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

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

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	FS Form 2887				Yes	Yes	Fillable Fileable
Form and Instruction	FS Form 2889				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 %

table that charts list of burden
	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

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.

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