Information Collection

Electronic Transmission Financial Data Match Result File

IC 197583 under ICR 201011-0970-002 · OMB 0970-0196.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0196 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Electronic Transmission Financial Data Match Result File	Form
1 01 MSFIDM Data Match Specifications 08 03 10 01 MSFIDM Data Match Specifications 08 03 10.doc	Form

IC Title:

Electronic Transmission Financial Data Match Result File

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	01 MSFIDM Data Match Specifications 08 03 10	01 MSFIDM Data Match Specifications 08 03 10.doc		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 51

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	204	204
Annual IC Time Burden (Hours)	0	0
Annual IC Cost Burden (Dollars)	65,117	65,117

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.