Information Collection

Claim For Insurance And Assignment Of Insured Account

IC 152494 under ICR 198409-3068-003 · OMB 3068-0027.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

CLAIM FOR INSURANCE AND ASSIGNMENT OF INSURED ACCOUNT

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	927	No	No
Form	844	No	No
Form	FHLBB 683	No	No
Form	927-A	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,280

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	3,280	3,280
Annual IC Time Burden (Hours)	3,280	3,280
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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