EFT Waiver Form

Request for Payment of Federal Benefit by Check, EFT Waiver Form

OMB: 1530-0019

IC ID: 202118

Information Collection (IC) Details

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EFT Waiver Form
 
No Modified
 
Voluntary
 
31 CFR Part 208  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction FMS 1201W (SP) Solicitud Para Recibir Su Pago de Beneficios Federales En Cheque FMS 1201-W (SP) JUN2013.pdf Yes No Fillable Printable
Form and Instruction FS Form 1201W Request for Payment of Federal Benefits by Check FS Form 1201W_REV_MAR2014.pdf Yes No Fillable Printable

General Government Central Fiscal Operations

Direct Deposit Enrollment Records-Treasury/FMS .006  76 FR 42765

3,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,000 0 0 0 0 3,000
Annual IC Time Burden (Hours) 1,000 0 0 0 0 1,000
Annual IC Cost Burden (Dollars) 1,380 0 0 0 0 1,380

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