Electronic Funds Transfer Waiver Request

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 10-002 Electronic Funds Transfer Waiver Request	Form and Instruction	Modified	Available
Form 10-002 Electronic Funds Transfer Waiver Request	Form and Instruction	Modified	Repair queued
2021-22681.pdf	Supplementary Document	Uploaded 2021-10-19	Repair queued
2021-16750.pdf	Supplementary Document	Uploaded 2021-10-19	Repair queued
1653-0043 Supporting Statement.docx	Supporting Statement A	Uploaded 2021-10-19	Repair queued
E8-27771.pdf	Supplementary Document	Uploaded 2021-10-05	Repair queued
Privacy-PIA-053_DHS_August 2017.pdf	Supplementary Document	Uploaded 2019-07-17	Repair queued
DHS_ALL-007 SORN.pdf	Supplementary Document	Uploaded 2019-07-17	Repair queued
DHS_ALL-008 ACCT REC SORN.pdf	Supplementary Document	Uploaded 2019-07-17	Repair queued
DHS_All-019 SORN.pdf	Supplementary Document	Uploaded 2019-07-17	Repair queued
31 USC 3332.pdf	Supplementary Document	Uploaded 2017-05-31	Repair queued
31 CFR 208.4.pdf	Supplementary Document	Uploaded 2017-05-31	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
190264	Electronic Funds Transfer Waiver Request	Form and Instruction	Modified	Electronic Funds Transfer Waiver Request
190264	Electronic Funds Transfer Waiver Request	Form and Instruction	Modified

ICR Details

OMB Control No: 1653-0043	ICR Reference No: 202104-1653-001
Status: Historical Active	Previous ICR Reference No: 201903-1653-002
Agency/Subagency: DHS/USICE	Agency Tracking No: 10-002
Title: Electronic Funds Transfer Waiver Request
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/01/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/19/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2025	36 Months From Approved	05/31/2022
Responses	650	0	650
Time Burden (Hours)	325	0	325
Cost Burden (Dollars)	0	0	0

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Abstract: The vendor, sole proprietor, or individual must submit the EFT Waiver Request Form to the ICE Office of Acquisition. The EFT Waiver Request Form must be approved by the ICE Office of Financial Management, Dallas Finance Center (DFC) to be exempted and waived from the EFT requirement, to receive federal payments in the form of a paper check. The EFT Waiver Request Form is used by DFC to track those payees, who have been exempted and waived from the EFT requirement. In addition, a periodic compliance review will be performed by DFC to determine if the warrant for the waiver is still met.

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Authorizing Statute(s): US Code: 31 USC 3332 Name of Law: Debt Collection Improvement Act (DCIA)
   US Code: 31 USC 7701 Name of Law: Taxpayer Identifying Number
  

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:
	86 FR 42870	08/05/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 57843	10/19/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Electronic Funds Transfer Waiver Request	10-002	Electronic Funds Transfer Waiver Request

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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	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

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $19,130

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.     Yes

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.     Yes

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? No

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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: 10/19/2021

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