OMB control number
Request for Payment of Federal Benefit by Check, EFT Waiver Form
OMB 1510-0077 · TREAS/FMS.
OMB 1510-0077
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form FS Form 1201W-DFAS Request for Payment by Federal Benefits Check | Form and Instruction |
| Form FS Form 1201W Request for Payment of Federal Benefits by Check | Form and Instruction |
| Form FMS 1201W (SP) Solicitud Para Recibir Su Pago de Beneficios Federales En Cheque | Form and Instruction |
 1510-0077_SS_Wavier_REV_03JUN14.doc | Supporting Statement A |
| Justification_for_Change_DFAS_15MAY2014.doc | Justification for No Material/Nonsubstantive Change |
 EFT Waiver Form - DFAS |
Form and Instruction |
| EFT Waiver Form |
Form and Instruction |
| EFT Waiver Form |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201405-1510-002 | No material or nonsubstantive change to a currently approved collection | 2014-05-22 | Approved without change | |
| 201401-1510-001 | No material or nonsubstantive change to a currently approved collection | 2014-01-23 | Approved without change | |
| 201308-1510-001 | No material or nonsubstantive change to a currently approved collection | 2013-08-22 | Approved without change | |
| 201205-1510-001 | New collection (Request for a new OMB Control Number) | 2012-05-07 | Approved without change |