Special Form of Request for Payment of U.S. Savings and Retirement Sec. Where Use of a Detached Request is Authorized

Special Form of Request for Payment of U.S. Savings and Retirement Sec. Where Use of a Detached Request is Authorized.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1530-0028 can be found here:

Documents and Forms

Document Name Document Type
Form FS Form 1522 Special Form of Request for Payment of U.S. Savings and Retirement Sec. Where Use of a Detached Request is Authorized Form and Instruction
FS Form 1522 SPECIAL FORM OF REQUEST FOR PAYMENT OF UNITED STATES SAV sav1522.pdf www.treasurydirect.gov/forms/sav1522.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Special Form of Request for Payment of U.S. Savings and Retirement Sec. Where Use of a Detached Request is Authorized	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	FS Form 1522	SPECIAL FORM OF REQUEST FOR PAYMENT OF UNITED STATES SAVINGS AND RETIREMENT SECURITIES WHERE USE OF A DETACHED REQUEST IS AUTHORIZED	sav1522.pdf	http://www.treasurydirect.gov/forms/sav1522.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: 14,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	14,000	-9,000	23,000
Annual IC Time Burden (Hours)	3,500	-2,250	5,750
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.