OMB control number
Report/Application for Relief on Account of Loss, Theft or Destruction of U.S. Bearer Securities (Organizations)
OMB 1530-0034 · TREAS/FISCAL.
OMB 1530-0034
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.
The latest form for Report/Application for Relief on Account of Loss, Theft or Destruction of U.S. Bearer Securities (Organizations) expires 2023-07-31 and is listed under ICR 201904-1530-006.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form FS Form 1022 Report/Appl. for relief of loss, theft or destruction of U.S. Bearer Securities | Form and Instruction |
 1530-0034 Supporting Statement 2019.docx | Supporting Statement A |
 Report/Appl. for relief of loss, theft or destruction of U.S. Bearer Securities |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201904-1530-006 | Reinstatement with change of a previously approved collection | 2019-12-03 | Approved without change | |
| 201511-1530-006 | Extension without change of a currently approved collection | 2015-11-30 | Approved without change | |
| 201407-1530-036 | Extension without change of a currently approved collection | 2014-07-31 | Approved without change |