You may omit
printing the expiration date on this form.
Inventory as of this Action
Requested
Previously Approved
01/31/1998
01/31/1998
01/31/1995
400
0
400
200
0
200
0
0
0
THE FORM SERVES AS AN APPLICATION BY
SURVIVORS FOR PAYMENT OF A BOND O CHECK ISSUED UNDER THE ARMED
FORCES LEAVE ACT OF 1946 TO VETERANS OF WORLD WAR II. THE VETERAN
WOULD HAVE DIED BEFORE HE OR SHE RECEIVED THE PROCEEDS.
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.