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Application for disposition of Retirement Plan/Individual Retirement Bonds Without Admin. of Deceased Owners Estate
Application for disposition of Retirement Plan/Individual Retirement Bonds Without Admin. of Deceased Owners Estate
OMB: 1530-0032
IC ID: 16523
OMB.report
TREAS/FISCAL
OMB 1530-0032
ICR 201510-1530-001
IC 16523
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1530-0032 can be found here:
2022-08-31 - Extension without change of a currently approved collection
2019-02-22 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form FS Form 3565
Application for disposition of Retirement Plan/Individual Retirement Bonds Without Admin. of Deceased Owners Estate
Form and Instruction
FS Form 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
FS Form 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
Federal Enterprise Architecture Business Reference Module
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
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
350
0
0
0
0
350
Annual IC Time Burden (Hours)
117
0
0
0
0
117
Annual IC Cost Burden (Dollars)
0
0
0
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.