Electronic Funds Transfer Waiver Request

ICR 202104-1653-001

OMB: 1653-0043

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2021-10-19
Supplementary Document
2021-10-19
Supporting Statement A
2021-10-19
Supplementary Document
2021-10-05
Supplementary Document
2019-07-17
Supplementary Document
2019-07-17
Supplementary Document
2019-07-17
Supplementary Document
2019-07-17
Supplementary Document
2017-05-31
Supplementary Document
2017-05-31
IC Document Collections
IC ID
Document
Title
Status
190264 Modified
ICR Details
1653-0043 202104-1653-001
Received in OIRA 201903-1653-002
DHS/USICE 10-002
Electronic Funds Transfer Waiver Request
Extension without change of a currently approved collection   No
Regular 10/19/2021
  Requested Previously Approved
36 Months From Approved 11/30/2021
650 650
325 325
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.

US Code: 31 USC 3332 Name of Law: Debt Collection Improvement Act (DCIA)
   US Code: 31 USC 7701 Name of Law: Taxpayer Identifying Number
  
None

Not associated with rulemaking

  86 FR 42870 08/05/2021
86 FR 57843 10/19/2021
No

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

  Total Request 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

$19,130
No
    Yes
    Yes
No
No
No
No
Scott Elmore 202 732-2601 scott.a.elmore@ice.dhs.gov

  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.
10/19/2021


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