APPLICATION FOR DISPOSITON OF SAVINGS
BONDS OR RELATED CHECKS, NOT EXCEEDING $1,000 OWNED BY A DECEDENT
WHOSE ESTATE IS BEING SETTLED WITHOUT ADMINISTRATION. SAVINGS BONDS
OF A DECEASED OWNER MAY BE PAID OR REISSUED TO PERSON(S) LEGALLY
ENTITLED IF NO REPRESENTATIVE OF THE DECEDENT'S ESTATE HAS BEEN
NAMED UPON PROPER COMPLETION OF THIS FORM.
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.