Information Collection

Agreement And Request For Disposition Of A Decedent's Treasury Securities

IC 39300 under ICR 202606-1530-002 · OMB 1530-0046.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FS Form 5394 Agreement and Request for Disposition of a Decedent's Treasury Securities Agreement And Request For Disposition Of A Decedent's Treasury Securities	Form and Instruction
FS Form 5394 Agreement and Request for Disposition of a Decedent's Tr sav5394.pdf www.treasurydirect.gov/forms/sav5394.pdf	Form and Instruction

IC Title:

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 360

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FS Form 5394			https://www.treasurydirect.gov/forms/sav5394.pdf	Yes	No	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: 18,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	18,500	18,500
Annual IC Time Burden (Hours)	9,250	9,250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

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