FS Form 2887 - Application Form for U.S. Department of the Treasury Stored Value Card (SVC) Program

ICR 201609-1530-001

OMB: 1530-0013

Federal Form Document

ICR Details
1530-0013 201609-1530-001
Historical Active 201407-1530-015
TREAS/FISCAL
FS Form 2887 - Application Form for U.S. Department of the Treasury Stored Value Card (SVC) Program
Revision of a currently approved collection   No
Regular
Approved without change 06/02/2017
Retrieve Notice of Action (NOA) 09/22/2016
  Inventory as of this Action Requested Previously Approved
06/30/2020 36 Months From Approved 06/30/2017
60,030 0 60,000
10,001 0 10,000
0 0 0

This form is used to collect information from individuals requesting enrollment in the Treasury SVC program, to obtain authorization to initiate debit and credit entries to their bank or credit union accounts to load value on the cards, and to facilitate collection of any delinquent amounts that may become due and owing as a result of the use of the cards.

PL: Pub.L. 104 - 134 et al. Name of Law: Debt Collection Improvement Act of 1996
   US Code: 31 USC 1322 Name of Law: Payments of unclaimed trust fund amounts and refund of amounts erroneously deposited
   US Code: 5 USC 5514 Name of Law: Installment deduction for indebtedness to the United States
   US Code: 31 USC 3720 Name of Law: Collection of payments
   US Code: 31 USC 3720A Name of Law: Reduction of tax refund by amount of debt
   US Code: 37 USC 1007 Name of Law: Deductions from pay
  
None

Not associated with rulemaking

  81 FR 42059 06/28/2016
81 FR 65463 09/22/2016
No

  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 60,030 60,000 0 30 0 0
Annual Time Burden (Hours) 10,001 10,000 0 1 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The program changes represent the addition of FS Form 5752: Authorization to Disclose Information Related to Stored Value Account, a new instrument required to authorize disclosure of related SVC account information. The addition of the new form represents a total increase of thirty minutes for an adjustment in agency estimate for a total of 10,001 burden hours requested.

$45,000
No
No
No
No
No
Uncollected
Bruce Sharp 304 480-8112 Bruce.Sharp@bpd.treas.gov

  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.
09/22/2016


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