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View ICR - OIRA Conclusion

OMB Control No: 0970-0196	ICR Reference No: 202311-0970-004
Status: Historical Active	Previous ICR Reference No: 202107-0970-008
Agency/Subagency: HHS/ACF	Agency Tracking No: OCSE
Title: Multistate Financial Institution Data Match and Federally Assisted State Transmitted Levy (MSFIDM/FAST 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: 01/19/2024
	Date Received in OIRA: 11/13/2023
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2027	36 Months From Approved	01/31/2024
Responses	1,068	0	753
Time Burden (Hours)	5,031	0	3,395
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	1,068	753	315
Annual Time Burden (Hours)	5,031	3,395	1,636
Annual Cost Burden (Dollars)	0	0	0

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 MSFIDM/FAST Levy instruments underwent minor edits to replace the “Office of Child Support enforcement (OCSE)” with the “Office of Child Support Services (OCSS).” This adjustment constitutes a program change but does not impact the burden. The average number of annual MSFIDM respondents who submitted Election Forms to update transmitter or contact information changed from 15 to 13 since the previous approval. The slight adjustment resulting in a decrease of one hour to the burden for submitting an Election Form; however, it did not impact the total burden hours.

Annual Cost to Federal Government: $649,124

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. 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? No

Agency Contact: Molly Buck 202 205-4724 mary.buck@acf.hhs.gov

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