support orders
established for cash medical support or health insurance.

A support order established before the case became a IV‑D case or an
order that has been modified, must [not]{.underline} be counted. Also,
do not include judgments under state laws that create a debt owed to the

state by the non‑custodial parent for public assistance paid for that
parent's child or children (laws of general obligation).

A single support order for payment of current support and arrearages is
counted as the establishment of one support order. If an order includes
medical support and child support, it must be counted only once.

If the state established a new order for a subsequent child, that
establishment must be counted on Line 17. The count must
[not]{.underline} include modifications including those made to add
health insurance to the order.

**Line 18 ‑ Cases With Collections During the Fiscal Year**

Report the number of cases for which one or more collections were made
during the fiscal year. Each case must be counted only once, regardless
of the type or number of collections made for that case

during the fiscal year. For example, if a Federal or state tax refund
offset collection was made during the fiscal year, as well as a regular
collection, report one case with a collection. Include cases where no
support order is established but a voluntary payment was made.

Line 18a ‑ Interstate Cases Received From Another State with Collections
During

The Fiscal Year

Report the number of cases received from another state, tribe, or
country for which one or more collections were made during the fiscal
year. The number reported on this line is a subset and must be included
in the number reported on Line 18.

**Line 19 ‑ Cases Sent to Another State During the Fiscal Year**

Report the number of cases sent to another state, tribe or, country
during the fiscal year. This is the number of cases for which referrals
were made, not the actual number of requests made with respect to a
particular case. For example, if referrals were sent to multiple states
for the same case, this would be reported once. Report a case submitted
for location, establishment of paternity or support order, enforcement
of support, or any other IV‑D activity.

**Line 20 ‑ Cases Received From Another State During the Fiscal Year**

Report the number of cases received from another state, tribe or,
country during the fiscal year. Each case must be counted only once,
regardless of the number of requests received for one case during the
fiscal year.

**SECTION E: MEDICAL SUPPORT**

As explained in the definition section, medical support is private
health insurance, publicly-funded health coverage under certain
conditions, and various kinds of cash medical support. This support may
be provided by the custodial parent, noncustodial parent or any other
person, such as a step-parent. It includes cash payments to be used for
health insurance and health care.

Arrears-only cases should not be included in the count, so exclude all
cases from all line totals in this section in which the only reason the
case is open is to collect child or medical support arrearages assigned
to the state or owed to the family and pursuing medical support is not
required.

In Section E, Medical Support, report totals in column (a) only.

**Line 21 - Cases Open at the End of the Fiscal Year In Which Medical
Support is Ordered**

Report the number of IV-D cases open on the last day of the fiscal year
for which medical support is ordered. This includes cash medical support
amounts and/or health insurance coverage. Include IV-D cases where the
custodial parent, noncustodial parent or any other person is ordered to
provide the medical support. Do not include arrears-only cases on this
line.

**Line 21a ‑ Cases Open at the End of the Fiscal Year In Which Medical
Support is Ordered and Provided**

Report the number of IV-D cases open on the last day of the fiscal year
for which medical support was ordered and provided at any time during
the fiscal year. This includes cash

medical support payments and/or health insurance coverage. Include cases
where the custodial parent, noncustodial parent, or any other person,
such as a step-parent, actually provided the medical support. Cases
reported on this line are a subset of and should have been counted on
Line 21.

If private health insurance is ordered, states cannot include cash
medical support payments, unless it is documented that private health
insurance is not available to the noncustodial parent at reasonable
cost. Publicly-funded health insurance is included only if there is
documentation that private health insurance coverage is unavailable at
reasonable cost and a parent is ordered by a court or administrative
process to provide a cash medical support payment to help pay the cost
of Medicaid or State Child Health Insurance Program (SCHIP). Cases
reported on line 21a are a subset of and should have been reported on
Line 21.

**Line 22 ‑ Cases Open at the End of the Fiscal Year Where Health
Insurance is Ordered**

Report the number of cases on the last day of the fiscal year where
health insurance is ordered. Do not include orders for cash medical
support where there is no health insurance policy. States may exclude
cases where the unavailability of health insurance at reasonable cost is
confirmed. Cases reported on Line 22 are a subset of and must have been
counted on Line 21.

**Line 23 ‑ Cases Where Health Insurance is Provided as Ordered**

Of cases reported on Line 22, report the number of cases open on the
last day of the fiscal year, for

which health insurance was actually provided, as stated in the order.
Count only one order per case.

Do not include Medicaid, SCHIP, or cash medical support where there is
no health insurance policy. The insurance may be provided by either the
custodial parent, noncustodial parent, or other person.

These cases are a subset of and must have been counted on Line 22.

**SECTION F: COLLECTIONS DUE AND DISTRIBUTED**

In this section, report the amount of collections due and the amount of
collections that were distributed in the fiscal year. These amounts must
be computed monthly and the total of all months reported at the end of
the year. Include cash medical support payments and support due in cases
that closed during the fiscal year. For purposes of this report, report
distributed collections when disbursed.

Report amounts due and distributed for both initiating and responding
state, tribal, and international cases. If the initiating state has no
order within the state, but there is an order in a responding state, the
initiating state must report the amount due in the other state. If there
is an order in both the initiating and the responding states, each state
must report consistent with its own order.

Amounts due and collected for spousal support, childcare, medical
support, and other cash payments must be included in the amounts
reported in Section F, if they are included in the child support order.

For cases that changed status during the fiscal year (i.e. never
assistance to current assistance) a state may report the case status as
of when the collection was received or as of the end of the fiscal year,
as long as the state does it consistently one way or the other.

For purposes of counting arrears on the OCSE-157, an arrearage occurs
the month that the payment is missed. Also, under Section 466(a)(9) of
the Act, a state must enact laws and use procedures requiring that any
payment or installment under a support order is a judgment by operation
of law, without the need for further court action. This includes a
judgment for arrears. This does not include judgments under state laws
that create a debt owed to the state by the non‑custodial parent for the
amount of public assistance due and collected for that parent\'s child
or children (laws of general obligation).

If a state recovers cost or fees from a collection, report the total
amount of the collection rather than the net amount sent to the family
on Lines 25 and 27.

Report under columns (b) through (d) for Lines 24 through 27 and only
under column (a) for Lines 28 and 29.

Adjustments made during the reporting year from previous periods must
[not]{.underline} be included in the amounts reported on Lines 24 thru
27. Likewise, cases with prior year adjustments must [not]{.underline}
be reported on Lines 28 and 29.

**Line 24 ‑ Total Amount of Current Support Due for the Fiscal Year**

Report the total amount of current support due for the fiscal year for
all IV‑D cases. Include total voluntary collections as amounts due. Do
not include current amounts due on arrears.

Line 25 ‑ Total Amount of Support Distributed as Current Support During
the Fiscal Year

Report the total amount of support distributed as current support during
the fiscal year for all IV‑D cases. Voluntary payments are considered
current support and must be reported here, even though there is no order
to require payment. Interests, cost recovery fees, and future payments
distributed during the fiscal year must also be reported on this line.

**Line 26 ‑ Total Amount of Arrears Due for All Fiscal Years**

Report the total amount of arrears due and unpaid as of the end of the
fiscal year for all fiscal years, including the fiscal year covered by
the report. Interests and penalties on arrearages may be included.
**Only the initiating state is to report arrears due for interstate and
other interjurisdictional cases.**

Line 27 ‑ Total Amount of Support Distributed as Arrears During the
Fiscal Year

Report the total amount of support distributed this fiscal year as
arrearages. The amounts reported must include judgments ordered and paid
this fiscal year for prior year support. Only the initiating state must
report the amount of arrears distributed for interstate and other
interjurisdictional cases.

**Line 28 ‑ Cases With Arrears Due During the Fiscal Year**

Report the number of cases with arrears due during the fiscal year.
Include cases closed during the fiscal year with arrearages.

**Line 29 ‑ Cases Paying Toward Arrearages During the Fiscal Year**

~~R~~eport the number of cases that made at least one payment toward
arrears during the fiscal year. Report the total number of IV‑D cases in
which payments of past‑due child support were received during the fiscal
year, and part or all of the payments were distributed to the family to
which the past‑due child support was owed (or, if all past‑due child
support owed to the family was, at the time of receipt, subject to an
assignment to the state, part or all of the payments were retained by
the state). In other words, count those cases where all of the past‑due
support was disbursed to the family because all support was owed to the
family, or all of the past-due support was retained by the state because
all support was assigned to the state. However, if some of the past due
support was assigned to the state and some was owed to the family, only
count those cases where some of the support actually was disbursed to
the family.

This means that in never assistance cases, all payments go to the
family, so states must count all cases with any payments applied to
past-due support and paid to the family. In current assistance cases,
all support is assigned to the state, so states must count all cases
with payments applied to past-due support and retained by the state.
However, in former assistance cases, if some past-due support was owed
to the family at the time of the collection, states must only count the
case if some of the collection was applied to past-due support and paid
to the family.

**SECTION G: STAFF**

Report the total number of staff providing IV-D child support services
employed on the last working day of September of the reporting year.
Report these numbers in full‑time equivalent (FTE) figures (divide the
total number of hours worked by all part‑time staff by 2080 hours). This
makes staffing figures reported by states with varying staffing patterns
comparable.

For Section G, report under column (a) only.

**Line 30 ‑ Full‑time Equivalent Employees of State and Local Title IV‑D
Offices on the Last Working Day in the Fiscal Year**

Report the total number of FTE staff employed by the state and local
IV‑D agencies. Do not include any staff working under cooperative
agreements (see Line 31) or for private IV‑D agencies (see Line 32).

**Line 31 ‑ Full‑time Equivalent Employees Under Contract, Interagency,
or Cooperative Agreements on the Last Working Day in the Fiscal Year**

Report the total number of FTE staff employed by an agency (public or
private) working under a cooperative agreement, employed contractor, or
interagency agreement with the IV‑D agency. Do not count any staff
counted on Line 30 and 32.

**Line 32 ‑ Full‑time Equivalent Employees of Privatized IV‑D Agencies
on the Last Working Day in the Fiscal Year**

Report the total number of FTE staff employed by privatized IV‑D
agencies. Do not include any staff already counted on Line 30 or 31.

**SECTION H: MEDICAID**

In this section report the number of children in IV-D cases open at the
end of the fiscal year who are determined eligible for Medicaid under
Title XIX of the Social Security Act for Lines 33 and 34. Report average
annual Medicaid expenditures per child on Line 37. Report the number of
cases with medical coverage on Line 35 and amount of cash medical
support on Line 36. Only initiating states should report on Lines 33
through 37.

**Line 33- Number of Children Determined Eligible for Medicaid in IV-D
Cases Open at the End of the Fiscal Year**

Report the number of children in IV-D cases open at the end of the
fiscal year who are determined eligible for Medicaid under Title XIX of
the Social Security Act.

**Line 34 - Number of Children Determined Eligible for Medicaid in IV-D
Cases Covered by Private Health Insurance**

Report the number of children determined eligible for Medicaid who were
also covered at any time during the fiscal year by private health
insurance in IV-D cases open at the end of the fiscal year.

**Line 35 -- Cases with Medical Coverage Received From any Source**

Report the number of IV-D cases open at the end of the fiscal year in
which medical coverage was received from any source at any time during
the fiscal year.

**Line 36 -- Amount of Cash Medical Support Received that was Assigned
to the State**

Report the amount of cash received in IV-D cases from medical support
payments that are assigned to the state under the Medicaid program
during the fiscal year. This should include all cash medical payments,
including cash for health insurance policies, doctor bills, as well as,
contributions toward Medicaid.

**Line 37 -- Yearly Medicaid Expenditures for Children Determined
Eligible for Medicaid**

Report the yearly average amount spent per child by the Medicaid program
during the fiscal year on all children in the state, determined eligible
for services under Medicaid, Title XIX of the Social Security Act.

**SECTION I: NONCOOPERATION AND GOOD CAUSE**

Report the number of cases open at the end of the fiscal year in which
an applicant for or recipient of TANF has refused to cooperate in
identifying and locating the noncustodial parent. Also report the number
of cases in which the refusal is based on good cause as, determined by
the state.

For Section I, report only under column (b).

**Line 38 ‑ Cases at the End of the Fiscal Year in Which There is a
Determination of Noncooperation**

Report the number of IV‑D TANF cases open at the end of the fiscal year
in which a determination was made that the custodial parent refused to
cooperate with state agencies in identifying and locating the
noncustodial parent.

**Line 39 ‑ Cases Open During the Fiscal Year With Good Cause
Determinations**

Report the number of cases open during the fiscal year in which it was
determined by the state that

the custodial parent had good cause for refusing to cooperate with state
agencies in identifying and locating the noncustodial parent

**SECTION J: COLLECTION RATES**

In this section states must report the number of IV-D cases with orders,
where the percentage of current child support paid is: 0%, 1-25%,
26-50%, 51-75%, 76-99%, and 100%. Include cases with orders established
prior to the case becoming a IV-D case, as well as, those with orders
established by the IV‑D agency. Count the case once, regardless of the
amount of the number of orders. A case can only be counted in one
category. These cases are subsets of and must be counted on Line 2.

Include judgments for arrears, regardless of whether there is a payment
schedule or an order for ongoing support. Do not include voluntary
support agreements in this section, unless the agreements are legally
enforceable in the reporting state. Include all cases-‑both cases sent
to and received from

other states, tribes, and countries. If a case has a valid order that is
no longer in effect, the case must be included.

Line 40 -- Number of IV-D Cases With Orders Where Zero Percent of
Current Support is Paid

Report the number of cases open at the end of the fiscal year with
orders where zero percent of current support was paid. Include cases
with orders entered prior to the case becoming a IV‑D case,

as well as, cases with orders established by the IV‑D agency.

Line 41 ‑ Number of IV-D Cases With Orders Where 1-25 Percent of Current
Support was Paid

Report the number of cases with orders open at the end of the fiscal
year where 1 to 25 percent of current support was paid. Include cases
with orders entered prior to the case becoming a IV‑D

case, as well as cases with orders established by the IV‑D agency.

Line 42 ‑ Number of IV-D Cases With Orders Where 26-50 Percent of
Current Support was Paid

Report the number of IV-D cases with orders open at the end of the
fiscal year where 26 to 50 percent of current support was paid. Include
cases with orders entered prior to the case becoming a IV‑D case, as
well as cases with orders established by the IV‑D agency.

Line 43 ‑ Number of IV-D Cases With Orders Where 51-75 Percent of
Current Support was Paid

Report the number of cases with orders open at the end of the fiscal
year where 51 to75 percent of current support was paid. Include cases
with orders entered prior to the case becoming a IV‑D case, as well as
cases with orders established by the IV‑D agency

Line 44 -- Number of IV-D Cases With Orders Where 76-99 Percent of
Current Support was Paid

Report the number of cases with orders open at the end of the fiscal
year where 76 to 99 percent of current support was paid. Include cases
with orders entered prior to the case becoming a IV‑D case, as well as
cases with orders established by the IV‑D agency.

Line 45 ‑ Number of IV-D Cases With Orders Where 100 Percent of Current
Support was Paid

Report the number of cases with orders open at the end of the fiscal
year where all of current support was paid. Report the number of IV‑D
cases open on the last day of the fiscal year that have support orders
established. Include cases with orders entered prior to the case
becoming a IV‑D case, as well as cases with orders established by the
IV‑D agency.

**DEPARTMENT OF HEALTH AND HUMAN SERVICES Form Approved**

**Administration for Children and Families OMB No. 0970-0177**

**Office of Child Support Enforcement Expires:
\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--**

**CHILD SUPPORT ENFORCEMENT ANNUAL DATA REPORT**

(This report consists of four pages. Do not report in shaded areas.)

+-----------------------------+--------+---------+---------+---------+
|                             |        |         |         |         |
+-----------------------------+--------+---------+---------+---------+
| **STATE: SUBMISSION:**      | *      | **RE    | *       |         |
|                             | *NEW** | VISED** | *FISCAL |         |
|                             |        |         | YEAR:** |         |
+-----------------------------+--------+---------+---------+---------+
|                             | *      | **(b)** | **(c)** | **(d)** |
|                             | *(a)** |         |         |         |
+-----------------------------+--------+---------+---------+---------+
| **ITEMS**                   | **T    | **      | **F     | **      |
|                             | OTAL** | CURRENT | ORMER** | NEVER** |
|                             |        | ASSIS   |         |         |
|                             |        | TANCE** | **ASSIS | **ASSIS |
|                             |        |         | TANCE** | TANCE** |
+-----------------------------+--------+---------+---------+---------+
|                             |        |         |         |         |
+-----------------------------+--------+---------+---------+---------+
| **SECTION A: CASE           |        |         |         |         |
| INVENTORY**                 |        |         |         |         |
+-----------------------------+--------+---------+---------+---------+
|                             |        |         |         |         |
+-----------------------------+--------+---------+---------+---------+
|                             |        |         |         |         |
+-----------------------------+--------+---------+---------+---------+
| 1\. Cases Open at the End   |        |         |         |         |
| of the Fiscal Year          |        |         |         |         |
+-----------------------------+--------+---------+---------+---------+
|                             |        |         |         |         |
+-----------------------------+--------+---------+---------+---------+
| a\. Interstate Cases        |        |         |         |         |
| Initiated in This State     |        |         |         |         |
|                             |        |         |         |         |
| Open at the End of the      |        |         |         |         |
| Fiscal Year                 |        |         |         |         |
+-----------------------------+--------+---------+---------+---------+
| b\. Interstate Cases        |        |         |         |         |
| Received From Another State |        |         |         |         |
|                             |        |         |         |         |
| Open at the End of the      |        |         |         |         |
| Fiscal Year                 |        |         |         |         |
+-----------------------------+--------+---------+---------+---------+
| c\. Medicaid-Only IV-D      |        |         |         |         |
| Cases                       |        |         |         |         |
|                             |        |         |         |         |
| Open at the End of the      |        |         |         |         |
| Fiscal Year                 |        |         |         |         |
+-----------------------------+--------+---------+---------+---------+
| d\. Arrears-Only IV-D Cases |        |         |         |         |
| Open                        |        |         |         |         |
|                             |        |         |         |         |
| at the End of the Fiscal    |        |         |         |         |
| Year                        |        |         |         |         |
+-----------------------------+--------+---------+---------+---------+
| e\. State-Tribal IV-D Cases |        |         |         |         |
| Initiated in this State     |        |         |         |         |
|                             |        |         |         |         |
| Open at the End of the      |        |         |         |         |
| Fiscal Year                 |        |         |         |         |
+-----------------------------+--------+---------+---------+---------+
| f\. State-Tribal IV-D Cases |        |         |         |         |
| Received From a Tribal IV-D |        |         |         |         |
|                             |        |         |         |         |
| Program Open at the End of  |        |         |         |         |
| the Fiscal Year             |        |         |         |         |
+-----------------------------+--------+---------+---------+---------+
| g\. International IV-D      |        |         |         |         |
| Cases Initiated in This     |        |         |         |         |
|                             |        |         |         |         |
| Country Open at the End of  |        |         |         |         |
| the Fiscal Year             |        |         |         |         |
+-----------------------------+--------+---------+---------+---------+
| h\. International IV-D      |        |         |         |         |
| Cases Received from Another |        |         |         |         |
|                             |        |         |         |         |
| Country Open at the End of  |        |         |         |         |
| the Fiscal Year             |        |         |         |         |
+-----------------------------+--------+---------+---------+---------+
| 2\. Cases Open at the End   |        |         |         |         |
| of the Fiscal Year With     |        |         |         |         |
| Support                     |        |         |         |         |
|                             |        |         |         |         |
| Orders Established          |        |         |         |         |
+-----------------------------+--------+---------+---------+---------+
| a\. Interstate Cases        |        |         |         |         |
| Initiated in This State     |        |         |         |         |
| With Support                |        |         |         |         |
|                             |        |         |         |         |
| Orders Established at the   |        |         |         |         |
| End of the Fiscal Year      |        |         |         |         |
+-----------------------------+--------+---------+---------+---------+
| b\. Interstate Cases        |        |         |         |         |
| Received From Another State |        |         |         |         |
| With                        |        |         |         |         |
|                             |        |         |         |         |
| Support Orders Established  |        |         |         |         |
| at the End of the Fiscal    |        |         |         |         |
| Year                        |        |         |         |         |
+-----------------------------+--------+---------+---------+---------+
| c\. Cases With Orders       |        |         |         |         |
| Established for Zero Cash   |        |         |         |         |
| Support                     |        |         |         |         |
|                             |        |         |         |         |
| Open at the End of the      |        |         |         |         |
| Fiscal Year                 |        |         |         |         |
+-----------------------------+--------+---------+---------+---------+
| d\. Medicaid-Only IV-D      |        |         |         |         |
| Cases With Orders           |        |         |         |         |
| Established                 |        |         |         |         |
|                             |        |         |         |         |
| Open at the End of the      |        |         |         |         |
| Fiscal Year                 |        |         |         |         |
+-----------------------------+--------+---------+---------+---------+
| e\. Arrears-Only IV-D Cases |        |         |         |         |
| With Orders Established     |        |         |         |         |
|                             |        |         |         |         |
| Open at the End of the      |        |         |         |         |
| Fiscal Year                 |        |         |         |         |
+-----------------------------+--------+---------+---------+---------+
| f.  State-Tribal IV-D Cases |        |         |         |         |
|     Initiated in this State |        |         |         |         |
|     With Support            |        |         |         |         |
|                             |        |         |         |         |
| > Orders Established Open   |        |         |         |         |
| > at the End of the Fiscal  |        |         |         |         |
| > Year                      |        |         |         |         |
+-----------------------------+--------+---------+---------+---------+
| g.  State-Tribal IV-D Cases |        |         |         |         |
|     With Support Orders     |        |         |         |         |
|     Established             |        |         |         |         |
|                             |        |         |         |         |
| > Received from a Tribe     |        |         |         |         |
| > Open at the End of the    |        |         |         |         |
| > Fiscal Year               |        |         |         |         |
+-----------------------------+--------+---------+---------+---------+
| h\. International IV-D      |        |         |         |         |
| Cases With Support Orders   |        |         |         |         |
| Established                 |        |         |         |         |
|                             |        |         |         |         |
| Initiated in this State at  |        |         |         |         |
| the End of the Fiscal Year  |        |         |         |         |
+-----------------------------+--------+---------+---------+---------+
| i\. International IV-D      |        |         |         |         |
| Cases With Support Order    |        |         |         |         |
| Established                 |        |         |         |         |
|                             |        |         |         |         |
| Received from Another       |        |         |         |         |
| Country at the End of the   |        |         |         |         |
| Fiscal Year                 |        |         |         |         |
+-----------------------------+--------+---------+---------+---------+
| 3\. Cases Open at the End   |        |         |         |         |
| of the Fiscal Year          |        |         |         |         |
|                             |        |         |         |         |
| for Which the State Has No  |        |         |         |         |
| Jurisdiction                |        |         |         |         |
+-----------------------------+--------+---------+---------+---------+

**FORM OCSE-157 (\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--)**

CHILD SUPPORT ENFORCEMENT ANNUAL DATA REPORT - Page 2

+------------------------------+--------+---------+---+------+---+------+
|                              | *      | **(b)** | * |      | * |      |
|                              | *(a)** |         | * |      | * |      |
|                              |        |         | ( |      | ( |      |
|                              |        |         | c |      | d |      |
|                              |        |         | ) |      | ) |      |
|                              |        |         | * |      | * |      |
|                              |        |         | * |      | * |      |
+------------------------------+--------+---------+---+------+---+------+
| **ITEMS**                    | **T    | **      | * |      | * |      |
|                              | OTAL** | CURRENT | * |      | * |      |
|                              |        | ASSIS   | F |      | N |      |
|                              |        | TANCE** | O |      | E |      |
|                              |        |         | R |      | V |      |
|                              |        |         | M |      | E |      |
|                              |        |         | E |      | R |      |
|                              |        |         | R |      | * |      |
|                              |        |         | * |      | * |      |
|                              |        |         | * |      |   |      |
|                              |        |         |   |      | * |      |
|                              |        |         | * |      | * |      |
|                              |        |         | * |      | A |      |
|                              |        |         | A |      | S |      |
|                              |        |         | S |      | S |      |
|                              |        |         | S |      | I |      |
|                              |        |         | I |      | S |      |
|                              |        |         | S |      | T |      |
|                              |        |         | T |      | A |      |
|                              |        |         | A |      | N |      |
|                              |        |         | N |      | C |      |
|                              |        |         | C |      | E |      |
|                              |        |         | E |      | * |      |
|                              |        |         | * |      | * |      |
|                              |        |         | * |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
| **SECTION B: PATERNITY       | **     |         | * |      |   |      |
| ESTABLISHMENT**              | Select |         | * |      |   |      |
|                              | PEP    |         | \ |      |   |      |
|                              | O      |         | [ |      |   |      |
|                              | ption: |         | \ |      |   |      |
|                              | \[ \]  |         | ] |      |   |      |
|                              | IV-D** |         | S |      |   |      |
|                              |        |         | t |      |   |      |
|                              |        |         | a |      |   |      |
|                              |        |         | t |      |   |      |
|                              |        |         | e |      |   |      |
|                              |        |         | w |      |   |      |
|                              |        |         | i |      |   |      |
|                              |        |         | d |      |   |      |
|                              |        |         | e |      |   |      |
|                              |        |         | * |      |   |      |
|                              |        |         | * |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
|                              |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
| 4\. Number of Children in    |        |         |   |      |   |      |
| Cases Open                   |        |         |   |      |   |      |
|                              |        |         |   |      |   |      |
| at the End of the Fiscal     |        |         |   |      |   |      |
| Year                         |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
| 5\. Children in IV-D Cases   |        |         |   |      |   |      |
| Open at the End of the       |        |         |   |      |   |      |
| **Current** Federal          |        |         |   |      |   |      |
|                              |        |         |   |      |   |      |
| Fiscal Year Who Were Born    |        |         |   |      |   |      |
| Out-of-Wedlock               |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
| a\. Children in IV-D Cases   |        |         |   |      |   |      |
| Open at the End of the       |        |         |   |      |   |      |
| **Prior** Federal            |        |         |   |      |   |      |
|                              |        |         |   |      |   |      |
| Fiscal Year Who Were Born    |        |         |   |      |   |      |
| Out-of-Wedlock               |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
| 6\. Children in IV-D Cases   |        |         |   |      |   |      |
| Open During **or** at the    |        |         |   |      |   |      |
| End of the                   |        |         |   |      |   |      |
|                              |        |         |   |      |   |      |
| Fiscal Year With Paternity   |        |         |   |      |   |      |
| Established or Acknowledged  |        |         |   |      |   |      |
|                              |        |         |   |      |   |      |
| or Acknowledged              |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
| 7\. Children in the IV-D     |        |         |   |      |   |      |
| Cases at the End of the      |        |         |   |      |   |      |
| Fiscal Year                  |        |         |   |      |   |      |
|                              |        |         |   |      |   |      |
| With Paternity Resolved      |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
| 8\. Children in the State    |        |         |   |      |   |      |
| Born Out-of-Wedlock          |        |         |   |      |   |      |
|                              |        |         |   |      |   |      |
| During the **Current** Year  |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
| a\. Children in the State    |        |         |   |      |   |      |
| Born Out-of-Wedlock          |        |         |   |      |   |      |
|                              |        |         |   |      |   |      |
| During the **Prior** Year    |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
| 9\. Children in the State    |        |         |   |      |   |      |
| With Paternity Established   |        |         |   |      |   |      |
|                              |        |         |   |      |   |      |
| or Acknowledged During the   |        |         |   |      |   |      |
| Year                         |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
| 10\. Children in the State   |        |         |   |      |   |      |
| With Paternity Acknowledged  |        |         |   |      |   |      |
|                              |        |         |   |      |   |      |
| During The Fiscal Year       |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
| **SECTION C: SERVICES        |        |         |   |      |   |      |
| REQUIRED**                   |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
|                              |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
| 11\. Reserved                |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
| 12\. Cases Open at the End   |        |         |   |      |   |      |
| of the Fiscal Year           |        |         |   |      |   |      |
|                              |        |         |   |      |   |      |
| Requiring Services to        |        |         |   |      |   |      |
| Establish an Order           |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
| 13\. Children Requiring      |        |         |   |      |   |      |
| Paternity Determination      |        |         |   |      |   |      |
| Services                     |        |         |   |      |   |      |
|                              |        |         |   |      |   |      |
| in Cases Open at the End of  |        |         |   |      |   |      |
| the Fiscal Year              |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
|                              |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
|                              |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
| **SECTION D: SERVICES        |        |         |   |      |   |      |
| PROVIDED**                   |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
|                              |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
| 14\. Title IV-A Cases Closed |        |         |   |      |   |      |
| During the Fiscal Year Where |        |         |   |      |   |      |
| a                            |        |         |   |      |   |      |
|                              |        |         |   |      |   |      |
| Child Support Payment Was    |        |         |   |      |   |      |
| Received                     |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
| 15\. Reserved                |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
| 16\. Children in the IV-D    |        |         |   |      |   |      |
| Caseload for Whom Paternity  |        |         |   |      |   |      |
|                              |        |         |   |      |   |      |
| Was Established or           |        |         |   |      |   |      |
| Acknowledged During the      |        |         |   |      |   |      |
| Fiscal Year                  |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
|                              |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
| 17\. Cases With Orders       |        |         |   |      |   |      |
| Established During the       |        |         |   |      |   |      |
| Fiscal Year                  |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
|                              |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
|                              |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
| 18\. Cases With Collections  |        |         |   |      |   |      |
| During the Fiscal Year       |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
|                              |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
| a\. Interstate Cases         |        |         |   |      |   |      |
| Received From Another State  |        |         |   |      |   |      |
|                              |        |         |   |      |   |      |
| With Collections During the  |        |         |   |      |   |      |
| Fiscal Year                  |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
|                              |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
| 19\. Cases Sent to Another   |        |         |   |      |   |      |
| State During the Fiscal Year |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
|                              |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
| 20\. Cases Received From     |        |         |   |      |   |      |
| Another State                |        |         |   |      |   |      |
|                              |        |         |   |      |   |      |
| During the Fiscal Year       |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
|                              |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
| **SECTION E: MEDICAL         |        |         |   |      |   |      |
| SUPPORT**                    |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
|                              |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
| 21\. Cases Open at the End   |        |         |   |      |   |      |
| of the Fiscal Year           |        |         |   |      |   |      |
|                              |        |         |   |      |   |      |
| In Which Medical Support is  |        |         |   |      |   |      |
| Ordered                      |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+
| a\. Cases Open at the End of |        |         |   |      |   |      |
| the Fiscal Year              |        |         |   |      |   |      |
|                              |        |         |   |      |   |      |
| In Which Medical Support is  |        |         |   |      |   |      |
| Ordered and Provided         |        |         |   |      |   |      |
+------------------------------+--------+---------+---+------+---+------+

**FORM OCSE-157
(\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--)**

CHILD SUPPORT ENFORCEMENT ANNUAL DATA REPORT - Page 3

<table>
<colgroup>
<col style="width: 39%" />
<col style="width: 5%" />
<col style="width: 9%" />
<col style="width: 4%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 9%" />
<col style="width: 4%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 9%" />
<col style="width: 4%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 12%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="2"></td>
<td colspan="2"><strong>(a)</strong></td>
<td colspan="6"><strong>(b)</strong></td>
<td colspan="5"><strong>(c)</strong></td>
<td colspan="4"><strong>(d)</strong></td>
</tr>
<tr class="even">
<td colspan="2"><strong>ITEMS</strong></td>
<td colspan="2"><strong>TOTAL</strong></td>
<td colspan="6"><strong>CURRENT ASSISTANCE</strong></td>
<td colspan="5"><p><strong>FORMER</strong></p>
<p><strong>ASSISTANCE</strong></p></td>
<td colspan="4"><p><strong>NEVER</strong></p>
<p><strong>ASSISTANCE</strong></p></td>
</tr>
<tr class="odd">
<td colspan="2"><p>22. Cases Open at the End of the Fiscal Year</p>
<p>Where Health Insurance is Ordered</p></td>
<td colspan="2"></td>
<td colspan="5"></td>
<td colspan="6"></td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="2"><p>23. Cases Open at the End of the Fiscal Year</p>
<p>Where Health Insurance is Provided as Ordered</p></td>
<td colspan="2"></td>
<td colspan="5"></td>
<td colspan="6"></td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="19"><strong>SECTION F: COLLECTIONS DUE AND
DISTRIBUTED</strong></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="4"></td>
<td colspan="5"></td>
<td colspan="5"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2"><p>24. Total Amount of Current Support Due</p>
<p>for the Fiscal Year</p></td>
<td colspan="4"></td>
<td colspan="5">$</td>
<td colspan="5">$</td>
<td colspan="3">$</td>
</tr>
<tr class="even">
<td colspan="2"><p>25. Total Amount of Support Distributed as Current
Support</p>
<p>During the Fiscal Year</p></td>
<td colspan="4"></td>
<td colspan="5">$</td>
<td colspan="5">$</td>
<td colspan="3">$</td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="4"></td>
<td colspan="5"></td>
<td colspan="5"></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="2">26. Total Amount of Arrearages Due for
<strong>All</strong> Fiscal Years</td>
<td colspan="4"></td>
<td colspan="5">$</td>
<td colspan="5">$</td>
<td colspan="3">$</td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="4"></td>
<td colspan="5"></td>
<td colspan="5"></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="2"><p>27. Total Amount of Support Distributed as
Arrears</p>
<p>During the Fiscal Year</p></td>
<td colspan="4"></td>
<td colspan="5">$</td>
<td colspan="5">$</td>
<td colspan="3">$</td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="4"></td>
<td colspan="5"></td>
<td colspan="5"></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="2">28. Cases With Arrears Due During the Fiscal Year</td>
<td colspan="4"></td>
<td colspan="5"></td>
<td colspan="5"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="4"></td>
<td colspan="5"></td>
<td colspan="5"></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="2"><p>29. Cases Paying Toward Arrearages</p>
<p>During the Fiscal Year</p></td>
<td colspan="4"></td>
<td colspan="5"></td>
<td colspan="5"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="5"></td>
<td colspan="6"></td>
<td colspan="5"></td>
<td></td>
</tr>
<tr class="even">
<td colspan="2"><strong>SECTION G: STAFF</strong></td>
<td colspan="5"></td>
<td colspan="6"></td>
<td colspan="5"></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="5"></td>
<td colspan="6"></td>
<td colspan="5"></td>
<td></td>
</tr>
<tr class="even">
<td colspan="2"><p>30. Full-time Equivalent Employees of State and
Local</p>
<p>IV-D Offices on the Last Working Day in the Fiscal Year</p></td>
<td colspan="3"></td>
<td colspan="7"></td>
<td colspan="5"></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2"><p>31. Full-time Equivalent Employees Under Contract,
Interagency, or</p>
<p>Cooperative Agreement on the Last Working Day in the Fiscal
Year</p></td>
<td colspan="3"></td>
<td colspan="7"></td>
<td colspan="5"></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2"><p>32. Full-time Equivalent Employees of Privatized</p>
<p>IV-D Offices on the Last Working Day in the Fiscal Year</p></td>
<td colspan="3"></td>
<td colspan="7"></td>
<td colspan="5"></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="5"></td>
<td colspan="5"></td>
<td colspan="5"></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2"><strong>SECTION H: MEDICAID</strong></td>
<td colspan="5"></td>
<td colspan="5"></td>
<td colspan="5"></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="5"></td>
<td colspan="5"></td>
<td colspan="5"></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2"><p>33. Number of Children Determined Eligible for
Medicaid in IV-D Cases</p>
<p>Open at the End of the Fiscal Year</p></td>
<td colspan="5"></td>
<td colspan="5"></td>
<td colspan="5"></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2"><p>34. Number of Children Determined Eligible for
Medicaid in IV-D</p>
<p>Cases Covered by Private Health Insurance</p></td>
<td colspan="5"></td>
<td colspan="5"></td>
<td colspan="5"></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">35. Cases With Medical Coverage Received From any
Source</td>
<td colspan="5"></td>
<td colspan="5"></td>
<td colspan="5"></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2"><p>36. Amount of Cash Medical Support Received that was
Assigned</p>
<p>to the State</p></td>
<td colspan="5">$</td>
<td colspan="5"></td>
<td colspan="5"></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2"><p>37. Yearly Medicaid Expenditures for Children
Determined Eligible</p>
<p>for Medicaid</p></td>
<td colspan="5">$</td>
<td colspan="5"></td>
<td colspan="5"></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="2"></td>
<td colspan="5"></td>
<td colspan="6"></td>
<td colspan="5"></td>
</tr>
<tr class="even">
<td colspan="19"><strong>SECTION I: NONCOOPERATION AND GOOD
CAUSE</strong></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="4"></td>
<td colspan="6"></td>
<td colspan="4"></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="2"><p>38. Cases at the End of the Fiscal Year in Which
There</p>
<p>is a Determination of Noncooperation</p></td>
<td colspan="4"></td>
<td colspan="6"></td>
<td colspan="4"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2"><p>39. Cases Open During the Fiscal Year With Good
Cause</p>
<p>Determinations</p></td>
<td colspan="4"></td>
<td colspan="6"></td>
<td colspan="4"></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="4"></td>
<td colspan="6"></td>
<td colspan="4"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2"><strong>SECTION J: COLLECTION RATES</strong></td>
<td colspan="4"></td>
<td colspan="6"></td>
<td colspan="4"></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="4"></td>
<td colspan="6"></td>
<td colspan="4"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2"><p>40. Number of Cases With Orders Where
<strong>Zero</strong></p>
<p>Percent of Current Child Support was Paid</p></td>
<td colspan="4"></td>
<td colspan="6"></td>
<td colspan="4"></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="2"><p>41. Number of Cases With Orders Where
<strong>1-25</strong></p>
<p>Percent of Current Child Support was Paid</p></td>
<td colspan="4"></td>
<td colspan="6"></td>
<td colspan="4"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2"><p>42. Number of Cases With Orders Where
<strong>26-50</strong></p>
<p>Percent of Current Child Support was Paid</p></td>
<td colspan="4"></td>
<td colspan="6"></td>
<td colspan="4"></td>
<td colspan="3"></td>
</tr>
</tbody>
</table>

**FORM OCSE-157
(\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--)**

CHILD SUPPORT ENFORCEMENT ANNUAL DATA REPORT - Page 4

<table>
<colgroup>
<col style="width: 40%" />
<col style="width: 4%" />
<col style="width: 0%" />
<col style="width: 9%" />
<col style="width: 4%" />
<col style="width: 9%" />
<col style="width: 4%" />
<col style="width: 9%" />
<col style="width: 4%" />
<col style="width: 12%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="2"></td>
<td colspan="3"><strong>(a)</strong></td>
<td colspan="2"><strong>(b)</strong></td>
<td colspan="2"><strong>(c)</strong></td>
<td><strong>(d)</strong></td>
</tr>
<tr class="even">
<td colspan="2"><strong>ITEMS</strong></td>
<td colspan="3"><strong>TOTAL</strong></td>
<td colspan="2"><strong>CURRENT ASSISTANCE</strong></td>
<td colspan="2"><p><strong>FORMER</strong></p>
<p><strong>ASSISTANCE</strong></p></td>
<td><p><strong>NEVER</strong></p>
<p><strong>ASSISTANCE</strong></p></td>
</tr>
<tr class="odd">
<td colspan="3"><p>43. Number of Cases With Orders Where
<strong>51-75</strong></p>
<p>Percent of Current Child Support was Paid</p></td>
<td colspan="2"></td>
<td colspan="2"></td>
<td colspan="2"></td>
<td></td>
</tr>
<tr class="even">
<td colspan="3"><p>44. Number of Cases With Orders Where
<strong>76-99</strong></p>
<p>Percent of Current Child Support was Paid</p></td>
<td colspan="2"></td>
<td colspan="2"></td>
<td colspan="2"></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="3"><p>45. Number of Cases With Orders Where
<strong>100</strong></p>
<p>Percent of Current Child Support was Paid</p></td>
<td colspan="2"></td>
<td colspan="2"></td>
<td colspan="2"></td>
<td></td>
</tr>
<tr class="even">
<td colspan="10"></td>
</tr>
<tr class="odd">
<td colspan="10"><p><strong><u>Paperwork Act Notice</u></strong>: State
agencies are required to provide the information requested to receive a
grant award under the provision of Title IV, Part D (Sections 452 and
469) of the Social Security Act (42 USC 652 and 669). This is public
information and is published in an Annual Report to Congress. The
responses to this collection are mandatory. This information is not
considered confidential, therefore, no additional safeguards are
considered necessary beyond that customarily applied to routine
government information.</p>
<p><strong><u>Reporting Burden Notice</u></strong>: Public reporting
burden for this collection of information is estimated to average 7
hours per response, including the time for reviewing instructions,
gathering and maintaining the data needed, and reviewing the collection
of information. An agency may not conduct or sponsor, and a person is
not required to respond to a collection of information unless it
displays a currently valid OMB control number. Send comments regarding
either thins burden estimate or other aspect of this request for
information to: the Administration for Children and Families, Office of
Child Support Enforcement, 360 L’Enfant Promenade, S.W., Washington, DC
20447</p></td>
</tr>
<tr class="even">
<td></td>
<td colspan="9"></td>
</tr>
<tr class="odd">
<td>This is to certify the information provided on this report is
accurate to the best of my knowledge and belief.</td>
<td colspan="9">Signature: Director, Title IV-D</td>
</tr>
<tr class="even">
<td>Agency Name</td>
<td colspan="3">Typed Name, Title,</td>
<td colspan="2"></td>
<td colspan="2"></td>
<td colspan="2">Date:</td>
</tr>
</tbody>
</table>

**FORM OCSE-157
(\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--)**

**12/06/04**