Information Collection

Electronic Funds Transfer Waiver Request

IC 190264 under ICR 201211-1653-001 · OMB 1653-0043.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1653-0043 can be found here:

Documents and Forms

Document Name Document Type
Form 10-002 Electronic Funds Transfer Waiver Request Form and Instruction
10-002 Electronic Funds Transfer Waiver Request 10-002 Electronic Funds Transfer Waiver Request.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Electronic Funds Transfer Waiver Request	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 31 CFR 208.4

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	10-002	Electronic Funds Transfer Waiver Request	10-002 Electronic Funds Transfer Waiver Request.doc		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 650	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	650	650
Annual IC Time Burden (Hours)	325	325
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.