Information Collection

Electronic Funds Transfer Waiver Request

IC 190264 under ICR 201702-1653-003 · OMB 1653-0043.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1653-0043 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 10-002 Electronic Funds Transfer Waiver Request	Form and Instruction
10-002 Electronic Funds Transfer Waiver Request 10-002.pdf	Form and Instruction

IC Title:

Electronic Funds Transfer Waiver Request

Agency IC Tracking Number:

10-002

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 31 CFR 208.4

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 and Instruction	10-002	Electronic Funds Transfer Waiver Request	10-002.pdf		No		Fillable Printable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 650

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	650	650
Annual IC Time Burden (Hours)	325	325
Annual IC Cost Burden (Dollars)	0	0

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.