Information Collection

Supporting Statement of Ownership for Overdue United States Bearer Securities

IC 16625 under ICR 201906-1530-002 · OMB 1530-0045.

Documents and Forms

Document Name Document Type
Form FS Form 1071 Supporting Statement of Ownership for Overdue United States Bearer Securities Form and Instruction
FS Form 1071 Supporting Statement Of Ownership For Overdue United Sta sec1071.pdf www.treasurydirect.gov/forms/sec1071.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Supporting Statement of Ownership for Overdue United States Bearer Securities	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 306.25

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 1071	Supporting Statement Of Ownership For Overdue United States Bearer Securities	sec1071.pdf	http://www.treasurydirect.gov/forms/sec1071.pdf	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10	-190	200
Annual IC Time Burden (Hours)	3	-47	50
Annual IC Cost Burden (Dollars)	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.