CLAIM FOR INSURANCE AND ASSIGNMENT OF INSURED ACCOUNT

ICR 198104-3068-014

OMB: 3068-0027

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
152492 Migrated
ICR Details
3068-0027 198104-3068-014
Historical Active
FHLBB
CLAIM FOR INSURANCE AND ASSIGNMENT OF INSURED ACCOUNT
Revision of a currently approved collection   No
Regular
Approved without change 04/30/1981
Retrieve Notice of Action (NOA) 04/30/1981
  Inventory as of this Action Requested Previously Approved
12/31/1981 12/31/1981
25,000 0 0
3,280 0 0
0 0 0

IN THE EVENT OF A PAYOUT, SAVERS MUST FILE THESE FORMS TO CLAIM THEIR FUNDS UNDER INSURED ACCOUNTS OF THE DEFAULTED INSTITUTION. THIS PROCESS HAS NOT BEEN USED SINCE THE LAST PAYOUT IN 1971.

None
None


No

1
IC Title Form No. Form Name
CLAIM FOR INSURANCE AND ASSIGNMENT OF INSURED ACCOUNT FHLBB681, FHLBB683, FHLBB844, FHLBB927, FHLBB927A, FHLBB680, FHLBB13L

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 25,000 0 0 0 25,000 0
Annual Time Burden (Hours) 3,280 0 0 0 3,280 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/30/1981


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