Affidavit of Forgery for United States Savings Bonds

ICR 201207-1535-008

OMB: 1535-0067

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2012-07-27
IC Document Collections
ICR Details
1535-0067 201207-1535-008
Historical Active 200907-1535-006
TREAS/BPD
Affidavit of Forgery for United States Savings Bonds
Extension without change of a currently approved collection   No
Regular
Approved without change 11/01/2012
Retrieve Notice of Action (NOA) 09/13/2012
  Inventory as of this Action Requested Previously Approved
11/30/2015 36 Months From Approved 10/31/2012
2,500 0 2,500
625 0 625
0 0 0

The information is requested to establish whether the registered owner signed the request for payment or if the signature was a forgery.

US Code: 31 USC 31 Name of Law: null
  
None

Not associated with rulemaking

  77 FR 32180 05/31/2012
77 FR 56709 09/13/2012
No

1
IC Title Form No. Form Name
Affidavit of Forgery for United States Savings Bonds PD F 0974 E Affidavit Of Forgery For United States Savings Bonds

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,500 2,500 0 0 0 0
Annual Time Burden (Hours) 625 625 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$4,300
No
No
No
No
No
Uncollected
Bruce Sharp 304 480-8112 Bruce.Sharp@bpd.treas.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/13/2012


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