APPLICATION FOR DISPOSITION OF RETIREMENT PLAN AND/OR INDIVIDUAL RETIREMENT BONDS WITHOUT ADMINISTRATION OF DECEASED OWNER'S ESTATE

ICR 198501-1535-004

OMB: 1535-0032

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1535-0032 198501-1535-004
Historical Active 198409-1535-013
TREAS/BPD
APPLICATION FOR DISPOSITION OF RETIREMENT PLAN AND/OR INDIVIDUAL RETIREMENT BONDS WITHOUT ADMINISTRATION OF DECEASED OWNER'S ESTATE
Revision of a currently approved collection   No
Regular
Approved without change 02/05/1985
Retrieve Notice of Action (NOA) 01/14/1985
  Inventory as of this Action Requested Previously Approved
02/28/1988 02/28/1988 01/31/1985
200 0 1,000
100 0 500
0 0 0

USED BY HEIRS OF BOND OWNERS TO APPLY FOR DISPOSITION OF RETIREMENT TYPE SECURITIES WHEN THE OWNERS ARE DECEASED AND ARE NOT SURVIVED BY BENEFICIARIES DESIGNATED ON THE BONDS.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR DISPOSITION OF RETIREMENT PLAN AND/OR INDIVIDUAL RETIREMENT BONDS WITHOUT ADMINISTRATION OF DECEASED OWNER'S ESTATE PD 3565

  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 200 1,000 0 0 -800 0
Annual Time Burden (Hours) 100 500 0 0 -400 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.
01/14/1985


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