[Federal Register Volume 77, Number 87 (Friday, May 4, 2012)]
[Notices]
[Page 26605]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-10792]


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DEPARTMENT OF THE TREASURY


Submission for OMB Review; Comment Request

May 1, 2012.
    The Department of the Treasury will submit the following 
information collection request to the Office of Management and Budget 
(OMB) for review and clearance in accordance with the Paperwork 
Reduction Act of 1995, Public Law 104-13, on or after the date of 
publication of this notice.

DATES: Comments should be received on or before June 4, 2012 to be 
assured of consideration.

ADDRESSES: Send comments regarding the burden estimate, or any other 
aspect of the information collection, including suggestion for reducing 
the burden to the (1) Office of Information and Regulatory Affairs, 
Office of Management and Budget, Attention: Desk Officer for Treasury, 
New Executive Office Building, Room 10235, Washington, DC 20503, or 
email at [email protected] and the (2) Treasury PRA 
Clearance Officer, 1750 Pennsylvania Ave. NW., Suite 11020, Washington, 
DC 20220, or on-line at www.PRAComment.gov.

FOR FURTHER INFORMATION CONTACT: Copies of the submission(s) may be 
obtained by calling (202) 927-5331, email at [email protected], or the 
entire information collection request may be found at www.reginfo.gov.

Financial Management Service (FMS)

    OMB Number: 1510-XXXX.
    Type of Review: New Collection.
    Title: Request for Payment of Federal Benefit by Check, EFT Waiver 
Form.
    Abstract: 31 CFR part 208 requires that all Federal non-tax 
payments be made by electronic funds transfer (EFT). This form is used 
to collect information from individuals requesting a waiver from the 
EFT requirement because of a mental impairment and/or who live in a 
remote geographic location that does not support the use of EFT. These 
individuals may continue to receive payment by check. However, 31 CFR 
part 208 requires individuals requesting one of these waiver conditions 
to submit a written justification that is notarized by a notary public. 
In order to assist individuals with this submission, Treasury is 
preparing a waiver form so that all necessary information is collected.
    Affected Public: Individuals or Households.
    Estimated Total Burden Hours: 3,000.

Robert Dahl,
Treasury PRA Clearance Officer.
[FR Doc. 2012-10792 Filed 5-3-12; 8:45 am]
BILLING CODE 4810-35-P