Treasury Direct Forms

TREASURY DIRECT FORMS

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1535-0069 can be found here:

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	TREASURY DIRECT FORMS	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	PD F 5174-1	No	No
Form	5174-3	No	No
Form	5174-4,	No	No
Form	5176-1	No	No
Form	5176-2,	No	No
Form	5176-3	No	No
Form	5178, 5179,	No	No
Form	5180, 5182,	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 214,132	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	436,632	222,500	214,132
Annual IC Time Burden (Hours)	57,795	22,249	35,546
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.