Notice2025-17837
Submission for Office of Management and Budget Review; National Medical Support Notice Part A (Office of Management and Budget #: 0970-0222)
Primary source
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Published
September 16, 2025
Issuing agencies
Health and Human Services DepartmentChildren and Families Administration
Abstract
The Office of Child Support Services (OCSS), Administration for Children and Families (ACF) is requesting the Office of Management and Budget (OMB) to approve the National Medical Support Notice (NMSN) Part A, with minor changes, for an additional 3 years. The current OMB approval expires November 30, 2025. To allow states to program the changes to the proposed NMSN Part A, OCSS requests that the current NMSN Part A be extended 1 year.
Full Text
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<title>Federal Register, Volume 90 Issue 177 (Tuesday, September 16, 2025)</title>
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[Federal Register Volume 90, Number 177 (Tuesday, September 16, 2025)]
[Notices]
[Pages 44684-44685]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-17837]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families
Submission for Office of Management and Budget Review; National
Medical Support Notice Part A (Office of Management and Budget #: 0970-
0222)
AGENCY: Office of Child Support Services, Administration for Children
and Families, U.S. Department of Health and Human Services.
ACTION: Request for public comments.
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SUMMARY: The Office of Child Support Services (OCSS), Administration
for Children and Families (ACF) is requesting the Office of Management
and Budget (OMB) to approve the National Medical Support Notice (NMSN)
Part A, with minor changes, for an additional 3 years. The current OMB
approval expires November 30, 2025. To allow states to program the
changes to the proposed NMSN Part A, OCSS requests that the current
NMSN Part A be extended 1 year.
DATES: Comments due October 16, 2025.
ADDRESSES: The public may view and comment on this information
collection request at: <a href="https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202509-0970-004">https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202509-0970-004</a>. You can also obtain copies of the
proposed collection of information by emailing
<a href="/cdn-cgi/l/email-protection#462f28202925292a2a2325322f292806272520682e2e3568212930"><span class="__cf_email__" data-cfemail="365f58505955595a5a5355425f595876575550185e5e4518515940">[email protected]</span></a>. Identify all emailed requests by the title
of the information collection.
SUPPLEMENTARY INFORMATION:
Description: The Personal Responsibility and Work Opportunity
Reconciliation Act of 1996 (PRWORA) requires all child support orders
under title IV-D of the Social Security Act to provide medical support
coverage. The Child Support Performance and Incentive Act of 1998
(CSPIA) requires compliance through the NMSN Part A. The NMSN Part A
expedites requests for medical coverage between state child support
agencies, employers, and health care administrators. OCSS maintains
Part A of the NMSN. States populate it and send it to the parent's
employer to complete. Then the employer's health
[[Page 44685]]
care administrator enrolls the children in the health care plan. OCSS
provides the NMSN Part A Sample and Instructions for employers as a
resource to review while completing the information collection. Minor
deletions and changes have been made to the NMSN Part A, the
instructions, and the sample language for clarification.
Respondents: States, employers, and health care administrators.
Annual Burden Estimates
The estimated time per response remains the same, but the estimated
number of respondents and number of responses has been updated to
reflect assumptions for the next three years. OCSS estimates it will
take state child support agencies about a year to implement the revised
form. Table 1 below shows burden hour estimates for respondents to
continue to use the currently approved NMSN during an initial
implementation period for the updated version. Table 2 shows the burden
estimates for respondents once the new version of the NMSN is fully
implemented in 2026.
Table 1--Current Form in Use During Implementation Through 2026
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Total number Annual number Average burden
Information collection title of annual of responses hours per Annual burden
respondents per respondent response hours
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NMSN--Part A--Notice to Withhold for Health Care 54 90,194 .17 827,891
Coverage--States...............................
NMSN--Part A--Notice to Withhold for Health Care 1,310,727 3.72 .17 828,904
Coverage--Employers............................
State Medical Support Contacts and Program 54 1 1 54
Requirement Matrix--States.....................
NMSN--Part A--Notice to Withhold for Health Care 5 5,000 .01 250
Coverage e-NMSN record specification layout
Electronic system to system--States............
NMSN--Part A--Notice to Withhold for Health Care 25 3.72 .01 1
Coverage e-NMSN record specification layout
Electronic system to system--Employers.........
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Estimated Annual Burden..................... .............. .............. .............. 1,657,100
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Table 2--Revised Form--Estimated Burden After 2026 Implementation
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Total number Annual number Average burden
Information collection title of annual of responses hours per Annual burden
respondents per respondent response hours
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NMSN--Part A--Notice to Withhold for Health Care 54 86,818 .17 796,989
Coverage--States...............................
NMSN--Part A--Notice to Withhold for Health Care 1,263,267 3.71 .17 796,742
Coverage--Employers............................
NMSN--Part A--Notice to Withhold for Health Care 7 5,000 .01 350
Coverage e-NMSN record specification layout
Electronic system to system--States............
NMSN--Part A--Notice to Withhold for Health Care 25 3.72 .01 1
Coverage e-NMSN record specification layout
Electronic system to system--Employers.........
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Estimated Annual Burden..................... .............. .............. .............. 1,567,082
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Authority: Section 466(a)(19) of the Social Security Act, 42 U.S.C.
666(a)(19); 45 U.S.C. 303.32 National Medical Notice; The Personal
Responsibility and Work Opportunity Reconciliation Act of 1996 (PWRORA)
Pub. L. 104-193; Child Support Performance and Incentives Act of 1998
(CSPIA) Pub. L. 105-200, section 401(c); 609(a)(5)(C) of the Employee
Retirement Income Security Act of 1974 (ERISA), Pub. L. 93-406.
Mary C. Jones,
ACF/OPRE Certifying Officer.
[FR Doc. 2025-17837 Filed 9-15-25; 8:45 am]
BILLING CODE 4184-41-P
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