Financial Institution Agreement and Application Forms for Designation as a Treasury Tax and Loan Depositary and Resolution

Forms and Documents

Document Name	Status
Form FMS Form 458 Financial Institution Agreement and Application Forms for Designation as a Treasury Tax and Loan Depositary and Resolution Form	Modified
SUPPORTING STATEMENT FOR1510-0052-Aug2011.doc Supporting Statement A	2011-08-15

IC Document Collections

IC ID	Document Title	Status
15420	Financial Institution Agreement and Application Forms for Designation as a Treasury Tax and Loan Depositary and Resolution Form	Modified

ICR Details

OMB Control No: 1530-0005	ICR Reference No: 201407-1530-005
Status: Historical Active	Previous ICR Reference No: 200807-1510-001
Agency/Subagency: TREAS/FISCAL	Agency Tracking No:
Title: Financial Institution Agreement and Application Forms for Designation as a Treasury Tax and Loan Depositary and Resolution
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request:
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/11/2014
	Date Received in OIRA: 07/11/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2014	36 Months From Approved
Responses	900	0	900
Time Burden (Hours)	225	0	225
Cost Burden (Dollars)	0	0	0

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Abstract: Financial institutions are required to complete an Agreement and Application to participate in the Federal Tax Deposit/Treasury Tax and Loan Program. The approved application designates the depositary as an authorized recipient of taxpayers' deposits for Federal taxes.

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Authorizing Statute(s): US Code: 31 USC 203.3(b)(2) Name of Law: null
   US Code: 12 USC 1823(e) Name of Law: null
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 23859	04/28/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 58084	09/19/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Financial Institution Agreement and Application Forms for Designation as a Treasury Tax and Loan Depositary and Resolution	FMS Form 458, FMS Form 459	Financial Institution Agreement and Application for Designation as a Treasury Tax and Loan Depositary ,   Resolution Authorizing the Financial Institution Agreement and Application for Designation as a Treasury Tax and Loan Depositary

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	900	900	0	0	0	0
Annual Time Burden (Hours)	225	225	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $1,125

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/20/2011

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