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Federal Register / Vol. 70, No.

101 / Thursday, May 26, 2005 / Notices 30523

Form Number: IRS Form 12311. DEPARTMENT OF THE TREASURY TX, UT, VT, WA, WV, WI, WY.
INCORPORATED IN: Indiana
Type of Review: Extension.
Fiscal Service Certificates of Authority expire on
Title: Notice Regarding Repayment of
June 30 each year, unless revoked prior
a Buyout Prior to Re-employment with Surety Companies Acceptable on
to that date. The Certificates are subject
the Federal Government. Federal Bonds: Sagamore Insurance
to subsequent annual renewal as long as
Description: Form 12311 is used to Company
the companies remain qualified (31 CFR
identify former Federal Employees who AGENCY: Financial Management Service, part 223). A list of qualified companies
received a buyout within the past 5 Fiscal Service, Department of the is published annually as of July 1 in
years and are requesting re-employment. Treasury. Treasury Department Circular 570, with
Respondents: Individuals and details as to underwriting limitations,
ACTION: Notice.
households. areas in which licensed to transact
SUMMARY: This is Supplement No. 11 to
surety business and other information.
Estimated Number of Respondents: The Circular may be viewed and
33,085. the Treasury Department Circular 570;
2004 Revision, published July 1, 2004, downloaded through the Internet at
Estimated Burden Hours Respondent: at 69 FR 40224. http://www.fms.treas.gov/c570. A hard
5 minutes. copy may be purchased from the
FOR FURTHER INFORMATION CONTACT: Government Printing Office (GPO)
Frequency of Response: On occasion. Surety Bond Branch at (202) 874–7102. Subscription Service, Washington, DC,
Estimated Total Reporting Burden: SUPPLEMENTARY INFORMATION: A telephone (202) 512–1800. When
2,757 hours. Certificate of Authority as an acceptable ordering the Circular from GPO, use the
Clearance Officer: Glenn P. Kirkland, surety on Federal bonds is hereby following stock number: 769–004–
(202) 622–3428, Internal Revenue issued to the following Company under 04926–1.
Service, Room 6516, 1111 Constitution 31 U.S.C. 9304 to 9308. Federal bond- Questions concerning this Notice may
Avenue, NW., Washington, DC 20224. approving officers should annotate their be directed to the U.S. Department of
reference copies of the Treasury Circular the Treasury, Financial Management
OMB Reviewer: Alexander T. Hunt,
570, 2004 Revision, on page 40254 to Service, Financial Accounting and
(202) 395–7316, Office of Management
reflect this addition: Services Division, Surety Bond Branch,
and Budget, Room 10235, New
Sagamore Insurance Company (NAIC
3700 East-West Highway, Room 6F07,
Executive Office Building, Washington, Hyattsville, MD 20782.
DC 20503. #40460). BUSINESS ADDRESS: 1099 North
Meridian Street, Indianapolis, IN 46204. Dated: May 20, 2005.
Lois K. Holland, PHONE: (317) 636–9800 X–307. Vivian L. Cooper,
Treasury PRA Clearance Officer. UNDERWRITING LIMITATION b/:
Director, Financial Accounting and Services
$8,897,000. SURETY LICENSES c/: AL, AK,
[FR Doc. 05–10559 Filed 5–25–05; 8:45 am] Division, Financial Management Service.
AZ, CO, CT, DE, GA, HI, ID, IL, IN, IA, KS,
BILLING CODE 4830–01–P KY, ME, MD, MA, MN, MS, MO, MT, NE, [FR Doc. 05–10578 Filed 5–25–05; 8:45 am]
NM, NY, NC, OH, OR, PA, RI, SC, SD, TN, BILLING CODE 4810–35–M

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