Information Collection

Claim for lost, stolen or destroyed United States registered Securities

IC 43844 under ICR 200907-1535-005 · OMB 1535-0014.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1535-0014 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PD F 1025 E Claim for lost, stolen or destroyed United States registered Securities	Form and Instruction
PD F 1025 E Claim For Lost, Stolen, Or Destryoed United States Regis PD F 1025 E.pdf www.treasurydirect.gov/forms/sav1025.pdf	Form and Instruction

IC Title:

Claim for lost, stolen or destroyed United States registered 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:

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 and Instruction	PD F 1025 E	Claim For Lost, Stolen, Or Destryoed United States Registered Securities	PD F 1025 E.pdf	http://www.treasurydirect.gov/forms/sav1025.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: 500

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	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	460	460
Annual IC Cost Burden (Dollars)	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.