[Federal Register Volume 80, Number 72 (Wednesday, April 15, 2015)]
[Notices]
[Pages 20292-20293]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-08640]


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DEPARTMENT OF THE TREASURY

Bureau of the Fiscal Service


Proposed Collection of Information: Request for Payment of 
Federal Benefit by Check, EFT Waiver Form

ACTION: Notice and request for comments.

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SUMMARY: The Department of the Treasury, as part of its continuing 
effort to reduce paperwork and respondent burden, invites the general 
public and other Federal agencies to take this opportunity to comment 
on a proposed and/or continuing information collection, as required by 
the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 
3506(c)(2)(A). Currently the Bureau of the Fiscal Service within the 
Department of the Treasury is soliciting comments concerning the 
``Request for Payment of Federal Benefit by Check, EFT Waiver Form''.

DATES: Written comments should be received on or before June 15, 2015 
to be assured of consideration.

[[Page 20293]]


ADDRESSES: Direct all written comments and requests for further 
information to Bureau of the Fiscal Service, Bruce A. Sharp, 200 Third 
Street A4-A, Parkersburg, WV 26106-1328, or 
[email protected].

FOR FURTHER INFORMATION CONTACT: Requests for additional information or 
copies of the form(s) and instructions should be directed to Walt 
Henderson, EFT Strategy Division; 401 14th Street SW., Room 303, 
Washington, DC 20227, (202) 874-6624.

SUPPLEMENTARY INFORMATION: 
    Title: Request for Payment of Federal Benefit by Check, EFT Waiver 
Form.
    OMB Number: 1530-0019 (Previously approved as 1510-0077 as a 
collection conducted by Department of the Treasury/Financial Management 
Service.) Transfer of OMB Control Number: The Financial Management 
Service (FMS) and the Bureau of Public Debt (BPD) have consolidated to 
become the Bureau of the Fiscal Service (Fiscal Service). Information 
collection requests previously held separately by BPD and FMS will now 
be identified by a 1530 prefix, designating Fiscal Service.
    Form Number: FMS Form 1201W, FMS Form 1201W-DFAS, FMS Form 1201W 
(SP).
    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 has 
prepared waiver forms in order to collect all necessary information.
    Current Actions: Extension of a currently approved collection.
    Type of Review: Regular.
    Affected Public: Individuals or Households.
    Estimated Number of Respondents: 3,250.
    Estimated Time per Respondent: 20 minutes.
    Estimated Total Annual Burden Hours: 1,083.
    Request for Comments: Comments submitted in response to this notice 
will be summarized and/or included in the request for OMB approval. All 
comments will become a matter of public record. Comments are invited 
on: (a) Whether the collection of information is necessary for the 
proper performance of the functions of the agency, including whether 
the information shall have practical utility; (b) the accuracy of the 
agency's estimate of the burden of the collection of information; (c) 
ways to enhance the quality, utility, and clarity of the information to 
be collected; (d) ways to minimize the burden of the collection of 
information on respondents, including through the use of automated 
collection techniques or other forms of information technology; and (e) 
estimates of capital or start-up costs and costs of operation, 
maintenance, and purchase of services to provide information.

    Dated: April 10, 2015.
Bruce A. Sharp,
Bureau Clearance Officer.
[FR Doc. 2015-08640 Filed 4-14-15; 8:45 am]
 BILLING CODE 4810-AS-P