Owner's Affidavit of Partial Destruction of Mutilated Currency

Owner's Affidavit of Partial Destruction of Mutilated Currency

OMB: 1520-0001

IC ID: 16457

Information Collection (IC) Details

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Owner's Affidavit of Partial Destruction of Mutilated Currency
 
No Modified
 
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 Owner's Affadavit of Partial Destruction of Mutilated Currency BEP-5283.pdf No   Paper Only

General Government Central Fiscal Operations

 

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

Title Document Date Uploaded
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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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