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Proposed Collection of Information: Claim Against the United States for the Proceeds of a Government Check

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Fiscal Service, Treasury.


Notice and Request for comments.


The Bureau of Fiscal 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 Bureau of Fiscal Service solicits comments concerning the Form FMS-1133, “Claim Against the United States for the Proceeds of a Government Check.”


Written comments should be received on or before August 26, 2013.


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

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Requests for additional information or copies of the form(s) and instructions should be directed to Lisa Andre, Start Printed Page 38097Manager, Customer Service Branch, P.O. Box 603, Philadelphia, PA 19154, (866) 868-0151, option 1.

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

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

OMB Number: 1510-0019.

Form Number: 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.

Current Actions: Extension of currently approved collection.

Type of Review: Regular.

Affected Public: Individuals or households.

Estimated Number of Respondents: 36,000.

Estimated Time per Respondent: 10 minutes.

Estimated Total Annual Burden Hours: 6,000.

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: June 14, 2013.

John B. Hill,

Assistant Commissioner, Payment Management.

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[FR Doc. 2013-14997 Filed 6-24-13; 8:45 am]