Information Collection

Claim For Lost, Stolen or Destroyed U.S. Savings Bonds and Supplemental Statement For U.S. Securities

IC 16505 under ICR 201204-1535-004 · OMB 1535-0013.

Documents and Forms

Document Name Document Type
Form PD-F-2243 Claim For Lost, Stolen or Destroyed U.S. Savings Bonds and Supplemental Statement For U.S. Securities Form
PD-F-2243 Supplemental Statement for United States Securities sav2243.pdf www.treasurydirect.gov/forms/sav2243.pdf Form
PD F 1048 Claim For Lost, Stolen, or Destroyed United States Savin sav1048.pdf www.treasurydirect.gov/forms/sav1048.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Claim For Lost, Stolen or Destroyed U.S. Savings Bonds and Supplemental Statement For U.S. 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: 31 CFR 315.25

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	PD-F-2243	Supplemental Statement for United States Securities	sav2243.pdf	http://www.treasurydirect.gov/forms/sav2243.pdf	Yes	No	Fillable Printable
Form and Instruction	PD F 1048	Claim For Lost, Stolen, or Destroyed United States Savings Bonds	sav1048.pdf	http://www.treasurydirect.gov/forms/sav1048.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: 72,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	72,000	-8,000	80,000
Annual IC Time Burden (Hours)	24,000	-2,400	26,400
Annual IC Cost Burden (Dollars)	0	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.