Information Collection

Claims Against the U.S. for Amounts Due in Case of a Deceased Creditor

IC 15402 under ICR 200904-1510-001 · OMB 1510-0042.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1510-0042 can be found here:

Documents and Forms

Document Name Document Type
Form SF-1055 Claims Against the U.S. for Amounts Due in Case of a Deceased Creditor Form
SF-1055 Claim Against the United States forAmounts Due in the ca SF-1055 Form.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Claims Against the U.S. for Amounts Due in Case of a Deceased Creditor	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SF-1055	Claim Against the United States forAmounts Due in the case of a Deceased Creditor	SF-1055 Form.pdf		No		Printable Only

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 400	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	400	400
Annual IC Time Burden (Hours)	180	180
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.