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

ICR 202109-1530-003

OMB: 1530-0059

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
1530-0059 202109-1530-003
Received in OIRA 201712-1530-002
TREAS/FISCAL
Disclaimer and Consent with Respect to United States Savings Bond/Notes
Extension without change of a currently approved collection   No
Regular 10/28/2021
  Requested Previously Approved
36 Months From Approved 10/31/2021
450 3,000
45 300
0 0

Used to obtain a disclaimer and consent as the result of an error in registration or otherwise the payment, refund of the purchase price, or reissue as requested by one person would appear to affect the right, title or interest of some other person.

US Code: 31 USC Chapter 31
  
None

Not associated with rulemaking

  86 FR 31371 06/11/2021
86 FR 59005 10/25/2021
No

1
IC Title Form No. Form Name
Disclaimer and Consent with Respect to United States Savings Bond/Notes FS Form 1849 Disclaimer and Consent With Respect to United States Treasury Securities

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 450 3,000 0 -2,550 0 0
Annual Time Burden (Hours) 45 300 0 -255 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
The form in this collection is used to process requests for securities that are no longer issued in paper form so a decline in usage has occurred as the pool of securities is redeemed for payment or conversion. The decrease of 255 hours is an adjustment in agency estimate for a total of 45 hours.

$1,184
No
    Yes
    Yes
No
No
No
No
Bruce Sharp 304 480-8112 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/28/2021


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