Report/Application for Relief on Account of Loss, Theft, or Destruction of U.S. Bearer Securities (Individuals)

ICR 201511-1530-005

OMB: 1530-0033

Federal Form Document

Forms and Documents
ICR Details
1530-0033 201511-1530-005
Historical Active 201407-1530-035
TREAS/FISCAL
Report/Application for Relief on Account of Loss, Theft, or Destruction of U.S. Bearer Securities (Individuals)
Extension without change of a currently approved collection   No
Regular
Approved without change 02/17/2016
Retrieve Notice of Action (NOA) 11/30/2015
  Inventory as of this Action Requested Previously Approved
02/28/2019 36 Months From Approved 02/29/2016
100 0 100
92 0 92
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 Bearer Securities owned by individuals.

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

Not associated with rulemaking

  80 FR 35330 09/28/2015
80 FR 74222 11/27/2015
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 100 100 0 0 0 0
Annual Time Burden (Hours) 92 92 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$655
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.
11/30/2015


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