Electronic Funds Transfer Waiver Request

Forms and Documents

Document Name	Status
Form 10-002 Electronic Funds Transfer Waiver Request Form and Instruction	Modified
2015-07328.pdf Supplementary Document	2015-03-31
2015-01770.pdf Supplementary Document	2015-03-30
FY15 Supporting_Statement_1653_0043.doc Supporting Statement A	2015-03-30
31 U.S.C. 3332.doc Supplementary Document	2009-08-11
31 CFR 208.4.doc Supplementary Document	2009-08-10

IC Document Collections

IC ID	Document Title	Status
190264	Electronic Funds Transfer Waiver Request Form and Instruction	Modified

ICR Details

OMB Control No: 1653-0043	ICR Reference No: 201501-1653-001
Status: Historical Active	Previous ICR Reference No: 201211-1653-001
Agency/Subagency: DHS/USICE	Agency Tracking No: 10-002
Title: Electronic Funds Transfer Waiver Request
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/11/2015
	Date Received in OIRA: 03/31/2015
Terms of Clearance: Approved for two years only due to partial GPEA compliance.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2017	36 Months From Approved	05/31/2015
Responses	650	0	650
Time Burden (Hours)	325	0	325
Cost Burden (Dollars)	0	0	0

---

Abstract: 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.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 1770	01/30/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 7328	03/31/2015
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

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

---

ICR Summary of Burden

	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

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $26,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 03/31/2015

---