Information Collection

Application For Relief On Account Of Loss, Theft Destruction, Mutilation Or Non-receipt Of United States Savings And Retirement Securities

IC 169730 under ICR 198309-1535-005 · OMB 1535-0013.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	APPLICATION FOR RELIEF ON ACCOUNT OF LOSS, THEFT DESTRUCTION, MUTILATION OR NON-RECEIPT OF UNITED STATES SAVINGS AND RETIREMENT SECURITIES	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	PD 1048				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 45,500	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	41,000	-4,500	45,500
Annual IC Time Burden (Hours)	16,400	-1,800	18,200
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.