Information Collection

Subscription For Purchase and Issue of U.S. Treasury Securities-- State and Local Government Series.

IC 16602 under ICR 201004-1535-004 · OMB 1535-0092.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1535-0092 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PD-F-4144 Subscription For Purchase and Issue of U.S. Treasury Securities-- State and Local Government Series.	Form
PD-F-4144 Subscription for purchase and issue of U S Treasury secu PD F 4144 E (8_05).pdf	Form
4144-2 Schedule of U S Treasury securities state and local gove PD F 4144-2 E (8_05).pdf	Form
4144-1 Account information for U S Treasury securities state an PD F 4144-1 E (8_05).pdf	Form
4144-5 SLGSafe Application for internet access spe41445.pdf	Form
4144-6 SLGSafe User acknowledgement spe41446.pdf	Form
4144-7 SLGSafe Template worksheet spe41447.pdf	Form and Instruction

IC Title:

Subscription For Purchase and Issue of U.S. Treasury Securities-- State and Local Government Series.

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	PD-F-4144	Subscription for purchase and issue of U S Treasury securities state and local government series time deposit	PD F 4144 E (8_05).pdf	Yes	No	Fillable Printable
Form	4144-2	Schedule of U S Treasury securities state and local government series time deposit	PD F 4144-2 E (8_05).pdf	Yes	No	Fillable Printable
Form	4144-1	Account information for U S Treasury securities state and local government series time deposit	PD F 4144-1 E (8_05).pdf	Yes	No	Fillable Printable
Form	4144-5	SLGSafe Application for internet access	spe41445.pdf	Yes	No	Fillable Printable
Form	4144-6	SLGSafe User acknowledgement	spe41446.pdf	Yes	No	Fillable Printable
Form and Instruction	4144-7	SLGSafe Template worksheet	spe41447.pdf	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,708

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	6,708	1,708	5,000
Annual IC Time Burden (Hours)	2,713	213	2,500
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.