Claim Against the United
States for the Proceeds of a Government Check
Extension without change of a currently approved collection
No
Regular
10/28/2021
Requested
Previously Approved
36 Months From Approved
10/31/2021
51,640
51,640
8,609
8,609
0
0
This series of forms are used to
collect information needed to process an individual's claim for
non-receipt of proceeds from a U.S. Treasury check or electronic
benefit payments. Once the information is analyzed, a determination
is made and a recommendation is submitted to the program agency to
either settle or deny the claim.
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.