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Federal forms, ICRs, and supporting documents

Information Collection Request

Electronic Funds Transfer Waiver Request

ICR 201903-1653-002 · OMB 1653-0043 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form 10-002 Electronic Funds Transfer Waiver Request Form and Instruction Modified Repair queued
1653-0043 Supporting Statement.doc Supporting Statement A Uploaded 2019-07-29 Available
2019-10631.pdf Supplementary Document Uploaded 2019-07-29 Available
2019-15887.pdf Supplementary Document Uploaded 2019-07-29 Available
Privacy-PIA-053_DHS_August 2017.pdf Supplementary Document Uploaded 2019-07-17 Available
DHS_ALL-007 SORN.pdf Supplementary Document Uploaded 2019-07-17 Available
DHS_ALL-008 ACCT REC SORN.pdf Supplementary Document Uploaded 2019-07-17 Available
DHS_All-019 SORN.pdf Supplementary Document Uploaded 2019-07-17 Available
31 USC 3332.pdf Supplementary Document Uploaded 2017-05-31 Available
31 CFR 208.4.pdf Supplementary Document Uploaded 2017-05-31 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
190264 Electronic Funds Transfer Waiver Request Form and Instruction Modified
ICR Details
1653-0043 201903-1653-002
Active 201702-1653-003
DHS/USICE 10-002
Electronic Funds Transfer Waiver Request
Extension without change of a currently approved collection   No
Regular
Approved with change 11/12/2019
Retrieve Notice of Action (NOA) 07/31/2019
Approved for only two years due to GPEA non-compliance.
  Inventory as of this Action Requested Previously Approved
11/30/2021 36 Months From Approved 11/30/2019
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) 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.
None
None
Not associated with rulemaking
  84 FR 23577 05/22/2019
84 FR 36112 07/26/2019
Yes
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
$18,343
No
    Yes
    Yes
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.
07/31/2019