Information Collection Request

Multistate Financial Institution Data Match and Federally Assisted State Transmitted Levy (MSFIDM/FAST Levy)

ICR 202403-0970-015 · OMB 0970-0196 · Active

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0970-0196 can be found here:

Forms and Documents

Document Name	Status
Form 1 Election Form Form and Instruction	Modified
Form 1 Election Form Form and Instruction	Modified
NonSub Change Request_MSFIDM_032224_fnl.docx Justification for No Material/Nonsubstantive Change	2024-03-22
NonSub Change Request_MSFIDM_032224_fnl.docx Justification for No Material/Nonsubstantive Change	2024-03-22
0970-0196_MSFIDM-FAST_Levy_Supporting Statement__Final_110623.docx Supporting Statement A	2023-11-06
0970-0196_MSFIDM-FAST_Levy_Supporting Statement__Final_110623.docx Supporting Statement A	2023-11-06

IC Document Collections

IC ID	Document Title	Status
227400	FAST-Levy Response Withhold Record Specifications: Financial Institutions Other-FAST Levy Software Interface Specification	Unchanged
211684	FAST-Levy Request Withhold Record Specifications: State Child Support Agencies Other-FAST Levy Software Interface Specification	Unchanged
182145	Financial Data Match Record Specifications Match File Upload/Download: Portal Users Other-MSFIDM Record Specifications	Unchanged
10015	Election Form Form and Instruction	Modified
10015	Election Form Form and Instruction	Modified

ICR Details

Status	Active
Agency/Subagency	HHS/ACF
OMB Control No	0970-0196
Type of Information Collection	No material or nonsubstantive change to a currently approved collection
Previous ICR Reference No	202311-0970-004
Agency Tracking No	OCSE
Date Submitted to OIRA	2024-03-22
Requested Expiration Date	1969-12-31