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
ICR 199408-1535-001
OMB: 1535-0063
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1535-0063 can be found here:
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
Extension without change of a currently approved collection
YOU MAY OMIT
PRINTING THE EXPIRATION DATE IN THIS FORM.
Inventory as of this Action
Requested
Previously Approved
11/30/1997
11/30/1997
11/30/1994
500
0
500
84
0
84
0
0
0
USED BY OWNER OR PERSONS ENTITLED TO
REQUEST REISSUE OR PAYMENT OF U.S. SAVINGS BONDS/NOTES DEPOSITED IN
SAFEKEEPING WHEN ORIGINAL CUSTOD RECEIPTS ARE NOT
AVAILABLE.
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.