Claim For Insurance And Assignment Of Insured Account

CLAIM FOR INSURANCE AND ASSIGNMENT OF INSURED ACCOUNT

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3068-0027 can be found here:

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

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: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	FHLBB 681,	No	No
Form	683, 844,	No	No
Form	13L, 927	No	No
Form	& 927A	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,280	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,280	-21,720	25,000
Annual IC Time Burden (Hours)	3,280	0	3,280
Annual IC Cost Burden (Dollars)	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.