Information Collection

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

IC 16646 under ICR 201712-1530-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form FS Form 1849 Disclaimer and Consent with Respect to United States Savings Bond/Notes	Form and Instruction
FS Form 1849 Disclaimer and Consent With Respect to United States Tre sav1849.pdf treasurydirect.gov/forms/sav1849.pdf	Form and Instruction

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:

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 1849	Disclaimer and Consent With Respect to United States Treasury Securities	sav1849.pdf	https://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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	300	300
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.