Claim Against the United States for the Proceeds of a Government Check

ICR 202109-1530-004

OMB: 1530-0010

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2021-09-14
IC Document Collections
ICR Details
1530-0010 202109-1530-004
Received in OIRA 201802-1530-001
TREAS/FISCAL
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.

US Code: 31 USC Sec. 321, 3331-3343 Name of Law: Money and Finance; General authority of the Secretary
  
None

Not associated with rulemaking

  86 FR 34843 06/30/2021
86 FR 59005 10/25/2021
No

  Total Request 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 51,640 51,640 0 0 0 0
Annual Time Burden (Hours) 8,609 8,609 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$377,500
No
    Yes
    Yes
No
No
No
No
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.
10/28/2021


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