Information Collection

Request for payment or reissue of U.S. Savings Bonds deposited in Safekeeping

IC 16558 under ICR 200608-1535-001 · OMB 1535-0063.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1535-0063 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PD-F-4239 Request for payment or reissue of U.S. Savings Bonds deposited in Safekeeping	Form
PD-F-4239 Request by owner to payment or reissue of U.S. Savings B PDF4239.pdf	Form

IC Title:

Request for payment or reissue of U.S. Savings Bonds deposited in Safekeeping

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	PD-F-4239	Request by owner to payment or reissue of U.S. Savings Bonds in safekeeping	PDF4239.pdf		No		Fillable Printable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	200	0	-300	500
Annual IC Time Burden (Hours)	34	-50	0	84
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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