SUPPLEMENTAL STATEMENT IN SUPPORT OF AN APPLICATION FOR RELIEF ON ACCOUNT OF LOSS, THEFT OR DESTRUCTION OF UNITED STATES SAVINGS AND RETIREMENT SECURITIES

ICR 198311-1535-002

OMB: 1535-0054

Federal Form Document

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Name
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No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1535-0054 198311-1535-002
Historical Active 198304-1535-014
TREAS/BPD
SUPPLEMENTAL STATEMENT IN SUPPORT OF AN APPLICATION FOR RELIEF ON ACCOUNT OF LOSS, THEFT OR DESTRUCTION OF UNITED STATES SAVINGS AND RETIREMENT SECURITIES
Revision of a currently approved collection   No
Regular
Approved without change 12/01/1983
Retrieve Notice of Action (NOA) 11/17/1983
THE APPROVAL OF THIS FORM THROUGH NOVEMBER 1986 IS CONDITIONAL. IT REQUIRES THAT THE OMB NUMBER AND THE NATURE OF THE COLLECTION IN ACCORDANCE WITH 5 CFR 1320.12 (D) AND 1320.18 (B) BE DISPLAYED ON THE FORM BY MARCH 31, 1984. THE EXISTING SUPPLY OF FORMS MAY BE USED BY ATTACHING A SHEET WITH THIS ADDITIONAL INFORMATION OR BY OTHER APPROPRIATE MEANS. THE OMB DESK OFFICER IS TO BE INFORMED BY JANUARY 15, 1984 OF STEPS TAKEN TO COMPLY WITH THIS REQUIREMENT.
  Inventory as of this Action Requested Previously Approved
11/30/1986 11/30/1986 01/31/1984
12,000 0 25,000
1,200 0 2,075
0 0 0

SUPPLEMENTAL STATEMENT BY BONDHOLDER IN SUPPORT OF AN APPLICATION FOR RELIEF ON ACCOUNT OF LOSS, THEFT, OR DESTRUCTION OF UNITED STATES SAVINGS BONDS AND RETIREMENT SECURITIES.

None
None


No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 12,000 25,000 0 -13,000 0 0
Annual Time Burden (Hours) 1,200 2,075 0 -875 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
11/17/1983


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