Information Collection

Request For Owner Or Person Entitled To Payment Or Reissue Of U.s. Savings Bonds/notes Deposited In Safekeeping When Original Custody Receipts Are Not Available

IC 127685 under ICR 199108-1535-012 · OMB 1535-0063.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	REQUEST FOR OWNER OR PERSON ENTITLED TO PAYMENT OR REISSUE OF U.S. SAVINGS BONDS/NOTES DEPOSITED IN SAFEKEEPING WHEN ORIGINAL CUSTODY RECEIPTS ARE NOT AVAILABLE	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.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	PD F 4239				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	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
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	84	84
Annual IC Cost Burden (Dollars)	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.