SPECIAL FORM OF REQUEST FOR PAYMENT OF UNITED STATES AND RETIREMENT SECURITIES WHERE USE OF A DETACHED REQUEST IS AUTHORIZED

ICR 198409-1535-002

OMB: 1535-0004

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1535-0004 198409-1535-002
Historical Active 198309-1535-003
TREAS/BPD
SPECIAL FORM OF REQUEST FOR PAYMENT OF UNITED STATES AND RETIREMENT SECURITIES WHERE USE OF A DETACHED REQUEST IS AUTHORIZED
Revision of a currently approved collection   No
Regular
Approved without change 10/17/1984
Retrieve Notice of Action (NOA) 09/28/1984
  Inventory as of this Action Requested Previously Approved
10/31/1987 10/31/1987 09/30/1984
8,000 0 57,000
4,000 0 19,000
0 0 0

USED BY OWNERS OF SECURITIES TO REQUEST PAYMENT OF SAVINGS AND RETIREMENT BONDS.

None
None


No

1
IC Title Form No. Form Name
SPECIAL FORM OF REQUEST FOR PAYMENT OF UNITED STATES AND RETIREMENT SECURITIES WHERE USE OF A DETACHED REQUEST IS AUTHORIZED PD 1522

  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 8,000 57,000 0 0 -49,000 0
Annual Time Burden (Hours) 4,000 19,000 0 0 -15,000 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$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.
09/28/1984


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