Information Collection

Disclaimer and Consent with Respect to United States Savings Bond/Notes

IC 16646 under ICR 201501-1530-002 · OMB 1530-0059.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1530-0059 can be found here:

Documents and Forms

Document Name Document Type
Form PD F 1849 E Disclaimer and Consent with Respect to United States Savings Bond/Notes Form and Instruction
PD F 1849 E Disclaimer and Consent With Respect to United States Tre sec1849.pdf www.treasurydirect.gov/forms/sav1849.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Disclaimer and Consent with Respect to United States Savings Bond/Notes	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 31 CFR 358.6

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	PD F 1849 E	Disclaimer and Consent With Respect to United States Treasury Securities	sec1849.pdf	http://www.treasurydirect.gov/forms/sav1849.pdf	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,000	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	3,000	-4,000	7,000
Annual IC Time Burden (Hours)	300	-400	700
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.