OMB control number
Claims Against the U.S. for Amounts Due in Case of a Deceased Creditor
OMB 1530-0004 · TREAS/FISCAL.
OMB 1530-0004
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.
The latest form for Claims Against the U.S. for Amounts Due in Case of a Deceased Creditor expires 2022-05-31 and is listed under ICR 201812-1530-004.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form SF 1055 Claims Against the U.S. for Amounts Due in Case of a Deceased Creditor | Form and Instruction |
 1530-0004 Support Stmt_2022.docx | Supporting Statement A |
| PRIVACY ACT NOTICE SF 1055.docx | Supplementary Document |
 Claims Against the U.S. for Amounts Due in Case of a Deceased Creditor |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202204-1530-001 | Extension without change of a currently approved collection | 2022-06-01 | Approved without change | |
| 201812-1530-004 | Revision of a currently approved collection | 2019-02-22 | Approved without change | |
| 201510-1530-004 | Extension without change of a currently approved collection | 2015-10-30 | Approved without change | |
| 201407-1530-004 | Extension without change of a currently approved collection | 2014-07-11 | Approved without change |