Information Collection

United States Mint Mutilated Coin Redemption Program Instructions and Application Form

IC 247220 under ICR 202105-1525-001 · OMB 1525-0016.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SF 3881 United States Mint Mutilated Coin Redemption Program Instructions and Application Form	Form and Instruction
SF 3881 ACH Vender Miscellaneous Payment Enrollment Form SF 3881 ACH Vender Miscellaneous Payment Enrollment Form.pdf	Form and Instruction
SF 3881 ACH Vender Miscellaneous Payment Enrollment Form SF 3881 ACH Vender Miscellaneous Payment Enrollment Form.pdf	Form and Instruction
MF 6006 Mutilated Coin Redemption Program Instructions and Appli MF 6006 Mutilated Coin Redemption Program Instructions and Application Form.pdf	Form and Instruction
MF 6006 Mutilated Coin Redemption Program Instructions and Appli MF 6006 Mutilated Coin Redemption Program Instructions and Application Form.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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	SF 3881	ACH Vender Miscellaneous Payment Enrollment Form	SF 3881 ACH Vender Miscellaneous Payment Enrollment Form.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	MF 6006	Mutilated Coin Redemption Program Instructions and Application Form	MF 6006 Mutilated Coin Redemption Program Instructions and Application Form.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	220	220

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.