[Federal Register Volume 86, Number 155 (Monday, August 16, 2021)]
[Notices]
[Pages 45819-45820]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-17445]


=======================================================================
-----------------------------------------------------------------------

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.

-----------------------------------------------------------------------

SUMMARY: The Department of the Treasury, as part of its continuing 
effort

[[Page 45820]]

to reduce paperwork and respondent burden, invites the general public 
and other Federal agencies to take this opportunity to comment on 
proposed and/or continuing information collections, as required by the 
Paperwork Reduction Act of 1995. Currently the Bureau of the Fiscal 
Service within the Department of the Treasury is soliciting comments 
concerning Request for Payment of Federal Benefit by Check, EFT Waiver 
Form.

DATES: Written comments should be received on or before October 15, 
2021 to be assured of consideration.

ADDRESSES: Direct all written comments and requests for additional 
information to Bureau of the Fiscal Service, Bruce A. Sharp, Room 
#4006-A, P.O. Box 1328, Parkersburg, WV 26106-1328, or 
<a href="/cdn-cgi/l/email-protection#5537272036307b263d34272515333c263634397b212730342620272c7b323a23"><span class="__cf_email__" data-cfemail="f09282859395de8398918280b096998393919cde8482959183858289de979f86">[email protected]</span></a>.

SUPPLEMENTARY INFORMATION: 
    Title: Request for Payment of Federal Benefit by Check, EFT Waiver 
Form.
    OMB Number: 1530-0019.
    Form Number: FS Form 1201W, FS Form 1201W-DFAS, FS Form 1201W (SP).
    Abstract: 31 CFR part 208 requires that all Federal non-tax 
payments be made by electronic funds transfer (EFT). The forms are used 
to collect information from individuals requesting a waiver from the 
EFT requirement because of a mental impairment, living in a remote 
geographic location that does not support the use of EFT, or persons 
born on or before May 1, 1921. 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: 1. 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; 2. the accuracy of the 
agency's estimate of the burden of the collection of information; 3. 
ways to enhance the quality, utility, and clarity of the information to 
be collected; 4. 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 5. 
estimates of capital or start-up costs and costs of operation, 
maintenance, and purchase of services to provide information.

    Dated: August 11, 2021.
Bruce A. Sharp,
Bureau PRA Clearance Officer.
[FR Doc. 2021-17445 Filed 8-13-21; 8:45 am]
BILLING CODE 4810-AS-P


</pre><script data-cfasync="false" src="/cdn-cgi/scripts/5c5dd728/cloudflare-static/email-decode.min.js"></script></body>
</html>