Skip to Content


Proposed Collection: Comment Request

Document Details

Information about this document as published in the Federal Register.

Published Document

This document has been published in the Federal Register. Use the PDF linked in the document sidebar for the official electronic format.

Start Preamble


Notice and request for comments.


The Department of the Treasury, 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 proposed and/or continuing information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A). Currently the Bureau of the Fiscal Service within the Department of the Treasury is soliciting comments concerning the Legacy Treasury Direct Forms.


Written comments should be received on or before November 25, 2013 to be assured of consideration.


Direct all written comments to Bureau of the Fiscal Service, Bruce A. Sharp, 200 Third Street A4-A, Parkersburg, WV 26106-1328, or The opportunity to make comments online is also available at

Start Further Info


Requests for additional information or copies should be directed to Bruce A. Sharp, Bureau of the Fiscal Service, 200 Third Street A4-A, Parkersburg, WV 26106-1328, (304) 480-8150.

End Further Info End Preamble Start Supplemental Information


Title: Legacy Treasury Direct Forms

OMB Number: 1535-0069

Form Number:

PD F 5178—Transaction Request

PD F 5179—Security Transfer Request

PD F 5182—New Account Request

PD F 5188—Durable Power of Attorney for Securities and Savings Bonds Transactions

PD F 5191—Application for Recognition as Natural Guardian of a Minor

PD F 5235—Report of Non-Receipt, Loss, Theft, or Destruction of a Fiscal Agency Check and Application for Replacement

PD F 5236—Claim for Proceeds of a Fiscal Agency Check

Abstract: The information is requested to issue and maintain Treasury Bills, Notes, and Bonds.

Current Actions: None

Type of Review: Revision

Affected Public: Individuals

Estimated Number of Respondents: 17,400

Estimated Time per Respondent: 13 minutes.

Estimated Total Annual Burden Hours: 3,770

Request for Comments: Comments submitted in response to this notice will be summarized and/or included in the request for OMB 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.

Start Signature

Dated: September 23, 2013.

Bruce A. Sharp,

Bureau Clearance Officer.

End Signature End Supplemental Information

[FR Doc. 2013-23487 Filed 9-25-13; 8:45 am]