Information Collection

Authorization Agreement for Electronic Funds Transfers Payments

IC 32760 under ICR 201702-3133-002 · OMB 3133-0135.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3133-0135 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ACH Form Authorization Agreement for Electronic Funds Transfers Payments	Form
ACH Form Authorizaton Agreeement for Electronic Funds Transfer Pa ACHForm_093006.pdf	Form

IC Title:

Authorization Agreement for Electronic Funds Transfers Payments

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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	ACH Form	Authorizaton Agreeement for Electronic Funds Transfer Payments	ACHForm_093006.pdf		Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 65 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	100	-400	500
Annual IC Time Burden (Hours)	25	-100	125
Annual IC Cost Burden (Dollars)	842	-3,368	4,210

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.