FMS-1133, Claim Against the United States for the Proceeds of a Government Check

Claim Against the United States for the Proceeds of a Government Check

Documents and Forms

Document Name Document Type
Form FMS 1133 FMS-1133, Claim Against the United States for the Proceeds of a Government Check Form and Instruction
FMS 1133 Claim Against the United States for the Proceeds of a Go FMS_1133_APR94.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	FMS-1133, Claim Against the United States for the Proceeds of a Government Check	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	FMS 1133	Claim Against the United States for the Proceeds of a Government Check	FMS_1133_APR94.pdf		Yes	No	Paper Only

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 27,640	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	27,640	-40,009	67,649
Annual IC Time Burden (Hours)	4,608	-6,670	11,278
Annual IC Cost Burden (Dollars)	0	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.