"OWNER'S AFFIDAVIT OF PARTIAL DESTRUCTION OF MUTILATED CURRENCY"

ICR 198903-1520-001

OMB: 1520-0001

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1520-0001 198903-1520-001
Historical Active 198702-1520-002
TREAS/BEP
"OWNER'S AFFIDAVIT OF PARTIAL DESTRUCTION OF MUTILATED CURRENCY"
No material or nonsubstantive change to a currently approved collection   No
Emergency 03/31/1989
Approved with change 03/31/1989
Retrieve Notice of Action (NOA) 03/31/1989
  Inventory as of this Action Requested Previously Approved
02/28/1990 02/28/1990 02/28/1990
300 0 300
180 0 180
0 0 0

OFFICE OF CURRENCY STANDARDS, BUREAU OF ENGRAVING AND PRINTING, REQUESTS OWNERS OF PARTIALLY DESTROYED U.S. CURRENCY TO COMPLETE NOTERIZED AFFIDAVIT (FORM BEP 5283) FOR EACH CLAIM SUBMITTED WHEN SUBSTANTIAL PORTIONS OF NOTES ARE MISSING.

None
None


No

1
IC Title Form No. Form Name
"OWNER'S AFFIDAVIT OF PARTIAL DESTRUCTION OF MUTILATED CURRENCY" BEP 5283

  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 300 300 0 0 0 0
Annual Time Burden (Hours) 180 180 0 0 0 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.
03/31/1989


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