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OMB Control No: 1530-0032	ICR Reference No: 202509-1530-004
Status: Received in OIRA	Previous ICR Reference No: 202207-1530-002
Agency/Subagency: TREAS/FISCAL	Agency Tracking No:
Title: Application for disposition of Retirement Plan/Individual Retirement Bonds Without Admin. of Deceased Owners Estate
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 10/31/2025

	Requested	Previously Approved
Expiration Date	36 Months From Approved	12/31/2025
Responses	315	350
Time Burden (Hours)	105	117
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	315	350	-35
Annual Time Burden (Hours)	105	117	-12
Annual Cost Burden (Dollars)	0	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The form in this collection is used in processes related to securities that are no longer issued in paper form. The reduction of 12 burden hours is a program change due to agency discretion for a total of 105 hours requested.

Annual Cost to Federal Government: $12,023

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Bruce Sharp 304 480-8112 Bruce.Sharp@bpd.treas.gov