Certificate as to Securities

ICR 199911-2900-006

OMB: 2900-0107

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
28290 Migrated
ICR Details
2900-0107 199911-2900-006
Historical Active 199508-2900-023
VA
Certificate as to Securities
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 12/30/1999
Retrieve Notice of Action (NOA) 11/03/1999
  Inventory as of this Action Requested Previously Approved
12/31/2002 12/31/2002
4,316 0 0
863 0 0
0 0 0

The form is used by VA's Fiduciary Program to verify the existence of savings bonds or other securities listed as assets on accountings required by State and/or Federal law or regulation.

None
None


No

1
IC Title Form No. Form Name
Certificate as to Securities 21-4709

  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 4,316 0 0 4,316 0 0
Annual Time Burden (Hours) 863 0 0 863 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
11/03/1999


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