THE APPROVAL OF
THIS SUBMISSION THROUGH JANUARY 1987 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.
Inventory as of this Action
Requested
Previously Approved
01/31/1987
01/31/1987
01/31/1984
625
0
625
938
0
938
0
0
0
THE FORM LESSENS THE PAPERWORK
NECESSARY TO APPLY FOR THE DISPOSITION OF TREASURY SECURITIES AND
INTEREST CHECKS ISSUED THEREON, IN ACCORDANCE WITH STATE LAW, FOR A
DECENDENT'S ESTATE, WHICH IS NOT BEING ADMINISTERED BY A COURT
APPOINTED PERSONAL REPRESENTATIVE.
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.