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

Documents and forms in this information collection
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

IC Title:

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:

table that charts list of 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 %

table that charts list of burden
	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

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.