Document Headings

                    Document headings vary by document type but may contain                    the following:                  
                -                       the agency or agencies that issued and signed a document                    
                -                       the number of the CFR title and the number of each part                      the document amends, proposes to amend, or is directly                      related to                    
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###### Department of the Treasury

# AGENCY:

Department of the Treasury.

# ACTION:

Notice.

# SUMMARY:

The Department of the Treasury will submit the following information collection request to the Office of Management and Budget (OMB) for review and clearance in accordance with the Paperwork Reduction Act of 1995, Public Law 104-13, on or after the date of publication of this notice. 

# DATES:

Comments should be received on or before February 25, 2015 to be assured of consideration. 

# ADDRESSES:

                        Send comments regarding the burden estimate, or any other aspect of the information collection, including suggestions for reducing the burden, to                               ( print page 4037)                            (1) Office of Information and Regulatory Affairs, Office of Management and Budget, Attention: Desk Officer for Treasury, New Executive Office Building, Room 10235, Washington, DC 20503, or email at                         *OIRA_Submission@OMB.EOP.gov*                         and (2) Treasury PRA Clearance Officer, 1750 Pennsylvania Ave. NW., Suite 8140, Washington, DC 20220, or email at                         *PRA@treasury.gov.*

# FOR FURTHER INFORMATION CONTACT:

                        Copies of the submission may be obtained by emailing                         *PRA@treasury.gov,*                         calling (202) 927-5331, or viewing the entire information collection request at                         *www.reginfo.gov.*

## Bureau of the Fiscal Service (FS) 

*OMB Number:*                         1530-0010.                     

*Type of Review:*                         Revision of a currently approved collection.                     

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

*Abstract:*                         This series of forms are used to collect information needed to process an individual's claim for non-receipt of proceeds from a U.S. Treasury check or electronic benefit payments. 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.                     

*Affected Public:*                         Individuals or households.                     

*Estimated Annual Burden Hours:*                         8,609.                     

Dawn D. Wolfgang, 

Treasury PRA Clearance Officer.

[FR Doc. 2015-01280 Filed 1-23-15; 8:45 am] 

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