OMB Control No:  1535-0092ICR Reference No: 
201308-1535-002 
Status:  Historical ActivePrevious ICR Reference No:  201004-1535-004  
Agency/Subagency:  TREAS/BPDAgency Tracking No:  
Title:  Subscription For Purchase and
Issue of U.S. Treasury Securities - State and Local Government
Series. 
Type of Information Collection: 
Extension without change of a currently approved collectionCommon Form ICR:   No 
Type of Review Request:  Regular 
OIRA Conclusion Action:  Approved
without changeConclusion Date:  01/23/2015 
Retrieve
Notice of Action (NOA) Date Received in OIRA: 
08/29/2013 
Terms of Clearance:  
  
Inventory as of this Action 
Requested 
Previously Approved 
 
Expiration Date 01/31/2018 
36 Months From Approved 
01/31/2015 
 
Responses 6,708 
0 
6,708 
 
Time Burden (Hours) 2,713 
0 
2,713 
 
Cost Burden (Dollars) 0 
0 
0 
 
 
Abstract:  The information is necessary to
establish and maintain the accounts for owners of securities of
State and Local Government Series. 
 
Authorizing Statute(s):   US Code:
31 USC Part 344  Name of Law: U.S. Treasury Securities¿State and
Local Government Series 
Citations for New Statutory
Requirements:  None 
 
Associated Rulemaking
Information  
RIN: Stage of Rulemaking: Federal Register Citation: Date:  
Not associated with rulemaking 
 
 
Federal Register Notices &
Comments  
60-day Notice: Federal Register Citation: Citation Date:  
  
78 FR
34161 06/06/2013 
 
30-day Notice: Federal Register Citation: Citation Date:  
78 FR
49791 08/15/2013 
 
Did the Agency receive public comments on
this ICR?  No 
 
Number of Information Collection (IC) in this
ICR:  1  
IC Title 
Form No. 
Form Name 
 
Subscription For
Purchase and Issue of U.S. Treasury Securities-- State and Local
Government Series. PD-F-4144, 4144-1, 4144-2, 4144-5, 4144-6, 4144-7 
Subscription for
purchase and issue of U S Treasury securities state and local
government series time deposit  ,   Schedule of U S Treasury
securities state and local government series time deposit  ,
  Account
information for U S Treasury securities state and local government
series time deposit  ,   SLGSafe Application for
internet access  ,   SLGSafe User
acknowledgement  ,   SLGSafe Template worksheet 
 
 
 
 
ICR Summary of Burden 
  
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 
6,708 
6,708 
0 
0 
0 
0 
 
Annual Time Burden (Hours) 
2,713 
2,713 
0 
0 
0 
0 
 
Annual Cost Burden (Dollars) 
0 
0 
0 
0 
0 
0 
 
Burden increases because of Program Change due to Agency
Discretion:  No 
Burden Increase Due to:  
Burden decreases because of Program Change due to Agency
Discretion:  No 
Burden Reduction Due to:  
Short Statement:  
Annual Cost to Federal Government:  $6,671 
Does this IC contain surveys, censuses, or employ
statistical methods?  No 
Is the Supporting Statement intended to be a Privacy
Impact Assessment required by the E-Government Act of 2002? 
No 
Is this ICR related to the Affordable Care Act [Pub. L.
111-148 & 111-152]?  No 
Is this ICR related to the Dodd-Frank Wall Street Reform
and Consumer Protection Act, [Pub. L. 111-203]?  No 
Is this ICR related to the American Recovery and
Reinvestment Act of 2009 (ARRA)?  No 
Is this ICR related to the Pandemic Response? 
Uncollected 
Agency Contact:  Bruce Sharp 304 480-8112
Bruce.Sharp@bpd.treas.gov