Information Collection

Request For Reissue Of United States Retirement Plan Or Individual Retirement Bonds To Change Beneficiary Or Reflect Change Of Name

IC 127589 under ICR 198802-1535-003 · OMB 1535-0033.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1535-0033 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

REQUEST FOR REISSUE OF UNITED STATES RETIREMENT PLAN OR INDIVIDUAL RETIREMENT BONDS TO CHANGE BENEFICIARY OR REFLECT CHANGE OF NAME

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	PD 3564				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	51	51
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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