Financial Institution Data Match / Federally Assisted State Transmitted Levy

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 FAST Levy Response Withhold Record Specifications: Multistate Financial Institutions	Form	Unchanged	Available
Form 1 FAST Levy Response Withhold Record Specifications: State CSE	Form and Instruction	Unchanged	Available
Form 1 Financial Data Match Result File - Automated	Form and Instruction	Modified	Available
Form 1 Financial Data Match Result File	Form and Instruction	Modified	Available
Form 1 Election Form	Form and Instruction	Modified	Available
Request for Non substantive Changes 10-14.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2014-10-29	Available
0970-0196_MSFIDM_Record Specs.docx	Supplementary Document	Uploaded 2014-09-26	Available
0970-0196_PRA_MSFIDM_Election_Form.docx	Supplementary Document	Uploaded 2014-09-26	Available
Revised abstract for 0970-0196.docx	Supplementary Document	Uploaded 2014-09-26	Available
2014_04_22_FIDM_FAST_Levy_Supporting_Statement_Final_REVISED_per OPRE_052314.doc	Supporting Statement A	Uploaded 2014-05-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
211685	FAST Levy Response Withhold Record Specifications: Multistate Financial Institutions	Form	Unchanged
211684	FAST Levy Response Withhold Record Specifications: State CSE	Form and Instruction	Unchanged
197583	Financial Data Match Result File - Automated	Form and Instruction	Modified
182145	Financial Data Match Result File	Form and Instruction	Modified
10015	Election Form	Form and Instruction	Modified

ICR Details

OMB Control No: 0970-0196	ICR Reference No: 201409-0970-005
Status: Historical Active	Previous ICR Reference No: 201405-0970-002
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Financial Institution Data Match / Federally Assisted State Transmitted Levy
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/09/2014
	Date Received in OIRA: 11/10/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2017	09/30/2017	09/30/2017
Responses	673	0	673
Time Burden (Hours)	3,974	0	3,974
Cost Burden (Dollars)	482,799	0	482,799

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Abstract: To satisfy any current support obligation and arrearage of an obligor who owes past-due support, state child support enforcement agencies are required to attach and seize assets of the obligor held in financial institutions. To locate an obligor's account, state child support enforcement agencies are required to enter into data matching agreements with financial institutions doing business in their state. The results of the data matches are used to secure information leading to the enforcement of the support obligation. The federal Office of Child Support Enforcement (OCSE) assists states fulfilling the data matching requirements with multistate financial institutions by facilitating matching through the centralized Federal Parent Locator Service. The Federally Assisted State Transmitted (FAST) Levy information collection will assist states fulfilling the statutory requirement of securing assets to satisfy support obligations and arrearage by facilitating secure and expeditious transmission of electronic levy notices and responses between state child support enforcement agencies and multistate financial institutions.

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Authorizing Statute(s): US Code: 42 USC 666(a)(2) Name of Law: null
   US Code: 42 USC 666(c)(1)(G)(ii) Name of Law: null
   US Code: 42 USC 666(a)(17) Name of Law: null
   US Code: 42 USC 652(a)(7) Name of Law: null
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 6906	02/05/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 26871	05/12/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Financial Data Match Result File - Automated	1	MSFIDM Record Specs.
Financial Data Match Result File	1	MSFIDM Record Specs
FAST Levy Response Withhold Record Specifications: State CSE	1	FAST Levy Record Specs
FAST Levy Response Withhold Record Specifications: Multistate Financial Institutions	1	FAST Levy Record Specs
Election Form	1	0970-0196_PRA MSFIDM Election form

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	673	673	0	0	0	0
Annual Time Burden (Hours)	3,974	3,974	0	0	0	0
Annual Cost Burden (Dollars)	482,799	482,799	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $972,581

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/03/2014

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