OMB control number
Report/Application for Relief on Account of Loss, Theft, or Destruction of U.S. Bearer Securities (Individuals)
OMB 1530-0033 · TREAS/FISCAL.
OMB 1530-0033
The information is requested to establish ownership and support a request for relief due to the loss, theft, or destruction of United States Bearer Securities owned by individuals.
The latest form for Report/Application for Relief on Account of Loss, Theft, or Destruction of U.S. Bearer Securities (Individuals) expires 2023-07-31 and is listed under ICR 201904-1530-005.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form FS Form 1022-1 Report/Appl. for relief of loss, theft, destruction of U.S. Bearer Securities | Form and Instruction |
 1530-0033 Supporting Statement 2019.docx | Supporting Statement A |
 Report/Appl. for relief of loss, theft, destruction of U.S. Bearer Securities |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201904-1530-005 | Reinstatement with change of a previously approved collection | 2019-12-03 | Approved without change | |
| 201511-1530-005 | Extension without change of a currently approved collection | 2015-11-30 | Approved without change | |
| 201407-1530-035 | Extension without change of a currently approved collection | 2014-07-31 | Approved without change |