OMB control number

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

OMB 1530-0010 · TREAS/FISCAL.

OMB 1530-0010

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.

The latest form for Claim Against the United States for the Proceeds of a Government Check expires 2028-05-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form FS 1133 Claim Against the United States for the Proceeds of a Government Check Form and Instruction
1530-0010_SupStmt_2024.docx Supporting Statement A
Claim Against the United States for the Proceeds of a Government Check Form and Instruction

All Historical Document Collections

202411-1530-004	Extension without change of a currently approved collection	2024-12-30
202109-1530-004 Approved without change	Extension without change of a currently approved collection	2021-10-28
201802-1530-001 Approved without change	Extension without change of a currently approved collection	2018-02-27
201412-1530-002 Approved without change	Revision of a currently approved collection	2015-01-26
201407-1530-010 Approved without change	Revision of a currently approved collection	2014-07-11