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Form FMS Form 1201-W FMS Form 1201-W Request for Payment of Federal Benefits by Check
Request for Payment of Federal Benefit by Check, EFT Waiver Form
FMS Form 1201-W
EFT Waiver Form
OMB: 1510-0077
OMB.report
TREAS/FMS
OMB 1510-0077
ICR 201205-1510-001
IC 202118
Form FMS Form 1201-W FMS Form 1201-W Request for Payment of Federal Benefits by Check
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⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1510-0077 can be found here:
2014-05-22 - No material or nonsubstantive change to a currently approved collection
2014-01-23 - No material or nonsubstantive change to a currently approved collection
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File Modified
2012-05-07
File Created
0000-01-01
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