Information Collection Request

Electronic Funds Transfer Waiver Request

ICR 201903-1653-002 · OMB 1653-0043 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 10-002 Electronic Funds Transfer Waiver Request Form and Instruction Modified Available
1653-0043 Supporting Statement.doc Supporting Statement A Uploaded 2019-07-29 Available
2019-10631.pdf Supplementary Document Uploaded 2019-07-29 Available
2019-15887.pdf Supplementary Document Uploaded 2019-07-29 Available
Privacy-PIA-053_DHS_August 2017.pdf Supplementary Document Uploaded 2019-07-17 Available
DHS_ALL-007 SORN.pdf Supplementary Document Uploaded 2019-07-17 Available
DHS_ALL-008 ACCT REC SORN.pdf Supplementary Document Uploaded 2019-07-17 Available
DHS_All-019 SORN.pdf Supplementary Document Uploaded 2019-07-17 Available
31 USC 3332.pdf Supplementary Document Uploaded 2017-05-31 Available
31 CFR 208.4.pdf Supplementary Document Uploaded 2017-05-31 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
190264 Electronic Funds Transfer Waiver Request Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2021 36 Months From Approved 11/30/2019
650 0 650
325 0 325
0 0 0





Reginfo record details
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table that charts list of burden
IC Title Form No. Form Name
Electronic Funds Transfer Waiver Request 10-002 Electronic Funds Transfer Waiver Request

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 650 650 0 0 0 0
Annual Time Burden (Hours) 325 325 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
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