RETURN NOTICE ON CLAIM AGAINST THE UNITED STATES FOR THE PROCEEDS OF A GOVERNMENT CHECK

ICR 199001-1510-001

OMB: 1510-0024

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1510-0024 199001-1510-001
Historical Active 198702-1510-001
TREAS/FMS
RETURN NOTICE ON CLAIM AGAINST THE UNITED STATES FOR THE PROCEEDS OF A GOVERNMENT CHECK
Revision of a currently approved collection   No
Regular
Approved without change 03/20/1990
Retrieve Notice of Action (NOA) 01/09/1990
Approved. The Department should ensure that the Paperwork Reduction Act Notice is revised to request that comments be sent to both FMS and OMB.
  Inventory as of this Action Requested Previously Approved
03/31/1993 03/31/1993 02/28/1990
8,500 0 703
425 0 35
0 0 0

THIS FORM IS USED TO TRANSMIT INCOMPLETE EXECUTED CLAIM FORMS BACK TO THE PAYEE THAT HAS REQUESTED PAYMENT FOR HIS/HER LOST, STOLEN, OR MUTILATED UNITED STATES GOVERNMENT CHECK.

None
None


No

1
IC Title Form No. Form Name
RETURN NOTICE ON CLAIM AGAINST THE UNITED STATES FOR THE PROCEEDS OF A GOVERNMENT CHECK TFS 1503

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 8,500 703 0 0 7,797 0
Annual Time Burden (Hours) 425 35 0 0 390 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
01/09/1990


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