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Owner's Affidavit Partial Destruction Of Mutilated Currency

IC 124693 under ICR 198107-1510-004 · OMB 1510-0017.

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OWNER'S AFFIDAVIT PARTIAL DESTRUCTION OF MUTILATED CURRENCY
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form TFS 5283 No No


    

1,080 0
   
Individuals or Households
 
   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 1,080 0 0 0 0 1,080
Annual IC Time Burden (Hours) 540 0 0 0 0 540
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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