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 127507 under ICR 199401-1535-001 · 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	No	No
Form	PD F 1048-1	No	No
Form	PD F 2243	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	Previously Approved
Annual Number of Responses for this IC	80,000	80,000
Annual IC Time Burden (Hours)	32,000	32,000
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.