[Federal Register Volume 69, Number 213 (Thursday, November 4, 2004)]
[Notices]
[Pages 64312-64313]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-24600]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Children and Families


Submission for OMB Review; Comment Request

    Title: National Medical Support Notice.
    OMB No.: 0970-0222.
    Description: The information collected by state IV-D child support 
enforcement agencies is used to complete the National Medical Support 
Notice (NMSN) that is sent to employers of employee/obligors and used 
as a means of enforcing the health care coverage provision in a child 
support order. Primarily, the information the state child support 
enforcement agencies use to complete the NMSN is information regarding 
appropriate persons that is necessary for the enrollment of the child 
in employment-related health care coverage, such as the employee/
obligor's name, address, and Social Security number; the employer's 
name and address: the name and address of the alternate recipient 
(child); and the custodial parent's name and address. The employer 
forwards the second part of the NMSN to the group health plan 
administrator, which contains the same individual identifying 
information. The plan administrator requires this information to 
determine whether to enroll the alternate recipient in the group health 
plan. If necessary, the employer also initiates withholding from the 
employee's wages for the purpose of paying premiums to the group health 
plan for enrollment of the child.
    Respondents: State and local title IV-D child support enforcement 
agencies initiate the process of enforcing medical health care coverage 
for the child by completing and sending the notice to known employers 
of the noncustodial parents (employee/obligor). Employers and plan 
administrators are on the receiving end of the notice.
    Annual Burden Estimates:

----------------------------------------------------------------------------------------------------------------
                                                                Number of      Average burden
               Instrument                     Number of       responses per       hours per       Total burden
                                             respondents       respondent         response            hours
----------------------------------------------------------------------------------------------------------------
45 CFR 303.32...........................                54            13,454               .17           123,507
----------------------------------------------------------------------------------------------------------------

    Estimated Total Annual Burden Hours: 123,507.
    Additional Information: Copies of the proposed collection may be 
obtained by writing to the Administration for Children and Families, 
Office of Administration, Office of Information Services, 370 L'Enfant 
Promenade, SW.,

[[Page 64313]]

Washington, DC 20447, Attn: ACF Reports Clearance Officer. All requests 
should be identified by the title of the information collection. E-mail 
address: <a href="/cdn-cgi/l/email-protection#6502170f0a0d0b160a0b250406034b0d0d164b020a13"><span class="__cf_email__" data-cfemail="791e0b131611170a161739181a1f5711110a571e160f">[email protected]</span></a>.
    OMB Comment: OMB is required to make a decision concerning the 
collection of information between 30 and 60 days after publication of 
this document in the Federal Register. Therefore, a comment is best 
assured of having its full effect if OMB receives it within 30 days of 
publication. Written comments and recommendations for the proposed 
information collection should be sent directly to the following: Office 
of Management and Budget, Paperwork Reduction Project, Attn: Desk 
Officer for ACF, E-mail address: <a href="/cdn-cgi/l/email-protection#367d57425e53445f585369621869774542445f555e76595b541853594618515940"><span class="__cf_email__" data-cfemail="d09bb1a4b8b5a2b9beb58f84fe8f91a3a4a2b9b3b890bfbdb2feb5bfa0feb7bfa6">[email protected]</span></a>.

    Dated: October 28, 2004.
Robert Sargis,
Reports Clearance Officer.
[FR Doc. 04-24600 Filed 11-3-04; 8:45 am]
BILLING CODE 4184-01-M


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