CLAIMS APPLICATION (BEARER/ORGANIZATION)

ICR 198406-1535-002

OMB: 1535-0015

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
169732 Migrated
ICR Details
1535-0015 198406-1535-002
Historical Active 198208-1535-003
TREAS/BPD
CLAIMS APPLICATION (BEARER/ORGANIZATION)
No material or nonsubstantive change to a currently approved collection   No
Emergency 06/30/1984
Approved with change 06/30/1984
Retrieve Notice of Action (NOA) 06/30/1984
  Inventory as of this Action Requested Previously Approved
05/31/1985 05/31/1985 05/31/1985
110 0 125
110 0 125
0 0 0

APPLICATION FOR RELIEF FOR LOST, STOLEN & DESTROYED US GOVERNMENT & AGENCY SECURITIES.

None
None


No

1
IC Title Form No. Form Name
CLAIMS APPLICATION (BEARER/ORGANIZATION) PD 1022

  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 110 125 0 -15 0 0
Annual Time Burden (Hours) 110 125 0 -15 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.
06/30/1984


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