Report/Application for Relief on Account of Loss, Theft or Destruction of United States Securities (Organizations)

ICR 200007-1535-005

OMB: 1535-0015

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1535-0015 200007-1535-005
Historical Active 199708-1535-006
TREAS/BPD
Report/Application for Relief on Account of Loss, Theft or Destruction of United States Securities (Organizations)
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
100 0 100
92 0 92
0 0 0

Used to obtain relief for lost, stolen or destroyed bearer securities.

None
None


No

1
IC Title Form No. Form Name
Report/Application for Relief on Account of Loss, Theft or Destruction of United States Securities (Organizations) PD-F-1022

  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 100 100 0 0 0 0
Annual Time Burden (Hours) 92 92 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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