Owner's Affidavit of Partial Destruction of Mutilated Currency

Owner's Affidavit of Partial Destruction of Mutilated Currency

OMB: 1520-0001

IC ID: 16457

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Owner's Affidavit of Partial Destruction of Mutilated Currency
 
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 BEP-5283 No No


    

150 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 150 0 0 -150 0 300
Annual IC Time Burden (Hours) 90 0 0 -90 0 180
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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