APPLICATION FOR PAYMENT OF U.S. SAVINGS BONDS/NOTES AND/OR RELATED CHECKS IN AN AMOUNT NOT EXCEEDING $1000 BY THE SURVIVOR OF A DECEASED OWNER WHOSE ESTATE IS NOT BEING ADMINISTERED

ICR 199401-1535-004

OMB: 1535-0035

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1535-0035 199401-1535-004
Historical Active 199102-1535-002
TREAS/BPD
APPLICATION FOR PAYMENT OF U.S. SAVINGS BONDS/NOTES AND/OR RELATED CHECKS IN AN AMOUNT NOT EXCEEDING $1000 BY THE SURVIVOR OF A DECEASED OWNER WHOSE ESTATE IS NOT BEING ADMINISTERED
Extension without change of a currently approved collection   No
Regular
Approved without change 04/01/1994
Retrieve Notice of Action (NOA) 01/27/1994
You may omit printing the expiration date on this form.
  Inventory as of this Action Requested Previously Approved
04/30/1997 04/30/1997 04/30/1994
3,965 0 3,965
991 0 991
0 0 0

USED BY SURVIVORS OF DECEASED BOND OWNERS TO APPLY FOR PROCEEDS FROM BONDS OR RELATED CHECKS.

None
None


No

  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 3,965 3,965 0 0 0 0
Annual Time Burden (Hours) 991 991 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$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.
01/27/1994


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