CERTIFICATE OF ENTITLEMENT TO U.S. REGISTERED SECURITIES AND CHECKS NOT EXCEEDING $500 AFTER ADMINISTRATION OF DECEASED OWNER'S ESTATE

ICR 198412-1535-003

OMB: 1535-0040

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1535-0040 198412-1535-003
Historical Active 198304-1535-029
TREAS/BPD
CERTIFICATE OF ENTITLEMENT TO U.S. REGISTERED SECURITIES AND CHECKS NOT EXCEEDING $500 AFTER ADMINISTRATION OF DECEASED OWNER'S ESTATE
Revision of a currently approved collection   No
Regular
Approved without change 02/01/1985
Retrieve Notice of Action (NOA) 12/23/1984
  Inventory as of this Action Requested Previously Approved
01/31/1988 01/31/1988 01/31/1985
80 0 300
80 0 450
0 0 0

THIS FORM IS USED FOR COLLECTING PAYMENT OF $500.00 OR LESS AFTER AN ESTATE HAS BEEN ADMINISTERED.

None
None


No

1
IC Title Form No. Form Name
CERTIFICATE OF ENTITLEMENT TO U.S. REGISTERED SECURITIES AND CHECKS NOT EXCEEDING $500 AFTER ADMINISTRATION OF DECEASED OWNER'S ESTATE PD 2458-1

  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 80 300 0 0 -220 0
Annual Time Burden (Hours) 80 450 0 0 -370 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.
12/23/1984


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