Claims Against the U.S. for Amounts Due in Case of a Deceased Creditor

ICR 202204-1530-001

OMB: 1530-0004

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Unchanged
Supporting Statement A
2022-04-28
Supplementary Document
2012-10-02
IC Document Collections
ICR Details
1530-0004 202204-1530-001
Received in OIRA 201812-1530-004
TREAS/FISCAL
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.

PL: Pub.L. 92 - 117 85 Stat. 337
  
None

Not associated with rulemaking

  87 FR 7242 02/08/2022
87 FR 32507 05/31/2022
No

  Total Request 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 400 400 0 0 0 0
Annual Time Burden (Hours) 180 180 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$17,349
No
    Yes
    Yes
No
No
No
No
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.
05/31/2022


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