View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0970-0196	ICR Reference No: 201405-0970-002
Status: Historical Active	Previous ICR Reference No: 201108-0970-005
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Financial Institution Data Match / Federally Assisted State Transmitted Levy
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/16/2014
	Date Received in OIRA: 05/28/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2017	36 Months From Approved	09/30/2014
Responses	673	0	1,362
Time Burden (Hours)	3,974	0	403
Cost Burden (Dollars)	482,799	0	424,519

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	673	1,362	-689
Annual Time Burden (Hours)	3,974	403	3,571
Annual Cost Burden (Dollars)	482,799	424,519	58,280

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The FIDM Specifications Handbook and Election Form include minor program changes which clarify verbiage and bring it up to date. An addtional program change was also made to the Election Form to exclude the CD-ROM file exchange option. It will no longer be an option for new participants to the program. These changes do not impact the response burden.

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