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

ICR 199102-1535-004

OMB: 1535-0033

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1535-0033 199102-1535-004
Historical Active 198802-1535-003
TREAS/BPD
REQUEST FOR REISSUE OF UNITED STATES RETIREMENT PLAN OR INDIVIDUAL RETIREMENT BONDS TO CHANGE BENEFICIARY OR REFLECT CHANGE OF NAME
Revision of a currently approved collection   No
Regular
Approved without change 05/14/1991
Retrieve Notice of Action (NOA) 02/27/1991
  Inventory as of this Action Requested Previously Approved
04/30/1994 04/30/1994 04/30/1991
50 0 150
17 0 51
0 0 0

USED BY BOND OWNER TO REQUEST REISSUE OF RETIREMENT SECURITIES TO CHAN BENEFICIARIES OR TO REFLECT A CHANGE IN NAME.

None
None


No

1
IC Title Form No. Form Name
REQUEST FOR REISSUE OF UNITED STATES RETIREMENT PLAN OR INDIVIDUAL RETIREMENT BONDS TO CHANGE BENEFICIARY OR REFLECT CHANGE OF NAME PD F 3564

  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 50 150 0 -100 0 0
Annual Time Burden (Hours) 17 51 0 -34 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$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.
02/27/1991


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