Information Collection

Claim For Insurance And Assignment Of Insured Account

IC 175862 under ICR 198205-3068-005 · OMB 3068-0027.

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Documents and Forms

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Information Collection (IC) Details

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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	Previously Approved
Annual Number of Responses for this IC	3,280	3,280
Annual IC Time Burden (Hours)	3,280	3,280
Annual IC Cost Burden (Dollars)	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.