Information Collection

Application For Relief On Account Of Loss, Theft Or Destruction Of United States Savings And Retirement Securities, Supplemental Statement In Support Of An ...

IC 127506 under ICR 199103-1535-002 · OMB 1535-0013.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	APPLICATION FOR RELIEF ON ACCOUNT OF LOSS, THEFT OR DESTRUCTION OF UNITED STATES SAVINGS AND RETIREMENT SECURITIES, SUPPLEMENTAL STATEMENT IN SUPPORT OF AN ...	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:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	PD F 1048-1	No	No
Form	PD F 2243	No	No
Form	PD F 1048	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 80,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	80,000	6,000	74,000
Annual IC Time Burden (Hours)	32,000	2,400	29,600
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.