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Proposed Collection of Information: Application Form for U.S. Department of the Treasury Stored Value Card (SVC) Program

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Information about this document as published in the Federal Register.

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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 requirement, “Application Form for U.S. Department of the Treasury Stored Value Card (SVC) Program.”


Written comments should be received on or before April 29, 2013.


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

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Request for additional information or copies of the form(s) and instructions should be directed to Sean Kemple ; Agency Enterprise Solutions Division; 401 14th Street SW., Room 348E, Washington, DC 20227, (202) 874-0132.

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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: Application Form for U.S. Department of the Treasury Stored Value Card (SVC) Program.

OMB Number: 1510-0NEW (OMB to affix number).

Form Number: DRAFT—FMS Form 2887.

Abstract: This form is used to collect information from individuals requesting enrollment in the Treasury SVC 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 form is voluntary; however, failure to furnish the requested information may significantly delay or prevent participation in the Treasury SVC program.

This information is collected under the authority in: 31 U.S.C. 321, General Authority of the Secretary of the Treasury; Public Law 104-134, Debt Collection Improvement Act of 1996, as amended; Department of Defense Financial Management Regulation (DoDFMR) 7000.14-R, as amended; 5 U.S.C. 5514, Installment deduction for indebtedness to the United States; 31 U.S.C. 1322, Payments of unclaimed trust fund amounts and refund of amounts erroneously deposited; 31 U.S.C. 3720, Collection of payments; 31 U.S.C. 3720A, Reduction of tax refund by amount of debt; 31 U.S.C. 7701, Taxpayer identifying number; 37 U.S.C. 1007, Deductions from pay; 31 CFR part 210, Federal Government Participation in the Automated Clearing House; 31 CFR part 285, Debt Collection Authorities under the Debt Collection Improvement Act of 1996; and E.O. 9397 (SSN), as amended.

The information on this form may be disclosed as generally permitted under 5 U.S.C. 552(a)(b) of the Privacy Act of 1974, as amended. It may be disclosed outside of the U.S. Department of the Treasury to its Fiscal and Financial Agents and their contractors involved in providing SVC services, or to the Department of Defense (DoD) for the purpose of administering the Treasury SVC programs. In addition, other Federal, State, or local government agencies that have identified a need to know may obtain this information for the purpose(s) as identified by FMS's Routine Uses as published in the Federal Register.

Current Actions: Continuing Information Collection. This form replaces DD Form 2887, Application for Department Of Defense (DoD) Stored Value Card (SVC) Programs, OMB Control Number: 0730-0116, Expiration Date: 31 October 2011, Request for Renewal Submitted: FR Doc. 2012-3519 Filed 2-14-12.

Type of Review: Regular.

Affected Public: Individuals.

Estimated Number of Respondents: 60,000.

Estimated Time per Respondent: 10 Minutes.

Estimated Total Annual Burden Hours: 10,000 Hours.

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: February 13, 2013.

John B. Hill,

Assistant Commissioner, Payment Management and Chief Disbursing Officer

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[FR Doc. 2013-04180 Filed 2-27-13; 8:45 am]