View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
1530-0013
ICR Reference No:
201911-1530-001
Status:
Historical Active
Previous ICR Reference No:
201609-1530-001
Agency/Subagency:
TREAS/FISCAL
Agency Tracking No:
Title:
FS Form 2887 - Application Form for U.S. Department of the Treasury Stored Value Card (SVC) Program
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
02/12/2020
Retrieve Notice of Action (NOA)
Date Received in OIRA:
12/31/2019
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
02/28/2023
36 Months From Approved
06/30/2020
Responses
102,030
0
60,030
Time Burden (Hours)
17,001
0
10,001
Cost Burden (Dollars)
0
0
0
Abstract:
This collection of forms is used to collect information from individuals requesting enrollment in the Treasury SVC program along with supplemental information for contractors choosing to participate in the program, to obtain authorization to initiate debit and credit entries to their bank or credit union accounts, and to facilitate collection of any delinquent amounts. Disclosure of the information requested on the forms is voluntary; however, failure to furnish the requested information may significantly delay or prevent participation in the Treasury SVC program.
Authorizing Statute(s):
PL:
Pub.L. 104 - 134 et al.
Name of Law: Debt Collection Improvement Act of 1996
US Code:
31 USC 1322
Name of Law: Payments of unclaimed trust fund amounts and refund of amounts erroneously deposited
US Code:
5 USC 5514
Name of Law: Installment deduction for indebtedness to the United States
US Code:
31 USC 3720
Name of Law: Collection of payments
US Code:
31 USC 3720A
Name of Law: Reduction of tax refund by amount of debt
US Code:
37 USC 1007
Name of Law: Deductions from pay
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
84 FR 31141
06/28/2019
30-day Notice:
Federal Register Citation:
Citation Date:
84 FR 72140
12/30/2019
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
2
IC Title
Form No.
Form Name
Application Form for U.S. Department of the Treasury Stored Value Card (SVC)
FS Form 2887, FS Form 2889
Application Form for U.S. Department of the Treasury Stored Value Card (SVC)
,
U.S. Department of the Treasury Stored Value Card Contractor Agreement
Authorization to Disclose Information Related To Stored Value Account
FS Form 5752
Authorization to Disclose Information Related to Stored Value Account
ICR Summary of Burden
Total Approved
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
102,030
60,030
0
42,000
0
0
Annual Time Burden (Hours)
17,001
10,001
0
7,000
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Enrolling contractors in the Treasury SVC program is estimated to increase use of FS Form 2887 by 35% resulting in an additional 21,000 respondents. Those same 21,000 respondents will be required to complete a new supplemental form, FS Form 2889: U.S. Department of the Treasury Stored Value Card Contractor Agreement. The additional respondents and addition of the supplemental form represents a total increase of 42,000 responses and 7,000 hours for an adjustment in agency estimate for a total of 17,001burden hours requested.
Annual Cost to Federal Government:
$45,000
Does this IC contain surveys, censuses, or employ statistical methods?
No
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
Yes
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
Yes
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Bruce Sharp 304 480-8112 Bruce.Sharp@bpd.treas.gov
Common Form ICR:
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:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(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;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
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.
Certification Date:
12/31/2019
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