Information Collection

Application Form for U.S. Department of the Treasury Stored Value Card (SVC)

IC 207481 under ICR 201306-1510-002 · OMB 1510-0079.

Documents and Forms

Document Name Document Type
Form FMS Form 2887 Application Form for U.S. Department of the Treasury Stored Value Card (SVC) Form
FMS Form 2887 Application Form for U.S. Department of the Treasury Sto FMS2887.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application Form for U.S. Department of the Treasury Stored Value Card (SVC)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FMS Form 2887	Application Form for U.S. Department of the Treasury Stored Value Card (SVC)	FMS2887.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title: Collections Records-Treasury/FMS .017	FR Citation: 77 FR 62602

Number of Respondents: 60,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 5 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	60,000	60,000
Annual IC Time Burden (Hours)	10,000	10,000
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.