Claim for Relief on Account of the Non-receipt of United States Savings Bonds

Forms and Documents

Document Name	Status
Form PD F 3062-4 Claim for Relief on Account of the Nonreceipt of United States Savings Bonds Form and Instruction	Modified
Supporting Statement_3062-4.docx Supporting Statement A	2012-09-28

IC Document Collections

IC ID	Document Title	Status
43849	Claim for Relief on Account of the Nonreceipt of United States Savings Bonds Form and Instruction	Modified

ICR Details

OMB Control No: 1530-0048	ICR Reference No: 201409-1530-012
Status: Historical Active	Previous ICR Reference No: 200907-1535-002
Agency/Subagency: TREAS/FISCAL	Agency Tracking No:
Title: Claim for Relief on Account of the Non-receipt of United States Savings Bonds
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/10/2014
	Date Received in OIRA: 09/10/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2016	36 Months From Approved
Responses	15,000	0	25,000
Time Burden (Hours)	2,505	0	4,175
Cost Burden (Dollars)	0	0	0

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Abstract: Application by owner to request a substitute savings bond or payment in lieu of bond not received.

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Authorizing Statute(s): US Code: 31 USC 31 Name of Law: null
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 38394	06/27/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 65053	10/24/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Claim for Relief on Account of the Nonreceipt of United States Savings Bonds	PD F 3062-4	Claim for United States Savings Bonds Not Received

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ICR Summary of Burden

	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	15,000	25,000	0	-10,000	0	0
Annual Time Burden (Hours)	2,505	4,175	0	-1,670	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Using Information Technology

Short Statement: The form is used to request a substitute savings bonds purchased in paper form. The sale of paper savings bonds ceased at the end of 2011 so a decline in the use of the form is anticipated. The reduction of 1,675 burden hours is a program change due to agency discretion for a total of 2,500 hours requested.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 10/29/2012

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