Special Form of Assignment for U.S. Registered Definitive Securities

Forms and Documents

Document Name	Status
Form PD F 1832 E Special Form of Assignment for U.S. Registered Definitive Securities Form and Instruction	Modified
Supporting Statement_1832.doc Supporting Statement A	2014-09-16

IC Document Collections

IC ID	Document Title	Status
16549	Special Form of Assignment for U.S. Registered Definitive Securities Form and Instruction	Modified

ICR Details

OMB Control No: 1530-0058	ICR Reference No: 201501-1530-001
Status: Historical Active	Previous ICR Reference No: 201107-1535-001
Agency/Subagency: TREAS/FISCAL	Agency Tracking No:
Title: Special Form of Assignment for U.S. Registered Definitive Securities
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/06/2015
	Date Received in OIRA: 01/06/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2017	36 Months From Approved
Responses	1,600	0	5,000
Time Burden (Hours)	400	0	1,250
Cost Burden (Dollars)	0	0	0

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Abstract: PD F 1832 is completed by the owner (or authorized representative) of registered securities to convert the definitive (paper) registered securities to an account in TreasuryDirect®; convert the definitive (paper) registered securities to a book-entry account with a commercial financial institution, or allow matured or called definitive (paper) registered securities to be paid to another party.

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Authorizing Statute(s): US Code: 31 USC Chapter 31 Name of Law: null
  

Citations for New Statutory Requirements: US Code: 31 USC Chapter 31 Name of Law: null

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 30691	05/28/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 58403	09/29/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Special Form of Assignment for U.S. Registered Definitive Securities	PD F 1832 E	Special Form of Assignment for U.S. Registered Definitive Securities

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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	1,600	5,000	0	0	-3,400	0
Annual Time Burden (Hours)	400	1,250	0	0	-850	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: PD F 1832 is used to process requests for securities that are no longer issued so a decline in usage has occurred as the pool of securities is redeemed for payment or conversion. The decrease of 850 hours is an adjustment agency estimate for a total of 400 burden hours requested.

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Annual Cost to Federal Government: $2,932

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

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 09/30/2014

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