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Financial Management Service; Proposed Collection of Information: Authorization Agreement for Preauthorized Payment (SF 5510)

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Financial Management Service, Fiscal Service, Treasury.


Notice and request for comments.


The Financial Management Service, as part of its continuing effort to reduce paperwork and respondent burden, invites the general public and other Federal agencies to take this opportunity to comment on a continuing information collection. By this notice, the Financial Management Service solicits comments concerning the Form 5510, “Authorization Agreement for Preauthorized Payment”.


Written comments should be received on or before June 28, 2004.


Direct all written comments to financial Management Service, 3700 East West Highway, Records and Information Management Program Staff, Room 135, Hyattsville, Maryland 20782.

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Requests for additional information should be directed to Craig Sadick, Room 404A, 401-14th Street, SW., Washington, DC 20227 (202) 874-6754.

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Pursuant to the Paperwork Reduction Act of 1995, (44 U.S.C. 3506(c)(2)(A)), the Financial Management Service solicits comments on the collection of information described below:

Title: Authorization Agreement for Preauthorized Payment.

OMB Number: 1510-0059.Start Printed Page 22903

Form Number: SF 5510.

Abstract: This form is used to collect information from remitters (individuals and corporations) to authorize electronic fund transfers from accounts maintained at financial institutions to collect monies for government agencies.

Current Actions: Extension of currently approved collection.

Type of Review: Regular.

Affected Public: Business or other for-profit, individuals or households, Federal Government.

Estimated Number of Respondents: 100,000.

Estimated Time Per Respondent: 15 minutes.

Estimated Total Annual Burden Hours: 25,000.

Comments: Comments submitted in response to this notice will be summarized and/or included in the request for Office of Management and Budget approval. All comments will become a matter of public record. Comments are invited on: (a) Whether the collection of information is necessary for the proper performance of the functions of the agency, including whether the information shall have practical utility; (b) the accuracy of the agency's estimate of the burden of the collection of information; (c) ways to enhance the quality, utility, and clarity of the information to be collected; (d) ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques or other forms of information technology; and (e) estimates of capital or start-up costs and costs of operation, maintenance and purchase of services to provide information.

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Dated: April 23, 2004.

Gary Grippo,

Assistant Commissioner, Federal Finance.

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[FR Doc. 04-9484 Filed 4-26-04; 8:45 am]