Information Collection

Application for disposition of Retirement Plan/Individual Retirement Bonds Without Admin. of Deceased Owners Estate

IC 16523 under ICR 201205-1535-002 · OMB 1535-0032.

Documents and Forms

Document Name Document Type
Form PD F 3565 Application for disposition of Retirement Plan/Individual Retirement Bonds Without Admin. of Deceased Owners Estate Form and Instruction
PD F 3565 Application For Disposition Of Retirement Plan And/Or In sav3565.pdf www.treasurydirect.gov/forms/sav3565.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for disposition of Retirement Plan/Individual Retirement Bonds Without Admin. of Deceased Owners Estate	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 346.9

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 3565	Application For Disposition Of Retirement Plan And/Or Individual Retirement Bonds Without Administration Of Deceased Owner's Estate	sav3565.pdf	http://www.treasurydirect.gov/forms/sav3565.pdf	Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 350	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	350	300	50
Annual IC Time Burden (Hours)	117	100	17
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.