Information Collection

Supporting Statement of Ownership for Overdue United States Bearer Securities

IC 16625 under ICR 201205-1535-001 · OMB 1535-0102.

Documents and Forms

Document Name Document Type
Form PD F 1071 Supporting Statement of Ownership for Overdue United States Bearer Securities Form and Instruction
PD F 1071 Supporting Statement Of Ownership For Overdue United Sta sec1071.pdf www.treasurydirect.gov/forms/sec1071.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Supporting Statement of Ownership for Overdue United States Bearer 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 306.25

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 1071	Supporting Statement Of Ownership For Overdue United States Bearer Securities	sec1071.pdf	http://www.treasurydirect.gov/forms/sec1071.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: 900	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	900	-100	1,000
Annual IC Time Burden (Hours)	225	-25	250
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.