Special Form of Request for Payment of U.S. Savings and Retirement Sec. Where Use of a Detached Request is Authorized

Special Form of Request for Payment of U.S. Savings and Retirement Sec. Where Use of a Detached Request is Authorized

OMB: 1535-0004

IC ID: 16484

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Special Form of Request for Payment of U.S. Savings and Retirement Sec. Where Use of a Detached Request is Authorized
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form PD-F-1522 No No


    

56,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 56,000 0 0 0 0 56,000
Annual IC Time Burden (Hours) 14,000 0 0 0 0 14,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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