Submission for OMB Review; Comment Request

---
identifier: "/us/fr/2013-21084"
source: "fr"
legal_status: "authoritative_unofficial"
title: "Submission for OMB Review; Comment Request"
title_number: 0
title_name: "Federal Register"
section_number: "2013-21084"
section_name: "Submission for OMB Review; Comment Request"
positive_law: false
currency: "2013-08-29"
last_updated: "2013-08-29"
format_version: "1.1.0"
generator: "[email protected]"
agency: "Treasury Department"
document_number: "2013-21084"
document_type: "notice"
publication_date: "2013-08-29"
agencies:
  - "Treasury Department"
fr_citation: "78 FR 53503"
fr_volume: 78
comments_close_date: "2013-09-30"
---


#  Submission for OMB Review; Comment Request

The Department of the Treasury will submit the following information collection request to the Office of Management and Budget (OMB) for review and clearance in accordance with the Paperwork Reduction Act of 1995, Public Law 104-13, on or after the date of publication of this notice.

**DATES:**

Comments should be received on or before September 30, 2013 to be assured of consideration.

**ADDRESSES:**

Send comments regarding the burden estimate, or any other aspect of the information collection, including suggestion for reducing the burden, to (1) Office of Information and Regulatory Affairs, Office of Management and Budget, Attention: Desk Officer for Treasury, New Executive Office Building, Room 10235, Washington, DC 20503, or email at *[email protected]* and (2) Treasury PRA Clearance Officer, 1750 Pennsylvania Ave. NW., Suite 8140, Washington, DC 20220, or email at *[email protected].*

**FOR FURTHER INFORMATION CONTACT:**

Copies of the submission(s) may be obtained by calling (202) 927-5331, email at *[email protected],* or the entire information collection request maybe found at *www.reginfo.gov.*

**Bureau of the Fiscal Service**

*OMB Number:* 1510-0019.

*Type of Review:* Extension of a currently approved collection.

*Title:* Claim Against the United States for the Proceeds of a Government Check.

*Form:* FMS 1133.

*Abstract:* This form is 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.

*Affected Public:* Individuals or households.

*Estimated Annual Burden Hours:* 11,278.

Dawn D. Wolfgang,

Treasury PRA Clearance Officer.