Information Collection Request

Multistate Financial Institution Data Match and Federally Assisted State Transmitted Levy (MSFIDM/FAST Levy)

ICR 202412-0970-008 · OMB 0970-0196 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 MSFIDM Election Form Form and Instruction Unchanged Available
NonSub Change Request_MSFIDM_121924 (002).docx Justification for No Material/Nonsubstantive Change Uploaded 2024-12-20 Available
NonSub Change Request_MSFIDM_032224_fnl.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-03-22 Available
0970-0196_MSFIDM-FAST_Levy_Supporting Statement__Final_110623.docx Supporting Statement A Uploaded 2023-11-06 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
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 Modified
10015 Election Form Form and Instruction UnchangedMSFIDM Election Form

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2027 01/31/2027 01/31/2027
1,068 0 1,068
5,031 0 5,031
0 0 0





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 1,068 1,068 0 0 0 0
Annual Time Burden (Hours) 5,031 5,031 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No