95-16857. Public Information Collection Requirements Submitted to OMB for Review

[Federal Register Volume 60, Number 132 (Tuesday, July 11, 1995)]
[Notices]
[Pages 35788-35789]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-16857]



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[[Page 35789]]


DEPARTMENT OF THE TREASURY


Public Information Collection Requirements Submitted to OMB for 
Review

June 30, 1995.
    The Department of the Treasury has submitted the following public 
information collection requirement(s) to OMB for review and clearance 
under the Paperwork Reduction Act of 1980, Public Law 96-511. Copies of 
the submission(s) may be obtained by calling the Treasury Bureau 
Clearance Officer listed. Comments regarding this information 
collection should be addressed to the OMB reviewer listed and to the 
Treasury Department Clearance Officer, Department of the Treasury, Room 
2110, 1425 New York Avenue NW., Washington, D.C. 20220.

Bureau of Engraving and Printing (BEP)

OMB Number: 1520-0001
Form Number: BEP 5283
Type of Review: Extension
Title: Owner's Affidavit of Partial Destruction of Mutilated Currency
Description: The Office of Currency Redemption and Destruction 
Standards, Bureau of Engraving and Printing, requests owners of 
partially destroyed U.S. currency to complete a notarized affidavit 
(Form 5283) for each claim submitted when substantial portions of notes 
are missing
Respondents: Individuals or households
Estimated Number of Respondents: 300
Estimated Burden Hours Per Response: 36 minutes
Frequency of Response: On occasion
Estimated Total Reporting Burden: 180 hours
Clearance Officer: Ed Little, [phone], Bureau of Engraving and 
Printing, Room 317A, Engraving and Printing Annex, 14th and C Streets 
SW., Washington, DC 20228
OMB Reviewer: Milo Sunderhauf, [phone], Office of Management and 
Budget, Room 10226, New Executive Office Building, Washington, DC 
20503.
Lois K. Holland,
Departmental Reports Management Officer.
[FR Doc. 95-16857 Filed 7-10-95; 8:45 am]
BILLING CODE 4840-01-M