Authorization Agreement for Preauthorized Payment

OMB 1530-0015

Preauthorized payment is used by remitters (individuals and corporations) to authorize electronic funds transfers from the bank accounts maintained at financial institutions for government agencies to collect monies.

The latest form for Authorization Agreement for Preauthorized Payment expires 2023-09-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form SF-5510 Authorization Agreement for Preauthorized Payment Form
1530-0015_SupportingStatement_2023.docx Supporting Statement A
Authorization Agreement for Preauthorized Payment Form

All Historical Document Collections

202309-1530-002 Approved without change	Extension without change of a currently approved collection	2023-09-29
202006-1530-001 Approved without change	Revision of a currently approved collection	2020-06-30
201703-1530-004 Approved without change	Extension without change of a currently approved collection	2017-04-27
201407-1530-017 Approved without change	Extension without change of a currently approved collection	2014-07-17