Information Collection

Application for Refund of Purchase Price of United States Savings Bonds for Organizations

IC 16699 under ICR 200904-1535-009 · OMB 1535-0136.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1535-0136 can be found here:

Documents and Forms

Document Name Document Type
Form PD F 5410 Application for Refund of Purchase Price of United States Savings Bonds for Organizations Form and Instruction
PD F 5410 Application For Refund Of Purchase Price Of United State PD F 5410.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Refund of Purchase Price of United States Savings Bonds for Organizations	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 315.84

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	PD F 5410	Application For Refund Of Purchase Price Of United States Savings Bonds For Organizations	PD F 5410.pdf		No		Paper Only

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	300	300
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.