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

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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 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 %

table that charts list of burden
	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

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.