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Claim for Amounts Due in the Case of Deceased Owner of Mutilated Currency
Claim for Amounts Due in the Case of Deceased Owner of Mutilated Currency
OMB: 1520-0002
IC ID: 16462
OMB.report
TREAS/BEP
OMB 1520-0002
ICR 200901-1520-002
IC 16462
( )
Documents and Forms
Document Name
Document Type
Form BEP-5287
Claim for Amounts Due in the Case of Deceased Owner of Mutilated Currency
Form
BEP-5287 Claim for Amounts Due in the Case of a Deceased Owner of
BEP-5287.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Claim for Amounts Due in the Case of Deceased Owner of Mutilated Currency
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
BEP-5287
Claim for Amounts Due in the Case of a Deceased Owner of Mutilated Currency
BEP-5287.pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Fiscal Operations
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
120
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
120
0
0
0
0
120
Annual IC Time Burden (Hours)
110
0
0
0
0
110
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.
