Information Collection

Application Form for U.S. Department of the Treasury Stored Value Card (SVC)

IC 207481 under ICR 202603-1530-001 · OMB 1530-0013.

Documents and Forms

Document Name Document Type
Form FS Form 2887 Application Form for U.S. Department of the Treasury Stored Value Card (SVC) Application Form for U.S. Department of the Treasury Stored Value Card (SVC) Form and Instruction
Form FS Form 2889 U.S. Department of the Treasury Stored Value Card Contractor Agreement Application Form for U.S. Department of the Treasury Stored Value Card (SVC) Form and Instruction
FS Form 2887 Application Form for U.S. Department of the Treasury Sto FS Form_2887_20160511.pdf Form and Instruction
FS Form 2889 U.S. Department of the Treasury Stored Value Card Contra FS Form 2889SVC Contractor Enrollment Supplemental Information.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application Form for U.S. Department of the Treasury Stored Value Card (SVC)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

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 2887	Application Form for U.S. Department of the Treasury Stored Value Card (SVC)	FS Form_2887_20160511.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	FS Form 2889	U.S. Department of the Treasury Stored Value Card Contractor Agreement	FS Form 2889SVC Contractor Enrollment Supplemental Information.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title: Collections Records-Treasury/FMS .017	FR Citation: 77 FR 62602

Number of Respondents: 102,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 5 %

	Requested	Previously Approved
Annual Number of Responses for this IC	102,000	102,000
Annual IC Time Burden (Hours)	17,000	17,000
Annual IC Cost Burden (Dollars)	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.

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