Information Collection Request

Electronic Funds Transfer Waiver Request

ICR 201501-1653-001 · OMB 1653-0043 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 10-002 Electronic Funds Transfer Waiver Request Form and Instruction Modified Available
2015-07328.pdf Supplementary Document Uploaded 2015-03-31 Available
2015-01770.pdf Supplementary Document Uploaded 2015-03-30 Available
FY15 Supporting_Statement_1653_0043.doc Supporting Statement A Uploaded 2015-03-30 Available
31 U.S.C. 3332.doc Supplementary Document Uploaded 2009-08-11 Available
31 CFR 208.4.doc Supplementary Document Uploaded 2009-08-10 Available
IC Document Collections
IC IDCollectionTypeStatusForm
190264 Electronic Funds Transfer Waiver Request Form and Instruction Modified
ICR Details
1653-0043 201501-1653-001
Historical Active 201211-1653-001
DHS/USICE 10-002
Electronic Funds Transfer Waiver Request
Extension without change of a currently approved collection   No
Regular
Approved without change 05/11/2015
Retrieve Notice of Action (NOA) 03/31/2015
Approved for two years only due to partial GPEA compliance.
  Inventory as of this Action Requested Previously Approved
05/31/2017 36 Months From Approved 05/31/2015
650 0 650
325 0 325
0 0 0

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) and Burlington Finance Center (BFC) in order to be exempted and waived from the EFT requirement, so that they can receive their federal payments in the form of a paper check. The EFT Waiver Request Form shall be used by DFC and BFC 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 and BFC to determine if the warrant for the waiver is still met.

None
None

Not associated with rulemaking

  80 FR 1770 01/30/2015
80 FR 7328 03/31/2015
No

1
IC Title Form No. Form Name
Electronic Funds Transfer Waiver Request 10-002 Electronic Funds Transfer Waiver Request

  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 650 650 0 0 0 0
Annual Time Burden (Hours) 325 325 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$26,000
No
No
No
No
No
Uncollected
Scott Elmore 202 732-2601 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/31/2015