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

ICR 200510-1520-001

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 200510-1520-001
Historical Active 200211-1520-001
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 01/03/2006
Retrieve Notice of Action (NOA) 10/25/2005
  Inventory as of this Action Requested Previously Approved
01/31/2009 01/31/2009 01/31/2006
120 0 180
110 0 165
0 0 0

The Office of Currency Standards, Bur. of Eng. & Printing uses BEP 5287 to determine ownership in cases of a deceased owner 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 BEP-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 120 180 0 0 -60 0
Annual Time Burden (Hours) 110 165 0 0 -55 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.
10/25/2005


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