Financial Institution Agreement and Application Forms for Designation as a Treasury Tax and Loan Depositary and Resolution

ICR 200505-1510-001

OMB: 1510-0052

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1510-0052 200505-1510-001
Historical Active 200201-1510-004
TREAS/FMS
Financial Institution Agreement and Application Forms for Designation as a Treasury Tax and Loan Depositary and Resolution
Extension without change of a currently approved collection   No
Regular
Approved without change 07/21/2005
Retrieve Notice of Action (NOA) 05/12/2005
  Inventory as of this Action Requested Previously Approved
07/31/2008 07/31/2008 07/31/2005
900 0 900
225 0 225
0 0 0

Financial institutions are required to complete an Agreement and Application to participate in the Federal Tax Deposit/Treasury Tax and Loan Program. The approved application designates the depositary as an authorized recipient of taxpayers' deposits for Federal taxes.

None
None


No

1
IC Title Form No. Form Name
Financial Institution Agreement and Application Forms for Designation as a Treasury Tax and Loan Depositary and Resolution FMS-458, FMS-459

  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 900 900 0 0 0 0
Annual Time Burden (Hours) 225 225 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.
05/12/2005


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