Information Collection

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

IC 15420 under ICR 201108-1510-002 · OMB 1510-0052.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FMS Form 458 Financial Institution Agreement and Application Forms for Designation as a Treasury Tax and Loan Depositary and Resolution	Form
FMS Form 458 Financial Institution Agreement and Application for Desi FMS 458.pdf	Form
FMS Form 459 Resolution Authorizing the Financial Institution Agreeme FMS 459.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 31 CFR 203

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FMS Form 458	Financial Institution Agreement and Application for Designation as a Treasury Tax and Loan Depositary	FMS 458.pdf		Yes	No	Printable Only
Form	FMS Form 459	Resolution Authorizing the Financial Institution Agreement and Application for Designation as a Treasury Tax and Loan Depositary	FMS 459.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 450

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	900	900
Annual IC Time Burden (Hours)	225	225
Annual IC Cost Burden (Dollars)	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.