Information Collection

Request To Reissue United States Savings Bonds

IC 16517 under ICR 201004-1535-001 · OMB 1535-0023.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1535-0023 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PD F 4000 Request To Reissue United States Savings Bonds	Form and Instruction
PD F 4000 Request to reissue United States Savings Bonds sav4000.pdf	Form and Instruction

IC Title:

Request To Reissue United States Savings Bonds

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 4000	Request to reissue United States Savings Bonds	sav4000.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: 540,000

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	540,000	540,000
Annual IC Time Burden (Hours)	270,000	270,000
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.