AFFIDAVIT OF INDIVIDUAL SURETY ON BOND

ICR 198711-1545-014

OMB: 1545-1017

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
170744
Migrated
ICR Details
1545-1017 198711-1545-014
Historical Active 198708-1545-010
TREAS/IRS
AFFIDAVIT OF INDIVIDUAL SURETY ON BOND
No material or nonsubstantive change to a currently approved collection   No
Emergency 11/03/1987
Approved with change 11/03/1987
Retrieve Notice of Action (NOA) 11/03/1987
  Inventory as of this Action Requested Previously Approved
08/31/1990 08/31/1990 08/31/1990
25 0 25
27 0 25
0 0 0

FORM IS REQUIRED UNDER REGULATIONS SECTION 301.7101-1(B)(3)(V) TO PROVIDE INFORMATION ON THE ADEQUACY OF SECURITY OF INDIVIDUAL SURETY GIVEN WHEN POSTING A BOND. THIS FORM IS ATTACHED TO FORM 928, GASOLINE BOND.

None
None


No

1
IC Title Form No. Form Name
AFFIDAVIT OF INDIVIDUAL SURETY ON BOND

  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 25 25 0 0 0 0
Annual Time Burden (Hours) 27 25 0 2 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
11/03/1987


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