Information Collection

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

IC 16602 under ICR 201601-1530-003 · OMB 1530-0065.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1530-0065 can be found here:

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

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

	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

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.