Information Collection

Special Form of Request for Payment of U.S. Savings and Retirement Sec. Where Use of a Detached Request is Authorized

IC 43842 under ICR 201207-1535-002 · OMB 1535-0004.

Documents and Forms

Document Name Document Type
Form PD F 1522 E Special Form of Request for Payment of U.S. Savings and Retirement Sec. Where Use of a Detached Request is Authorized Form and Instruction
PD F 1522 E Special Form Of Request For Payment Of United States Sav sav1522.pdf www.treasurydirect.gov/forms/sav1522.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Special Form of Request for Payment of U.S. Savings and Retirement Sec. Where Use of a Detached Request is Authorized	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	PD F 1522 E	Special Form Of Request For Payment Of United States Savings And Retirement Securities Where Use Of A Detached Request Is Authorized	sav1522.pdf	http://www.treasurydirect.gov/forms/sav1522.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: 56,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	56,000	56,000
Annual IC Time Burden (Hours)	14,000	14,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.