Information Collection

Claim For Lost, Stolen or Destroyed U.S. Savings Bonds and Supplemental Statement For U.S. Securities

IC 16505 under ICR 200903-1535-002 · OMB 1535-0013.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1535-0013 can be found here:

Documents and Forms

Document Name Document Type
Form PD-F-1048 Claim For Lost, Stolen or Destroyed U.S. Savings Bonds and Supplemental Statement For U.S. Securities Form
PD-F-1048 Claim for Lost, Stolen, or Destroyed United States Savin sav1048.pdf www.treasurydirect.gov/forms/sav1048.pdf Form
PD-F-2243 Supplemental Statement for United States Securities sav2243.pdf www.treasurydirect.gov/forms/sav2243.pdf Form
1048.stm.pdf Supporting Statement IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Claim For Lost, Stolen or Destroyed U.S. Savings Bonds and Supplemental Statement For U.S. Securities	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 31 CFR 315.25

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	PD-F-1048	Claim for Lost, Stolen, or Destroyed United States Savings Bonds	sav1048.pdf	http://www.treasurydirect.gov/forms/sav1048.pdf	Yes	No	Fillable Printable
Form	PD-F-2243	Supplemental Statement for United States Securities	sav2243.pdf	http://www.treasurydirect.gov/forms/sav2243.pdf	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 80,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	80,000	80,000
Annual IC Time Burden (Hours)	26,400	26,400
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement	1048.stm.pdf	03/03/2009

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