Information Collection

Treasury Direct Forms

IC 39259 under ICR 199604-1535-006 · OMB 1535-0069.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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Information Collection (IC) Details

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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	5179;5180	No	No
Form	5174-3;5174-4	No	No
Form	5176-1;5176-2	No	No
Form	5182;5188	No	No
Form	5235;5236	No	No
Form	PD-F-5174-1	No	No
Form	5201;5261	No	No
Form	5189;5191	No	No
Form	5181	No	No
Form	5276-3;5178	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 431,632	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	431,632	5,000	426,632
Annual IC Time Burden (Hours)	58,628	833	57,795
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.