Claims Against the U.S. for
Amounts Due in Case of a Deceased Creditor
Extension without change of a currently approved collection
No
Regular
06/01/2022
Requested
Previously Approved
36 Months From Approved
06/30/2022
400
400
180
180
0
0
This form is required to determine who
is entitled to funds of a deceased Postal Savings depositor or
deceased award holder. The form properly completed with supporting
documents enables this office to decide who is legally entitled to
payment.
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.