Information Collection Request
Multistate Financial Institution Data Match and Federally Assisted State Transmitted Levy (MSFIDM/FAST Levy)
ICR 202403-0970-015 · OMB 0970-0196 · Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0970-0196 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 1 Election Form |
Form and Instruction | Modified | Available |
| Form 1 Election Form |
Form and Instruction | Modified | Missing upstream |
 NonSub Change Request_MSFIDM_032224_fnl.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-03-22 | Available |
| NonSub Change Request_MSFIDM_032224_fnl.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-03-22 | Repair queued |
| 0970-0196_MSFIDM-FAST_Levy_Supporting Statement__Final_110623.docx |
Supporting Statement A | Uploaded 2023-11-06 | Available |
| 0970-0196_MSFIDM-FAST_Levy_Supporting Statement__Final_110623.docx |
Supporting Statement A | Uploaded 2023-11-06 | Available |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 227400 |  FAST-Levy Response Withhold Record Specifications: Financial Institutions |
Other-FAST Levy Software Interface Specification | Unchanged | |
| 211684 | FAST-Levy Request Withhold Record Specifications: State Child Support Agencies |
Other-FAST Levy Software Interface Specification | Unchanged | |
| 182145 | Financial Data Match Record Specifications Match File Upload/Download: Portal Users |
Other-MSFIDM Record Specifications | Unchanged | |
| 10015 | Election Form |
Form and Instruction | Modified | |
| 10015 | Election Form |
Form and Instruction | Modified |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | HHS/ACF |
| OMB Control No | 0970-0196 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202311-0970-004 |
| Agency Tracking No | OCSE |
| Date Submitted to OIRA | 2024-03-22 |
| Requested Expiration Date | 1969-12-31 |