Claims Against the U.S. for Amounts Due in Case of a Deceased Creditor

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1530-0004 can be found here:

Documents and Forms

Document Name Document Type
Form SF 1055 Claims Against the U.S. for Amounts Due in Case of a Deceased Creditor Form and Instruction
SF 1055 Claim Against the United States for Amounts Due in the C SF 1055_FMS.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Claims Against the U.S. for Amounts Due in Case of a Deceased Creditor	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 and Instruction	SF 1055	Claim Against the United States for Amounts Due in the Case of a Deceased Creditor	SF 1055_FMS.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	180	180
Annual IC Cost Burden (Dollars)	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.