Stop Payment/Replacement Check Request

ICR 199606-1535-001

OMB: 1535-0070

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
39261 Migrated
ICR Details
1535-0070 199606-1535-001
Historical Active 199604-1535-004
TREAS/BPD
Stop Payment/Replacement Check Request
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 06/19/1996
Retrieve Notice of Action (NOA) 06/19/1996
  Inventory as of this Action Requested Previously Approved
06/30/1999 06/30/1999 06/30/1999
500 0 500
125 0 125
0 0 0

Used by the payee to report loss, stolen, destroyed or nonreceipt of fiscal agency check and to request a replacement check.

None
None


No

1
IC Title Form No. Form Name
Stop Payment/Replacement Check Request PD-F-5192

  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 500 500 0 0 0 0
Annual Time Burden (Hours) 125 125 0 0 0 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.
06/19/1996


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