Affidavit By Individual Surety

Affidavit by Individual Surety

OMB: 1535-0100

IC ID: 16619

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Affidavit By Individual Surety
 
No Unchanged
 
Required to Obtain or Retain Benefits
 
31 CFR 306

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction PD F 4094 Affidavit By Individual Surety PDF4094.pdf http://www.treasurydirect.gov/forms/sec4094.pdf Yes No Fillable Printable

General Government Central Fiscal Operations

 

500 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 500 0 0 0 0 500
Annual IC Time Burden (Hours) 460 0 0 0 0 460
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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