Information Collection

Authorization Agreement for Preauthorized Payment

IC 15430 under ICR 202006-1530-001 · OMB 1530-0015.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1530-0015 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SF-5510 Authorization Agreement for Preauthorized Payment	Form
SF-5510 Authorization Agreement for Preauthorized Payment SF_5510_R1.pdf	Form

IC Title:

Authorization Agreement for Preauthorized Payment

Agency IC Tracking Number:

Is this a Common Form? Yes

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 31 CFR 202, 205, 206 (To search for a specific CFR, visit the Code of Federal Regulations.)

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	SF-5510	Authorization Agreement for Preauthorized Payment	SF_5510_R1.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title: FMS .017 - Collections Records

FR Citation: 85 FR 11776

Number of Respondents: 100,000

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	100,000	100,000
Annual IC Time Burden (Hours)	25,000	25,000
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.