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	Removed	Available
Form 1 FAST Levy Response Withhold Record Specifications: State CSE	Form and Instruction	Modified	Available
Form 1 Financial Data Match Result File - Automated	Form and Instruction	Removed	Available
Form 1 Financial Data Match Result File	Form and Instruction	Modified	Available
Form 1 Election Form	Form and Instruction	Modified	Available
2017_06_23_MSFIDM_FAST_Levy_Supporting_Statement.doc	Supporting Statement A	Uploaded 2017-07-06	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

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
227400	FAST Levy Response Withhold Record Specifications: Financial Institutions	Other-specification	New
227399	FAST Levy Record Specifications: Current State Child Support Agencies to Program New Codes	Other-specification	New
227397	FAST Levy Record Specifications: Current Financial Institutions Users to Program New Codes	Other-specification	New
211685	FAST Levy Response Withhold Record Specifications: Multistate Financial Institutions	Form	Removed
211684	FAST Levy Response Withhold Record Specifications: State CSE	Form and Instruction	Modified
197583	Financial Data Match Result File - Automated	Form and Instruction	Removed
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: 201706-0970-006
Status: Historical Active	Previous ICR Reference No: 201409-0970-005
Agency/Subagency: HHS/ACF	Agency Tracking No: OCSE
Title: Financial Institution Data Match / Federally Assisted State Transmitted Levy
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/18/2017
	Date Received in OIRA: 07/07/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2020	36 Months From Approved	09/30/2017
Responses	805	0	673
Time Burden (Hours)	5,275	0	3,974
Cost Burden (Dollars)	673	0	482,799

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Abstract: State child support agencies must enter into agreements with financial institutions doing business in the state for the purpose of securing information that may result in collecting past-due child support. To assist states and financial institutions, OCSE developed and implemented the Multistate Financial Institution Data Match (MSFIDM) which is an automated, centralized, and secure information exchange program. Outcomes of the MSFIDM match result in thousands of lien/levy notices. OCSE developed the Federally Assisted State Transmitted Levy (FAST Levy) application for state child support agencies and multistate financial institutions to exchange lien/levy information securely and efficiently. The FAST Levy application significantly reduces delays in executing a levy notice, thereby diminishing opportunity for an obligor who owes past-due support payments to state child support agencies and families to liquidate assets; cutting state child support agencies’ and multistate financial institutions administrative and implementation costs that are incurred by manually executing lien/levy notices; and, strengthening security by automating the lien/levy process.

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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:
	82 FR 8428	01/25/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 28855	06/26/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
Financial Data Match Result File - Automated	1	MSFIDM Record Specs.
FAST Levy Record Specifications: Current Financial Institutions Users to Program New Codes
FAST Levy Response Withhold Record Specifications: Financial Institutions
Financial Data Match Result File	1	MSFIDM Record Specs
FAST Levy Response Withhold Record Specifications: State CSE	1	FAST Levy Record Specs
FAST Levy Record Specifications: Current State Child Support Agencies to Program New Codes
Election Form	1	MSFIDM Election Form and Instructions
FAST Levy Response Withhold Record Specifications: Multistate Financial Institutions	1	FAST Levy Record Specs

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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	805	673	0	132	0	0
Annual Time Burden (Hours)	5,275	3,974	0	1,301	0	0
Annual Cost Burden (Dollars)	673	482,799	0	-482,126	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Burden increased due to software modifications.

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Annual Cost to Federal Government: $1,161,831

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 07/07/2017

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