Financial Data Match Tape

Financial Institution Data Match

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0196 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Financial Data Match Tape Form and Instruction
1 Data Match Results Specification 01 MSFIDM Data Match Specifications 08 03 10.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Financial Data Match Tape	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Data Match Results Specification	01 MSFIDM Data Match Specifications 08 03 10.doc		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 259	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,036	1,036
Annual IC Time Burden (Hours)	342	342
Annual IC Cost Burden (Dollars)	356,840	356,840

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.