Application of Undertaker for Payment of Funeral Expenses from Funds to the Credit of a Deceased Depositor

ICR 199704-1510-001

OMB: 1510-0033

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1510-0033 199704-1510-001
Historical Active 199403-1510-001
TREAS/FMS
Application of Undertaker for Payment of Funeral Expenses from Funds to the Credit of a Deceased Depositor
Extension without change of a currently approved collection   No
Regular
Approved without change 05/22/1997
Retrieve Notice of Action (NOA) 04/11/1997
  Inventory as of this Action Requested Previously Approved
07/31/2000 07/31/2000 05/31/1997
15 0 25
8 0 13
0 0 0

This form is used by the undertaker to apply for payment of a postal savings account of a deceased depositor to apply for funeral expenses. This form is supported by a certificate from a relative (POD 1690) and an itemized funeral bill. Payment is made to the funeral home.

None
None


No

1
IC Title Form No. Form Name
Application of Undertaker for Payment of Funeral Expenses from Funds to the Credit of a Deceased Depositor POD-FORM-1672

  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 15 25 0 -10 0 0
Annual Time Burden (Hours) 8 13 0 -5 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$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.
04/11/1997


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