RETURN NOTICE ON CLAIM AGAINST THE UNITED STATES FOR THE PROCEEDS OF A GOVERNMENT CHECK

ICR 198503-1510-001

OMB: 1510-0024

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1510-0024 198503-1510-001
Historical Active 198310-1510-003
TREAS/FMS
RETURN NOTICE ON CLAIM AGAINST THE UNITED STATES FOR THE PROCEEDS OF A GOVERNMENT CHECK
Revision of a currently approved collection   No
Regular
Approved without change 05/09/1985
Retrieve Notice of Action (NOA) 03/12/1985
  Inventory as of this Action Requested Previously Approved
12/31/1986 12/31/1986 05/31/1985
740 0 787
37 0 39
0 0 0

THIS FORM IS USED TO TRANSMIT INCOMPLETED EXECUTED CLAIMS FORMS BACK TO THE PAYEES THAT HAVE REQUESTED PAYMENT FOR THEIR LOST, STOLEN OR MUTLIATED UNITED STATES GOVERNMENT CHECK.

None
None


No

1
IC Title Form No. Form Name
RETURN NOTICE ON CLAIM AGAINST THE UNITED STATES FOR THE PROCEEDS OF A GOVERNMENT CHECK TFS 1503

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 740 787 0 -47 0 0
Annual Time Burden (Hours) 37 39 0 -2 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/12/1985


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