APPLICATION FOR DISPOSITION OF UNITED STATES REGISTERED SECURITIES AND RELATED CHECKS WITHOUT ADMINISTRATION OF DECEASED OWNER'S ESTATE

ICR 199408-1535-004

OMB: 1535-0058

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1535-0058 199408-1535-004
Historical Active 199108-1535-003
TREAS/BPD
APPLICATION FOR DISPOSITION OF UNITED STATES REGISTERED SECURITIES AND RELATED CHECKS WITHOUT ADMINISTRATION OF DECEASED OWNER'S ESTATE
Extension without change of a currently approved collection   No
Regular
Approved without change 11/15/1994
Retrieve Notice of Action (NOA) 08/29/1994
You may omit printing the expiration date on this form.
  Inventory as of this Action Requested Previously Approved
11/30/1997 11/30/1997 11/30/1994
625 0 625
938 0 938
0 0 0

THE FORM LESSENS THE PAPERWORK NECESSARY TO APPLY FOR THE DISPOSITION OF U.S. REGISTERED SECURITIES AND INTEREST DUE THEREON IN ACCORDANCE WITH STATE LAW FOR A DECEDENT'S ESTATE WHICH IS NOT BEING ADMINISTERED BY A COURT APPOINTED REPRESENTATIVE.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR DISPOSITION OF UNITED STATES REGISTERED SECURITIES AND RELATED CHECKS WITHOUT ADMINISTRATION OF DECEASED OWNER'S ESTATE PD F 1646

  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 625 625 0 0 0 0
Annual Time Burden (Hours) 938 938 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.
08/29/1994


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