Information Collection

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

IC 16646 under ICR 202109-1530-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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

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
FS Form 1849 Disclaimer and Consent With Respect to United States Tre sav1849.pdf treasurydirect.gov/forms/sav1849.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

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:

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: 450	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	Previously Approved
Annual Number of Responses for this IC	450	-2,550	3,000
Annual IC Time Burden (Hours)	45	-255	300
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.