You may omit
printing the expiration date on this form.
Inventory as of this Action
Requested
Previously Approved
07/31/1998
07/31/1998
06/30/1995
250
0
0
63
0
63
0
0
0
THIS FORM IS PREPARED WHEN A DEPOSITOR
HAS LOST, DESTROYED, OR MISPLACED HIS POSTAL SAVINGS CERTIFICATES.
THE FORM, PROPERLY COMPLETED AND SIGNED REPLACES UNAVAILABLE
CERTIFICATES TO SUPPORT APPLICATION FOR PAYMENT. IF ORIGINAL
CERTIFICATES SHOW UP, DOCUMENT PREVENTS PAYMENTS FROM BEING
MADE.
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.