Claim for Amounts Due in the Case of Deceased Owner of Mutilated Currency

ICR 200211-1520-001

OMB: 1520-0002

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1520-0002 200211-1520-001
Historical Active 199910-1520-001
TREAS/BEP
Claim for Amounts Due in the Case of Deceased Owner of Mutilated Currency
Extension without change of a currently approved collection   No
Regular
Approved without change 12/24/2002
Retrieve Notice of Action (NOA) 11/08/2002
  Inventory as of this Action Requested Previously Approved
01/31/2006 01/31/2006 12/31/2002
180 0 180
165 0 165
0 0 0

BEP 5287 is used when Treasury is required to determine owner- ship in cases of a deceased owner of damaged or mutilated currency.

None
None


No

1
IC Title Form No. Form Name
Claim for Amounts Due in the Case of Deceased Owner of Mutilated Currency 5287

  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 180 180 0 0 0 0
Annual Time Burden (Hours) 165 165 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.
11/08/2002


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