Information Collection

U.S. Treasury Securities State and Local Government Series Early Redemption Request

IC 16663 under ICR 201610-1530-003 · OMB 1530-0039.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FS Form 5377 U.S. Treasury Securities State and Local Government Series Early Redemption Request	Form and Instruction
FS Form 5377 U.S. Treasury Securities State and Local Government Seri spe5377.pdf www.treasurydirect.gov/forms/spe5377.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: 31 CFR 344

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 and Instruction	FS Form 5377	U.S. Treasury Securities State and Local Government Series Early Redemption Request	spe5377.pdf	http://www.treasurydirect.gov/forms/spe5377.pdf	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title: Treasury/BPD.003 â United States Securities (Other than Savings-Type Securities)

FR Citation: 76 FR 51128

Number of Respondents: 494

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	494	494
Annual IC Time Burden (Hours)	247	247
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.