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OMB Control No: 1535-0015	ICR Reference No: 198504-1535-004
Status: Historical Active	Previous ICR Reference No: 198406-1535-002
Agency/Subagency: TREAS/BPD	Agency Tracking No:
Title: REPORT/APPLICATION FOR RELIEF ON ACCOUNT OF LOSS, THEFT OR DESTRUCTION OF UNITED STATES BEARER SECURITIES (ORGANIZATIONS)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/03/1985
	Date Received in OIRA: 04/05/1985
Terms of Clearance: Approved for a limited period. Treasury should submit by June 30,1985 a revised clearance request under this OMB docket number containing applicable changes described in Ms. Turner's undated memorandum, "Recertification of Public Information Collection Requirements." Changes to be made include: 1) forms PD 1022 and PD 1022-1 are to be combined, and 2) a Paperwork Reduction Act notice will be included in the form or instructions. In addition, the revised justification statement should include a copy of the authorizing statute as well as the applicable regulations. PD 1022 may be used through September 1985, providing the correct expiration date is noted on each form.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/1985	09/30/1985	05/31/1985
Responses	110	0	110
Time Burden (Hours)	110	0	110
Cost Burden (Dollars)	0	0	0

Abstract: THIS FORM IS USED BY ALL TYPES OF ORGANIZATIONS IF A BEARER SECURITY WAS PURCHASED AND NOW NOT IN THE POSSESSION OF THE PURCHASER/OWNER OR ITS WHEREABOUTS IS NOT KNOWN. IT IS REQUIRED BY THE DEPARTMENT FOR COMPLETION BY THE ORGANIZATION IN ORDER TO OBTAIN RELIEF/COMPENSATION.

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

Federal Register Notices & Comments
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
REPORT/APPLICATION FOR RELIEF ON ACCOUNT OF LOSS, THEFT OR DESTRUCTION OF UNITED STATES BEARER SECURITIES (ORGANIZATIONS)	PD 1022

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	110	110
Annual Time Burden (Hours)	110	110
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

View ICR - OIRA Conclusion