OMB
.report
Search
Claim For Insurance And Assignment Of Insured Account
CLAIM FOR INSURANCE AND ASSIGNMENT OF INSURED ACCOUNT
OMB: 3068-0027
IC ID: 152492
OMB.report
FHLBB
OMB 3068-0027
ICR 198104-3068-014
IC 152492
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3068-0027 can be found here:
1984-09-04 - Revision of a currently approved collection
1982-05-05 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
CLAIM FOR INSURANCE AND ASSIGNMENT OF INSURED ACCOUNT
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
FHLBB681
No
No
Form
FHLBB683
No
No
Form
FHLBB844
No
No
Form
FHLBB927
No
No
Form
FHLBB927A
No
No
Form
FHLBB680
No
No
Form
FHLBB13L
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
25,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
25,000
0
0
25,000
0
0
Annual IC Time Burden (Hours)
3,280
0
0
3,280
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.