Information Collection

Treasury Direct Forms

IC 16570 under ICR 200705-1535-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form 5178 Treasury Direct Forms	Form and Instruction
5178 Transaction request PDF5178.pdf	Form and Instruction
5179 Security Transfer Request PDF5179.pdf	Form and Instruction
5179-1 Sell Direct Request PDF5179-1.pdf	Form and Instruction
5180 Reinvestment request PDF5180.pdf	Form and Instruction
5181 Reinvest Direct Noticd PD F 5181.pdf	Form and Instruction
5182 New Account Request PD F 5182.pdf	Form and Instruction
5188 Power of Attorney for Security Transactions PDF5188.pdf	Form and Instruction
5189 Resolution for Security transactions PD F5189.pdf	Form and Instruction
5191 Application for recognition as natural guardian of a min PDF5191.pdf	Form and Instruction
5235 Report of nonreceipt, loss, theft, or destruction of fis PDF5235.pdf	Form and Instruction
5236 Claim for proceeds of a fiscal agency check PD F5236.pdf	Form and Instruction
5261 Reinvest notice PD F 5261.pdf	Form and Instruction
5381 Treasury Bill & Note Tender PDF5381.pdf	Form and Instruction

IC Title:

Treasury Direct Forms

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	5178	Transaction request	PDF5178.pdf	Yes	No	Fillable Printable
Form and Instruction	5182	New Account Request	PD F 5182.pdf	Yes	No	Fillable Printable
Form and Instruction	5188	Power of Attorney for Security Transactions	PDF5188.pdf	Yes	No	Fillable Printable
Form and Instruction	5189	Resolution for Security transactions	PD F5189.pdf	Yes	No	Fillable Printable
Form and Instruction	5191	Application for recognition as natural guardian of a minor	PDF5191.pdf	Yes	No	Fillable Fileable
Form and Instruction	5235	Report of nonreceipt, loss, theft, or destruction of fiscal agency check and application for replacement	PDF5235.pdf	Yes	No	Fillable Printable
Form and Instruction	5236	Claim for proceeds of a fiscal agency check	PD F5236.pdf	Yes	No	Fillable Printable
Form and Instruction	5261	Reinvest notice	PD F 5261.pdf	No		Paper Only
Form and Instruction	5381	Treasury Bill & Note Tender	PDF5381.pdf	Yes	No	Fillable Printable
Form and Instruction	5179	Security Transfer Request	PDF5179.pdf	Yes	No	Fillable Printable
Form and Instruction	5179-1	Sell Direct Request	PDF5179-1.pdf	Yes	No	Fillable Printable
Form and Instruction	5180	Reinvestment request	PDF5180.pdf	Yes	No	Fillable Printable
Form and Instruction	5181	Reinvest Direct Noticd	PD F 5181.pdf	No		Paper Only

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 350,970

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	350,970	-80,662	431,632
Annual IC Time Burden (Hours)	47,672	-10,956	58,628
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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