Information Collection

Subscription For Purchase and Issue of U.S. Treasury Securities-- State and Local Government Series.

IC 16602 under ICR 201308-1535-002 · OMB 1535-0092.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PD-F-4144 Subscription For Purchase and Issue of U.S. Treasury Securities-- State and Local Government Series.	Form
SLGSafe Screenshots.docx www.treasurydirect.gov/govt/apps/slgs/slgs.htm	Other-Screenshots of SLGSafe system.
PD-F-4144 Subscription for purchase and issue of U S Treasury secu PD F 4144 E (8_05).pdf	Form
4144-2 Schedule of U S Treasury securities state and local gove PD F 4144-2 E (8_05).pdf	Form
4144-1 Account information for U S Treasury securities state an PD F 4144-1 E (8_05).pdf	Form
4144-5 SLGSafe Application for internet access spe41445.pdf	Form
4144-6 SLGSafe User acknowledgement spe41446.pdf	Form
4144-7 SLGSafe Template worksheet spe41447.pdf	Form and Instruction

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:

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	PD-F-4144	Subscription for purchase and issue of U S Treasury securities state and local government series time deposit	PD F 4144 E (8_05).pdf		Yes	No	Fillable Printable
Form	4144-2	Schedule of U S Treasury securities state and local government series time deposit	PD F 4144-2 E (8_05).pdf		Yes	No	Fillable Printable
Form	4144-1	Account information for U S Treasury securities state and local government series time deposit	PD F 4144-1 E (8_05).pdf		Yes	No	Fillable Printable
Form	4144-5	SLGSafe Application for internet access	spe41445.pdf		Yes	No	Fillable Printable
Form	4144-6	SLGSafe User acknowledgement	spe41446.pdf		Yes	No	Fillable Printable
Form and Instruction	4144-7	SLGSafe Template worksheet	spe41447.pdf		Yes	No	Fillable Printable
Other-Screenshots of SLGSafe system.			SLGSafe Screenshots.docx	http://www.treasurydirect.gov/govt/apps/slgs/slgs.htm	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,708

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	6,708	6,708
Annual IC Time Burden (Hours)	2,713	2,713
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.