EFT Waiver Form - DFAS

Request for Payment of Federal Benefit by Check, EFT Waiver Form

OMB: 1530-0019

IC ID: 211679

Documents and Forms
Information Collection (IC) Details

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EFT Waiver Form - DFAS
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction FS Form 1201W-DFAS Request for Payment by Federal Benefits Check FS_Form_1201WDFAS.pdf Yes No Fillable Printable

General Government Central Fiscal Operations

Direct Deposit Enrollment Records-Treasury/FMS .006  76 FR 42765

250 0
   
Individuals or Households
 
   0 %

  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 250 0 0 0 0 250
Annual IC Time Burden (Hours) 83 0 0 0 0 83
Annual IC Cost Burden (Dollars) 123 0 0 0 0 123

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