Certificate by Owner of United States Registered Securities Concerning Forged Requests for Payment or Assignments

ICR 200007-1535-003

OMB: 1535-0067

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1535-0067 200007-1535-003
Historical Active 199707-1535-001
TREAS/BPD
Certificate by Owner of United States Registered Securities Concerning Forged Requests for Payment or Assignments
Extension without change of a currently approved collection   No
Regular
Approved without change 10/02/2000
Retrieve Notice of Action (NOA) 07/26/2000
  Inventory as of this Action Requested Previously Approved
10/31/2003 10/31/2003 09/30/2000
3,000 0 3,000
750 0 750
0 0 0

Used by owners of United States Securities to certify that the signature was forged to request for payment or an assignment.

None
None


No

1
IC Title Form No. Form Name
Certificate by Owner of United States Registered Securities Concerning Forged Requests for Payment or Assignments PD-F-0974

  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 3,000 3,000 0 0 0 0
Annual Time Burden (Hours) 750 750 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
07/26/2000


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