APPLICATION FOR DISPOSITION -- UNITED STATES SAVINGS BONDS, NOTES, AND/OR RELATED CHECKS OWNED BY DECEDENT WHOSE ESTATE IS BEING SETTLED WITHOUT ADMINISTRATION
ICR 199207-1535-001
OMB: 1535-0065
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APPLICATION FOR DISPOSITION
-- UNITED STATES SAVINGS BONDS, NOTES, AND/OR RELATED CHECKS OWNED
BY DECEDENT WHOSE ESTATE IS BEING SETTLED WITHOUT
ADMINISTRATION
Extension without change of a currently approved collection
You may omit
printing the expiration date on this form. Also, you may continue
to use previous versions of this form.
Inventory as of this Action
Requested
Previously Approved
10/31/1995
10/31/1995
10/31/1992
1,500
0
1,500
875
0
875
0
0
0
USED BY PERSON(S) ENTITLED TO A
DECEDENT'S ESTATE NOT BEING ADMINISTER TO REQUEST DISPOSITION OF
UNITED STATES SAVINGS BONDS, NOTES, AND/OR RELATED CHECKS.
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.