Information Collection

Application for disposition of Retirement Plan/Individual Retirement Bonds Without Admin. of Deceased Owners Estate

IC 16523 under ICR 202207-1530-002 · OMB 1530-0032.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1530-0032 can be found here:

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
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 Ownerâs Estate	sav3565.pdf	http://www.treasurydirect.gov/forms/sav3565.pdf	Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title: Treasury/Fiscal Service .014âUnited States Securities and Access	FR Citation: 85 FR 11776

Number of Respondents: 350	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	350	350
Annual IC Time Burden (Hours)	117	117
Annual IC Cost Burden (Dollars)	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.