Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
7200/04 – Declaration for Government Deposit Modified 14 7 0 Form and Instruction 7200-04
7200/05 – Declaration for Revocable Trust New 165 83 0 Form and Instruction 7200/05
7200/09 – Declaration for Testamentary Deposit New 21 11 0 Form and Instruction 7200/09
7200/14 – Declaration or Health and Welfare Plan New 12 12 0 Form and Instruction 7200/14
7200/24 – Claimant Verification New 218 109 0 Form and Instruction 7200/24
7200/26 – Depositor Interview Form New 198 99 0 Form and Instruction 7200/26
Deposit Broker Submission Checklist New 136 11 0
Diskette, following "Broker Input File Requirements" New 34 170 0
Diskette, following "Broker Input File Requirements" New 102 77 0
Exhibit B, the standard agency agreement, or the non-standard agency agreement New 136 2 0
Total burden requested under this ICR: 1036 581 0  
To view an IC, click on IC Title