Notice to Account Owner and Record Retention

Notice to Account Holder for Garnishment of Accounts Containing Federal Benefit Payments

Documents and Forms

Document Name Document Type
Appendix A to Part 212 for PRA req Feb 2.docx Instruction
Appendix A to Part 212 for PRA req Feb 2.docx Instruction

Information Collection (IC) Details

IC Title:	Notice to Account Owner and Record Retention	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 31 CFR 212

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Appendix A to Part 212 for PRA req Feb 2.docx		No		Paper Only

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 432,500	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	432,500	357,500	75,000
Annual IC Time Burden (Hours)	72,083	53,333	18,750
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.