OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 202411-1530-004 · OMB 1530-0010 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form FS 1133 Claim Against the United States for the Proceeds of a Government Check Form and Instruction Modified Missing upstream
1530-0010_SupStmt_2024.docx Supporting Statement A Uploaded 2024-11-18 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
15380 Claim Against the United States for the Proceeds of a Government Check Form and Instruction Modified
ICR Details
1530-0010 202411-1530-004
Received in OIRA 202109-1530-004
TREAS/FISCAL
Claim Against the United States for the Proceeds of a Government Check
Extension without change of a currently approved collection   No
Regular 12/30/2024
  Requested Previously Approved
36 Months From Approved 12/31/2024
81,000 51,640
13,500 8,609
0 0
The information in this collection is 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
  89 FR 66495 08/15/2024
89 FR 106760 12/30/2024
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 81,000 51,640 0 0 29,360 0
Annual Time Burden (Hours) 13,500 8,609 0 0 4,891 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The adjustment in the number of respondents is due to increased check fraud cases which result in the increase of claim packages sent out to payees and returned to Fiscal Service.
$377,500
No
    Yes
    Yes
No
No
No
No
Bruce Sharp 304 480-8112 [email protected]
  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.
12/30/2024