Agency Information Collection Activities; Submission for OMB Review; Comment Request; Multiple Fiscal Service Information Collection Requests, 59005 [2021-23149]
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Federal Register / Vol. 86, No. 203 / Monday, October 25, 2021 / Notices
DEPARTMENT OF THE TREASURY
Agency Information Collection
Activities; Submission for OMB
Review; Comment Request; Multiple
Fiscal Service Information Collection
Requests
Departmental Offices,
Department of the Treasury.
ACTION: Notice.
AGENCY:
The Department of the
Treasury will submit the following
information collection requests to the
Office of Management and Budget
(OMB) for review and clearance in
accordance with the Paperwork
Reduction Act of 1995, on or after the
date of publication of this notice. The
public is invited to submit comments on
these requests.
DATES: Comments should be received on
or before November 24, 2021 to be
assured of consideration.
ADDRESSES: Written comments and
recommendations for the proposed
information collection should be sent
within 30 days of publication of this
notice to www.reginfo.gov/public/do/
PRAMain. Find this particular
information collection by selecting
‘‘Currently under 30-day Review—Open
for Public Comments’’ or by using the
search function.
FOR FURTHER INFORMATION CONTACT:
Copies of the submissions may be
obtained from Molly Stasko by emailing
PRA@treasury.gov, calling (202) 622–
8922, or viewing the entire information
collection request at www.reginfo.gov.
SUPPLEMENTARY INFORMATION:
jspears on DSK121TN23PROD with NOTICES1
SUMMARY:
Fiscal Service (FS)
1. Title: Claim Against the United
States for the Proceeds of a Government
Check.
OMB Control Number: 1530–0010.
Type of Review: Extension without
change of a currently approved
collection.
Description: The forms are used to
collect information needed to process an
individual’s claim for non-receipt of
proceeds from a U.S. Treasury check.
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.
Form: FS Form 1133 and FS Form
1133–A.
Affected Public: Individuals or
households.
Estimated Number of Respondents:
51,640.
Frequency of Response: On Occasion.
Estimated Total Number of Annual
Responses: 51,640.
VerDate Sep<11>2014
18:00 Oct 22, 2021
Jkt 256001
Estimated Time per Response: 10
minutes.
Estimated Total Annual Burden
Hours: 8,609 hours.
2. Title: Special Form of Assignment
for U.S. Registered Securities.
OMB Control Number: 1530–0058.
Type of Review: Extension without
change of a currently approved
collection.
Description: FS Form 1832 is used by
owners, or authorized representatives,
to complete transactions involving the
assignment of U.S. Registered and
Bearer Securities.
Form: FS Form 1832.
Affected Public: Individuals or
households.
Estimated Number of Respondents:
10.
Frequency of Response: On Occasion.
Estimated Total Number of Annual
Responses: 10.
Estimated Time per Response: 15
minutes.
Estimated Total Annual Burden
Hours: 2.5 hours.
3. Title: Disclaimer and Consent With
Respect To United States Savings
Bonds/Notes.
OMB Control Number: 1530–0059.
Type of Review: Extension without
change of a currently approved
collection.
Description: A disclaimer and consent
may be necessary when, as the result of
an error in registration or otherwise, the
payment, refund of purchase price, or
reissue of savings bonds/notes as
requested by one person would appear
to affect the right, title or interest of
some other person.
Form: FS Form 1849.
Affected Public: Individuals or
households.
Estimated Number of Respondents:
450.
Frequency of Response: On Occasion.
Estimated Total Number of Annual
Responses: 450.
Estimated Time per Response: 6
minutes.
Estimated Total Annual Burden
Hours: 45 hours.
4. Title: Checklists of Filings for
Certified Surety and/or Certified
Reinsuring Companies and for Admitted
Reinsurer Companies.
OMB Control Number: 1530–0061.
Type of Review: Extension without
change of a currently approved
collection.
Description: This information is
collected from insurance companies to
assist the Treasury Department in
determining acceptability of the
companies applying for a Certificate of
Authority to write or reinsure Federal
surety bonds and/or gain recognition as
an Admitted Reinsurer.
PO 00000
Frm 00147
Fmt 4703
Sfmt 4703
59005
Form: Annual Filing Checklist
Certified Companies; Annual Filing
Checklist Admitted Reinsurers.
Affected Public: Businesses or other
for-profit.
Estimated Number of Respondents:
30.
Frequency of Response: On Occasion.
Estimated Total Number of Annual
Responses: 30.
Estimated Time per Response: 5
hours.
Estimated Total Annual Burden
Hours: 150 hours.
5. Title: Subscription for Purchase and
Issue of U.S. Treasury Securities—State
and Local Government Series.
OMB Control Number: 1530–0065.
Type of Review: Extension without
change of a currently approved
collection.
Description: The information is
requested to establish and maintain
accounts for the owners of securities of
the State and Local Government Series.
Form: FS Form 4144; FS Form 4144–
1; FS Form 4144–2; FS Form 4144–5; FS
Form 4144–6; FS Form 4144–7; FS Form
5377; FS Form 5237; and FS Form 5238.
Affected Public: State and Local
Governments.
Estimated Number of Respondents:
6,437.
Frequency of Response: On Occasion.
Estimated Total Number of Annual
Responses: 6,437.
Estimated Time per Response: 24
minutes.
Estimated Total Annual Burden
Hours: 2,578 hours.
Authority: 44 U.S.C. 3501 et seq.
Dated: October 19, 2021.
Molly Stasko,
Treasury PRA Clearance Officer.
[FR Doc. 2021–23149 Filed 10–22–21; 8:45 am]
BILLING CODE 4810–AS–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0757]
Agency Information Collection Activity
Under OMB Review: Supportive
Services for Veteran Families (SSVF)
Program—Grant Application & Report
Veterans Health
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:
In compliance with the
Paperwork Reduction Act (PRA) of
1995, this notice announces that the
Veterans Health Administration,
Department of Veterans Affairs, will
submit the collection of information
SUMMARY:
E:\FR\FM\25OCN1.SGM
25OCN1
Agencies
[Federal Register Volume 86, Number 203 (Monday, October 25, 2021)]
[Notices]
[Page 59005]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-23149]
[[Page 59005]]
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DEPARTMENT OF THE TREASURY
Agency Information Collection Activities; Submission for OMB
Review; Comment Request; Multiple Fiscal Service Information Collection
Requests
AGENCY: Departmental Offices, Department of the Treasury.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Department of the Treasury will submit the following
information collection requests to the Office of Management and Budget
(OMB) for review and clearance in accordance with the Paperwork
Reduction Act of 1995, on or after the date of publication of this
notice. The public is invited to submit comments on these requests.
DATES: Comments should be received on or before November 24, 2021 to be
assured of consideration.
ADDRESSES: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function.
FOR FURTHER INFORMATION CONTACT: Copies of the submissions may be
obtained from Molly Stasko by emailing [email protected], calling (202)
622-8922, or viewing the entire information collection request at
www.reginfo.gov.
SUPPLEMENTARY INFORMATION:
Fiscal Service (FS)
1. Title: Claim Against the United States for the Proceeds of a
Government Check.
OMB Control Number: 1530-0010.
Type of Review: Extension without change of a currently approved
collection.
Description: The forms are used to collect information needed to
process an individual's claim for non-receipt of proceeds from a U.S.
Treasury check. 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.
Form: FS Form 1133 and FS Form 1133-A.
Affected Public: Individuals or households.
Estimated Number of Respondents: 51,640.
Frequency of Response: On Occasion.
Estimated Total Number of Annual Responses: 51,640.
Estimated Time per Response: 10 minutes.
Estimated Total Annual Burden Hours: 8,609 hours.
2. Title: Special Form of Assignment for U.S. Registered
Securities.
OMB Control Number: 1530-0058.
Type of Review: Extension without change of a currently approved
collection.
Description: FS Form 1832 is used by owners, or authorized
representatives, to complete transactions involving the assignment of
U.S. Registered and Bearer Securities.
Form: FS Form 1832.
Affected Public: Individuals or households.
Estimated Number of Respondents: 10.
Frequency of Response: On Occasion.
Estimated Total Number of Annual Responses: 10.
Estimated Time per Response: 15 minutes.
Estimated Total Annual Burden Hours: 2.5 hours.
3. Title: Disclaimer and Consent With Respect To United States
Savings Bonds/Notes.
OMB Control Number: 1530-0059.
Type of Review: Extension without change of a currently approved
collection.
Description: A disclaimer and consent may be necessary when, as the
result of an error in registration or otherwise, the payment, refund of
purchase price, or reissue of savings bonds/notes as requested by one
person would appear to affect the right, title or interest of some
other person.
Form: FS Form 1849.
Affected Public: Individuals or households.
Estimated Number of Respondents: 450.
Frequency of Response: On Occasion.
Estimated Total Number of Annual Responses: 450.
Estimated Time per Response: 6 minutes.
Estimated Total Annual Burden Hours: 45 hours.
4. Title: Checklists of Filings for Certified Surety and/or
Certified Reinsuring Companies and for Admitted Reinsurer Companies.
OMB Control Number: 1530-0061.
Type of Review: Extension without change of a currently approved
collection.
Description: This information is collected from insurance companies
to assist the Treasury Department in determining acceptability of the
companies applying for a Certificate of Authority to write or reinsure
Federal surety bonds and/or gain recognition as an Admitted Reinsurer.
Form: Annual Filing Checklist Certified Companies; Annual Filing
Checklist Admitted Reinsurers.
Affected Public: Businesses or other for-profit.
Estimated Number of Respondents: 30.
Frequency of Response: On Occasion.
Estimated Total Number of Annual Responses: 30.
Estimated Time per Response: 5 hours.
Estimated Total Annual Burden Hours: 150 hours.
5. Title: Subscription for Purchase and Issue of U.S. Treasury
Securities--State and Local Government Series.
OMB Control Number: 1530-0065.
Type of Review: Extension without change of a currently approved
collection.
Description: The information is requested to establish and maintain
accounts for the owners of securities of the State and Local Government
Series.
Form: FS Form 4144; FS Form 4144-1; FS Form 4144-2; FS Form 4144-5;
FS Form 4144-6; FS Form 4144-7; FS Form 5377; FS Form 5237; and FS Form
5238.
Affected Public: State and Local Governments.
Estimated Number of Respondents: 6,437.
Frequency of Response: On Occasion.
Estimated Total Number of Annual Responses: 6,437.
Estimated Time per Response: 24 minutes.
Estimated Total Annual Burden Hours: 2,578 hours.
Authority: 44 U.S.C. 3501 et seq.
Dated: October 19, 2021.
Molly Stasko,
Treasury PRA Clearance Officer.
[FR Doc. 2021-23149 Filed 10-22-21; 8:45 am]
BILLING CODE 4810-AS-P