Information Collection

Application By Preferred Creditor For Disposition Without Administration Where Deceased Owner's Estate Includes United States Savings Bonds/notes And/or Related Checks

IC 127618 under ICR 199412-1535-001 · OMB 1535-0042.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1535-0042 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	APPLICATION BY PREFERRED CREDITOR FOR DISPOSITION WITHOUT ADMINISTRATION WHERE DECEASED OWNER'S ESTATE INCLUDES UNITED STATES SAVINGS BONDS/NOTES AND/OR RELATED CHECKS	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.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	PD/F				No	No
Form	2216				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5,000	5,000	0
Annual IC Time Burden (Hours)	835	0	835
Annual IC Cost Burden (Dollars)	0	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.