OMB control number
Affidavit by Individual Surety
OMB 1530-0047 ยท TREAS/FISCAL.
OMB 1530-0047
The information is requested to support a request to serve as surety for an indemnification agreement on a Bond of Indemnity.
The latest form for Affidavit by Individual Surety expires 2023-07-31 and is listed under ICR 201904-1530-008.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form FS Form 4094 Affidavit By Individual Surety | Form and Instruction |
 1530-0047 Supporting Statement 2019.docx | Supporting Statement A |
 Affidavit By Individual Surety |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201904-1530-008 | Reinstatement with change of a previously approved collection | 2019-12-03 | Approved without change | |
| 201511-1530-009 | Revision of a currently approved collection | 2015-11-30 | Approved without change | |
| 201409-1530-011 | Extension without change of a currently approved collection | 2014-09-10 | Approved without change |