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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
OMB: 1530-0010
IC ID: 15380
OMB.report
TREAS/FISCAL
OMB 1530-0010
ICR 201407-1530-010
IC 15380
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1530-0010 can be found here:
2021-10-28 - Extension without change of a currently approved collection
2018-02-27 - Extension without change of a currently approved collection
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
View Information Collection (IC)
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
Federal Enterprise Architecture Business Reference Module
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
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
27,640
0
0
-40,009
0
67,649
Annual IC Time Burden (Hours)
4,608
0
0
-6,670
0
11,278
Annual IC Cost Burden (Dollars)
0
0
0
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.