[Federal Register Volume 60, Number 96 (Thursday, May 18, 1995)]
[Notices]
[Pages 26762-26763]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-12246]
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DEPARTMENT OF THE TREASURY
Public Information Collection Requirements Submitted to OMB for
Review
May 12, 1995
The Department of Treasury has submitted the following public
[[Page 26763]] information collection requirement(s) to OMB for review
and clearance under the Paperwork Reduction Act of 1980, Public Law 96-
511. Copies of the submission(s) may be obtained by calling the
Treasury Bureau Clearance Officer listed. Comments regarding this
information collection should be addressed to the OMB reviewer listed
and to the Treasury Department Clearance Officer, Department of the
Treasury, Room 2110, 1425 New York Avenue, NW., Washington, DC 20220.
Financial Management Service (FMS)
OMB Number: 1510-0055
Form Number: SF 5805
Type of Review: Extension
Title: Request for Funds
Description: Information is required to fund respondents who are
recipients of Federal Grants and program benefits. The respondents
consist of State and local government agencies, municipalities,
universities, and health organizations. The information is used solely
to direct requested funds to the respondent's accounts at its financial
institutions.
Respondents: Federal Government, Business or other for-profit, State,
Local or Tribal Governments
Estimated Number of Respondents: 160
Estimated Burden Hours Per Response: 15 minutes
Frequency of Response: On occasion
Estimated Total Reporting Burden: 9,600 hours
Clearance Officer: Jacqueline R. Perry, (301) 344-8577, Financial
Management Service, 3361-L 75th Avenue, Landover, MD 20785
OMB Reviewer: Milo Sunderhauf, (202) 395-7340, Office of Management and
Budget, Room 10226, New Executive Office Building, Washington, DC 20503
Lois K. Holland,
Departmental Reports Management Officer.
[FR Doc. 95-12246 Filed 5-17-95; 8:45 am]
BILLING CODE 4810-35-P
