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Bureau of the Fiscal Service; Proposed Collection of Information: Authorization Agreement for Preauthorized Payment (SF 5510)

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Bureau of the Fiscal Service, U.S. Department of the Treasury.


Notice and Request for Comments.


The Bureau of the Fiscal Service (“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 the Fiscal Service solicits comments concerning the Form 5510, “Authorization Agreement for Preauthorized Payment”.


Written comments should be received on or before January 21, 2014.


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

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Requests for additional information should be directed to Ian Macoy, Director (acting), Bureau of the Fiscal Service, Settlement Services Division, Room 400B, 401 14th Street SW., Washington, DC 20227 (202) 874-6835.

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

Title: Authorization Agreement for Preauthorized Payment.Start Printed Page 70100

OMB Number: 1510-0059.

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: November 14, 2013.

Kristine Conrath,

Assistant Commissioner, Revenue Collections Management.

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[FR Doc. 2013-27796 Filed 11-21-13; 8:45 am]