Information Collection

Request for payment or reissue of U.S. Savings Bonds deposited in Safekeeping

IC 16558 under ICR 200908-1535-002 · OMB 1535-0063.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1535-0063 can be found here:

Documents and Forms

Document Name Document Type
Form PD F 4239 Request for payment or reissue of U.S. Savings Bonds deposited in Safekeeping Form and Instruction
PD F 4239 Request By Owner Or Person Entitled To Payment Or Reissu PDF385.pdf www.treasurydirect.gov/forms/sav4239.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Request for payment or reissue of U.S. Savings Bonds deposited in Safekeeping	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 and Instruction	PD F 4239	Request By Owner Or Person Entitled To Payment Or Reissue Of United States Savings Bonds/Notes Deposited In Safekeeing When Original Custody Receipts Are Not Available	PDF385.pdf	http://www.treasurydirect.gov/forms/sav4239.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: 200	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	200	200
Annual IC Time Burden (Hours)	34	34
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.