Financial Data Match Result File

Financial Institution Data Match / Federally Assisted State Transmitted Levy

OMB: 0970-0196

IC ID: 182145

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Financial Data Match Result File
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 MSFIDM Record Specification MSFIDM_Record_Specifications.pdf Yes Yes Fillable Printable

Community and Social Services Social Services

 

192 0
   
Private Sector Businesses or other for-profits
 
   100 %

  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 768 0 0 0 0 768
Annual IC Time Burden (Hours) 64 0 0 0 0 64
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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