Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
EFT Waiver Form Modified 3000 1000 1380 Form and Instruction 1201W Request for Payment of Federal Benefits by Check
Form and Instruction FMS 1201W (SP) Solicitud Para Recibir Su Pago de Beneficios Federales En Cheque
Total burden requested under this ICR: 3000 1000 1380  
To view an IC, click on IC Title