Claim for lost, stolen or destroyed United States registered Securities

ICR 201207-1535-003

OMB: 1535-0014

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Unchanged
Supporting Statement A
2012-07-27
IC Document Collections
ICR Details
1535-0014 201207-1535-003
Historical Active 200907-1535-005
TREAS/BPD
Claim for lost, stolen or destroyed United States registered Securities
Extension without change of a currently approved collection   No
Regular
Approved without change 11/01/2012
Retrieve Notice of Action (NOA) 09/13/2012
  Inventory as of this Action Requested Previously Approved
11/30/2015 36 Months From Approved 10/31/2012
500 0 500
460 0 460
0 0 0

The information is requested to establish ownership and support a request for relief due to the loss, theft, or destruction of United States Registered Securities.

US Code: 31 USC 31 Name of Law: null
  
None

Not associated with rulemaking

  77 FR 32178 05/31/2012
77 FR 56709 09/13/2012
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 500 500 0 0 0 0
Annual Time Burden (Hours) 460 460 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$1,275
No
No
No
No
No
Uncollected
Bruce Sharp 304 480-8112 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/13/2012


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