OMB control number
Claim Against the United States for the Proceeds of a Government Check
OMB 1530-0010 · TREAS/FISCAL.
OMB 1530-0010
The information in this collection is needed to process an individual's claim for non-receipt of proceeds from a U.S. Treasury check or electronic benefit payments. Once the information is analyzed, a determination is made, and a recommendation is submitted to the program agency to either settle or deny the claim.
The latest form for Claim Against the United States for the Proceeds of a Government Check expires 2028-05-31 and is listed under ICR 202411-1530-004.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form FS 1133 Claim Against the United States for the Proceeds of a Government Check | Form and Instruction |
| Form FS 1133 Claim Against the United States for the Proceeds of a Government Check | Form and Instruction |
 1530-0010_SupStmt_2024.docx | Supporting Statement A |
| 1530-0010_SupStmt_2024.docx | Supporting Statement A |
 Claim Against the United States for the Proceeds of a Government Check |
Form and Instruction |
| Claim Against the United States for the Proceeds of a Government Check |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202411-1530-004 | Extension without change of a currently approved collection | 2024-12-30 | ||
| 202109-1530-004 | Extension without change of a currently approved collection | 2021-10-28 | Approved without change | |
| 201802-1530-001 | Extension without change of a currently approved collection | 2018-02-27 | Approved without change | |
| 201412-1530-002 | Revision of a currently approved collection | 2015-01-26 | Approved without change | |
| 201407-1530-010 | Revision of a currently approved collection | 2014-07-11 | Approved without change |