OMB control number

Electronic Funds Transfer Waiver Request

OMB 1653-0043 ยท DHS/USICE.

OMB 1653-0043

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.

The latest form for Electronic Funds Transfer Waiver Request expires 2021-11-30 and is listed under ICR 201903-1653-002.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 10-002 Electronic Funds Transfer Waiver RequestForm and Instruction
2021-22681.pdf Supplementary Document
2021-16750.pdf Supplementary Document
1653-0043 Supporting Statement.docxSupporting Statement A
E8-27771.pdf Supplementary Document
Privacy-PIA-053_DHS_August 2017.pdf Supplementary Document
DHS_ALL-007 SORN.pdf Supplementary Document
DHS_ALL-008 ACCT REC SORN.pdf Supplementary Document
DHS_All-019 SORN.pdf Supplementary Document
31 USC 3332.pdf Supplementary Document
31 CFR 208.4.pdf Supplementary Document
Electronic Funds Transfer Waiver Request Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202104-1653-001 Extension without change of a currently approved collection 2021-10-19 Approved without change
201903-1653-002 Extension without change of a currently approved collection 2019-07-31 Approved with change
201702-1653-003 Extension without change of a currently approved collection 2017-05-31 Approved with change
201501-1653-001 Extension without change of a currently approved collection 2015-03-31 Approved without change
201211-1653-001 Revision of a currently approved collection 2012-11-30 Approved with change
200908-1653-001 New collection (Request for a new OMB Control Number) 2009-08-19 Approved without change