Claim for lost, stolen or destroyed United States registered Securities

ICR 201511-1530-003

OMB: 1530-0029

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
1530-0029 201511-1530-003
Historical Active 201407-1530-031
TREAS/FISCAL
Claim for lost, stolen or destroyed United States registered Securities
Revision of a currently approved collection   No
Regular
Approved without change 02/18/2016
Retrieve Notice of Action (NOA) 11/30/2015
  Inventory as of this Action Requested Previously Approved
02/28/2019 36 Months From Approved 02/29/2016
200 0 500
183 0 460
0 0 0

The information is requested to establish ownership and support a request for relief due to the loss, theft, or destruction of United States Registered Securities.

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

Not associated with rulemaking

  80 FR 58330 09/28/2015
80 FR 74222 11/27/2015
No

1
IC Title Form No. Form Name
Claim for lost, stolen or destroyed United States registered Securities FS Form 1025 Claim for Lost, Stolen, Or Destroyed United States Registered Securities

  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 200 500 0 -300 0 0
Annual Time Burden (Hours) 183 460 0 -277 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
The form is used to process requests for securities that are no longer issued in paper form. The reduction of 277 burden hours is a program change due to agency discretion for a total of 183 hours requested.

$810
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.
11/30/2015


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