NOTICE - SOME ITEMS SUPERSEDED OR OBSOLETE Schedule Number: N1-053-97-003 Some items in this schedule are either obsolete or have been superseded by new NARA approved records schedules. This information is accurate as of: 8/1/2019 ACTIVE ITEMS These items, unless subsequently superseded, may be used by the agency to disposition records. It is the responsibility of the user to verify the items are still active. All items except those listed below are active SUPERSEDED AND OBSOLETE ITEMS The remaining items on this schedule may no longer be used to disposition records. They are superseded, obsolete, filing instructions, non-records, or were lined off and not approved at the time of scheduling. References to more recent schedules are provided below as a courtesy. Some items listed here may have been previously annotated on the schedule itself. Item 1.001 superseded by N1-053-03-003 / 35 Item 1.003 superseded by N1-053-03-003 / 19 Item 2.003 superseded by N1-053-06-005 / 62 Item 2.028 superseded by N1-053-03-003 / 29 Item 3.001 superseded by N1-053-06-005 / 13 Item 3.006 superseded by N1-053-03-003 / 27 Item 3.02 superseded by N1-053-03-003 / 41 Item 5.01 superseded by N1-053-03-003 / 40 Item 5.015 superseded by N1-053-03-003 / 28 Item 6.004 superseded by N1-053-03-003 / 35 Item 6.007 superseded by N1-053-03-003 / 42 Item 6.008 superseded by N1-053-03-003 / 21 NOTICE - SOME ITEMS SUPERSEDED OR OBSOLETE
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NOTICE - SOME ITEMS SUPERSEDED OR OBSOLETE
Schedule Number N1-053-97-003
Some items in this schedule are either obsolete or have been superseded by new
NARA approved records schedules This information is accurate as of 812019
ACTIVE ITEMS
These items unless subsequently superseded may be used by the agency to
disposition records It is the responsibility of the user to verify the items are still
active
All items except those listed below are active
SUPERSEDED AND OBSOLETE ITEMS
The remaining items on this schedule may no longer be used to disposition records
They are superseded obsolete filing instructions non-records or were lined off and
not approved at the time of scheduling References to more recent schedules are
provided below as a courtesy Some items listed here may have been previously
annotated on the schedule itself
Item 1001 superseded by N1-053-03-003 35
Item 1003 superseded by N1-053-03-003 19
Item 2003 superseded by N1-053-06-005 62
Item 2028 superseded by N1-053-03-003 29
Item 3001 superseded by N1-053-06-005 13
Item 3006 superseded by N1-053-03-003 27
Item 302 superseded by N1-053-03-003 41
Item 501 superseded by N1-053-03-003 40
Item 5015 superseded by N1-053-03-003 28
Item 6004 superseded by N1-053-03-003 35
Item 6007 superseded by N1-053-03-003 42
Item 6008 superseded by N1-053-03-003 21
NOTICE - SOME ITEMS SUPERSEDED OR OBSOLETE
u-t------------ h
-OSITION AUTHORITY ~ JE BLANK (NARA use only)~EQUEST FOR RECORD JOB NUMBER AV --J - --
(See lnstructons on reverse) 1-5 J C1 ~ J DATE RECEIVED n _To NATIONAL ARCHIVES and RECORDS ADMINISTRATION (NIR)
WASHINGTON DC 20408 )- - 97 1 FROM (Agency or establishment) NOTIFICATION TO AGENCY
BUREAU OF THE PUBLIC DEBT In accordance with the prov1s10ns of 442 MAJOR SUBDIVISION USC 3313a the d1spos1t1on request
SAVINGS BONO OPERATION OFFICE mcludmg arrendments 1s approved except for items that may h( middotnarked d1spos1t10n3 MINOR SUBDIVISION not approved or w1thd1awn m cofumn 10
FEDERAL RESERVE BANKS 4 NAME OF PERSON WITH WHOM TO CONFER 5 TELEPHONE DATE AR~_O~THJ UDAlES
~-s-r (jamp fd~ VICKI S THORPE (304) 480-6553 6 AGENCY CERTIFICATION V I hereby certify that I am authorized to act for this agency in matters pertammg to the disposition of its records and that the records proposed for disposal on the attached __ page(s) are not now needed for the busmess of this agency or will not be needed after the retentionreriods sfecified and that written concurrence from the General Accounting Office under the provisions o Title~ot e GAO Manual for Guidance of Federal Agencies
D is not reqmred
----falslq-- (z middot is attached or has been requested
DATE
3 1 97
SIGNATUR2FA ~NC REPRESENTATIVE
L)amp ~~effrac14
TITLE
7 9 GRS OR 10 ACTION ITEM 8 DESCRIPTION OF ITEM AND PROPOSED DISPOSITION SUPERSEDED TAKEN(NARA NO JOB CITATION USE ONLY)
SEE ATTACHED
middota changes to this proposed schedule i1ave be1r approu -d bymiddot
middot~middotbull lt(97~~ fliiiappra1Sel --middot- date __ Agency reireseniave te
115-109 NSN 7540-00-634-4064 STANDARD FORM 115 (REV 3-91) PREVIOUS EDITION NOT USABLE Prescribed by NARA
rr 36 CFR 1228 1
~--~amptPIP _r j 0 LI JJAN 2 n 1998 lhfr V (I ) U) pound - tJR-
1 Request For Record Disposition Authority
Item No Description of Item bullNl-53-97-03-0001001 CORRESPONDENCE WITH INDIVIDUALS BANKS ETCffiitmtMli RELATING TO
SPECIFIC BOND TRANSACTIONS WITH THE FRB ~~-amp l ~)
Form No Series No Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
bull
Page
Authority NEWJJIB
2 Request For Record Disposition Authority Page
Item No Description of Item Authority Nl-53-97-03-0001002 CORRESPONDENCE OF APPLICANTS REJECT LETTER~ AS AGENTS NEWMJBI
~M )Jft)ljiiPgt-JtiiigtSlM7 jEy ilLUlilP COPIES OF INQUIRY LETTERS SENT TO THE TREASURY DEPT COPIES OF NON-RECEIPT CASES OVER FOUR MONTHS OLD SENT TO TREASURY AND OTHER ROUTINE MATERIAL RETAINED FOR RESEARCH ~ dltYOOiJiJwraquo$iliiid-tnJgtitokiisahWld ~
Form No Series No Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUTOFF
Item No Description of Item Authorityaa--middotNl-53-97-03-0001003 LEGAL EVIDENCE FOR~DrampPTJONS REISSUE amp EXCHANGEffflampflQJO S11NG-6 ~~NEW-
flH INamp_PSUPPORTING DOCUMEN StWEN SAVINGS BONDS ARE REDEMMED BY RESERVE BANKS ON BEHALF OF REGISTERED OWNERS OR OTHER ENTITLED PERSONS THESE INCLUDE DEATH CERTIFICATES ALTERNATE ID CERTIFICATES MARRIAGE LICENSES BIRTH NOTICES CERTICATES OF LEGAL INCOMPETENCY NOTICE OF WILL AND EQUIVALENT DOCUMENTATION
Form No Series No I Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY FILES 10 YRS AFTER CUT OFF
3 Request For Record Disposition Authority Page
Item No Description of Item Authority 1Nl-53-97-03-0001004 CORRESPONDENCE OF USSB REDEMPTIONS BY FR~rsectBltNitl NEW 811
FORMS AND CORRESPONDENCE RELATING TO THE REDEMPTION OF BONDS (EXCEPT THE ALPHA RECORDS ISSUED TO OWNER) WHEN PAYMENTS WERE MADE BY THE FRB
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority 1Nl-53-97-03-0001 005 CERTIFICATE OF IDENTITY OF OWNER OF SAVINGSRETIREMENT SECURITIE~ NEW 423
Jfllft-liicMJP09fJ ~GIC6ZBRP9RM liSI --i8euroNABLiltA PERSON WHO HAS NO INTEREST IN A BOND TO CERTIFY REGARDING OWNERS SIGNATURES ON REGISTERED SECURITIES
Form No PDF 385-1 Series No IA COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES EACH FISCAL YEAR DESTROY 10 YRS AFTER CUT OFF
4 Request For Record Disposition Authority Page
Item No bullNl-53-97-03-0001006
stpound Nc~r rA~t
Item No Nl-53-97-03-0001007
Description of Item Authority RE ST FOR REISSUE OF US SAVINGS BONDS-60000 UPON CHANG NEW 427
N (1) FILE SERIES EEE AND SAVINGS NOTE MONTH BY SERIES IN DAILY
SBOO DO NOT RE HH REISSUE REQUESTS WEEKLY WITH RETIRED B AND RETAINED (NOT TO EXCEED TWO YE QUENCY TO WARRANT THE COSTS ASSOCIAT ) RETAIN COPIES OF SUPPORTING EVIDE
540 Series No 1 Reta 0 yrs O mths
ONDITIONS DETERMINE DISPOSITION SEE MEMO FIELD
Description of Item ~--= Authority DISCLAIMER AND CONSENT WITH RESPECT TO US SAVINGS BONDSNOTES~ NEW laquoIamp THE PURPOSE OF THIS FORM IS TO DISCLAIM ANY RIGHT TITLE OR INTEREST IN SPECIFIC BONDS OR NOTES
Form No PDF 1849 Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YEARS AFTER CUT OFF
Page 4A
0001 006 Form PDF 1540 Request for reissue ofUS Savings Bonds upon change of name of or upon succession to corporation association or partnership
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When requests involve both accrual and current income bonds retain onginals with other accrual requests Prepare and submit photocopies with retired current income bonds
5 Request For Record Disposition Authority Page
Item No Description of Item Authority 1Nl-53-97-03-0001008 A CATIONS FOR DISPOSITION-60000 US SAVINGS BONDSNOTES ANDOR NEW 431
5euro6 NE-tr fA amp-fi LATED CHECKS (IN A COMBINED AMOUNT NOT EXCEEDING OWNED BY
CALENDAR FILE FOR 2 FUL COPIES (2) FO WEEKLY WITH RETIRED BONDS
ACCESSED WITH SUFFICIENT PAGE)
Series No I Retain yrs O mths 4 DITIONS DETERMINE DISPOSITION SEE MEMO FIELD
Item No Description of Item Authority ~l-53-97-03-0001009 APP IONS FOR DISPOSITION-60000 US SAVINGS BONDSNOTES AND0 NEW 432
--TITLE RE CHECKS OWNED BY DECEDENT WHOSE ESTATE IS B SETTLEDS~E NE~ PAamp--pound
WITHOUT ADMINISTRA (THIS FORM SHOULD BE USED WHE COMBINED FACE AMOUNT EXCEEDS $1000) E SERIES EEE ANDS PROCESSED IN A CALEND ONOLOGICAL ORDER RETAIN THE MONTHS FI E FORWARDING TO SBOO DO NOT RETAIN COPIES QUESTS WEEKLY WITH RETIRED BONDS MICROFILM NED IF ACCESSED WITH SUFFICIENT FREQUENC WARRANT THE TA CONTINUES ON NEXT PAGE)
-1 Series No
0 mths 4 ITIONS DETERMINE DISPOSITION SEE MEMO FIELD FOR
Page SA
0001 008 Form PDF 1946 Application for disposition US Savings BondsNotes andor related checks (in combined amount not exceeding $1000) owned by descendent whose estate is being settled without administration
Disposition a) File Series EEE and Savings Note reissue request processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series H1-Il-I reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When requests involve both accrual and current income bonds retain original with other accrual requests Prepare and subffilt photocopies with retired current income bonds
0001 009 Form PDF 1946-1 Application for disposition US Savings Bondsnotes andor related checks owned by descendent whose estate is being settled without administration (This form should be used when the combined face amount exceeds $1000)
Disposition a) File Series EEE and Savings Note reissued requests processed in a calendar month by senes in daily chronological order Retain the months file 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When requests involve both accrual and current mcome bonds retain original with other accrual requests Prepare and submit photocopies with retired current income bonds
6 Request For Record Disposition Authority Page
Item No Nl-53-97-03-0001010
Item No 1Nl-53-97-03-00010ll
j
Description of Item Authority APPLICATIONS BY PREFERRED CREDITO FOR DISPOSITION WITHOUT NEW 118 ADMINISTRATION WHERE DECEASED OWNERS ESTATE INCLUDES UNITED STATES REGISTERED SECURITIES ANDOR CHECKS IN AN AMOUNT NOT EXCEEDING $500 THIS FORM IS USED BY A PERSON WHO PAID BURIAL EXPENSES OF A DECEDENT WHOSE ESTATE HAS NOT BEEN AND SO FAR AS KNOWN WILL NOT BE ADMINISTERED IN COURT
Form No PDF 2216 Series No I Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF
Description of Item Authority CERTIFICATE OF ENTITLEMENT-60000 UNITED STATES SAVINGS AND NEW RETIREMENT SECURITIES AND CHECKS AFTER ADMINISTRATION OF DECEDENTS ESTATE THIS FORM IS TO CERTIFY THAT COURT RECORDS SHOW THE LISTED PERSON ENTITLED TO CERTAIN BONDS OR CHECKS AS DISTRIBUTION FROM A DECEDENTS ESTATE
Form No PDF 2458 Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 7
Item No Nl-53-97-03-0001012
Item No bullNl-53-97-03-0001013
Description of Item __ Authority CERTIFICATE BY LEGAL REPRESENTATIVE(S) OF DECEDENTS ESTATEfiriffiiltamp NEW da1 DURING ADMINISTRATION OF AUTHORITY TO ACT AND OF DISPOSITION WHERE ESTATE HOLDS NO MORE THAN $1000 (FACE AMOUNT) UNITED STATES SAVINGS AND RETIREMENT SECURITIES EXCLUDING CHECKS REPRESENTING INTEREST
Form No PDF 2488-1 Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YEARS AFTER CUT OFF
Description of Item Authority SPECIAL BOND OF INDEMNITY TO THE UNITED STATESf1N191lB NEWfliB THIS FORM IS USED BY A BOND PURCHASER TO IDEMNIFY THE DEPARTMENT AGAINST LOSS IN A TRANSACTION TO REFUND PURCHASE PRICE OF BONDS OBTAINED THROUGH A CHAIN LETTER SCHEME
Form No PDF 2966 Series No Org Abbrev FRB Retain 0 yrs 1 mths FORWARD TO SBOO MONTHLY
8 Request For Record Disposition Authority Page
Item No Description of Item AuthorityoF Nl-53-97-03-0001014 APPLICATIONS FOR DISPOSITION RETIREMENT PLAN ANDOR NEW amt
INDIVIDUAL RETIREMENT BONDS WITHOUT ADMINISTRATION OF DECEASED OWNERS ESTATE
Form No PDF 3565 Series No A COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF
Item No Description of Item Authority 1Nl-53-97-03-0001015 APPLICATIONS AGREEMENT-TO QUALIFY UNDER TD CIR888 (REV) NEW
THESE DOCUMENTS DEFINE THE TERMS OF AGREEMENT BETWEEN A FEDERAL RESERVE BANK AS ~k~ltiJL AGENT OF US FOR ISSUING ANDOR PAYING AGENT rncLUDESPD 3821 3828 3880 3881 3902 3903 u~osplusmnMiamptkf~-laquoLf= m
~ e$35idkbgt-Ji-deg
Form No MiampfJ IOI Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths DESTROY 6 YRS 3 MOS AFTER TERMINATION OF AGENT
e1 --+i 2 r)ijjt
9 Request For Record Disposition Authority Page
Item No Description of Item Authority Nl-53-97-03-0001016 NOTICE OF QUALIFICATION UNDER TREASURY DEPT CIRCULAR NO BodSbii NEW
AN AGREEMENT TO ESTABLISH THE ELIGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVING BONDS
Form No PDF 3903 Series No IB COPY Org Abbrev FRB Retain 6 yrs 3 mths HOLD FOR 6 YRS AND 3 MO AFTER TERMINATION OF PAYING AGENT STATUS Qal +NVEW iIW PYgt- A 2EidiBicr gtUW W li-6 fi 8 I 622 aft l
Item No Description of Item Authority Nl-53-97-03-0001017 APPLICATIONS FOR PAYMENT OF NEW
flllllilsectl iFTii ii A itPZ iZ kl Ji DJgt Htiv~ UNITED STATES SAVINGS BONDSNOTES ANDOR RELATED CHECKS IN AN AMOUNT NOT EXCEEDING $1000 BY THE SURVIVOR OF A DECEASED OWNER WHOSE ESTATE IS NOT BEING ADMINISTERED
Form No PDF 4881 Series No Al COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF GPrampAflA RUIS ri M aBllrQQJP tff9---dz1 M -tJ I~
Page 10
0001 018 Form PDF 5200 Overpayment history
Disposition a) Ifnot processed in 120 days forward to SBOO
b) Ifclaim disputed within 120 days forward to SBOO to settle claim
c) Ifoverpayment is settled destroy 10 years after settlement
0001 019 Form PDF 5336 Application for disposition - US Savings BondsNotes andor related checks owned by descendent whose estate is being settled without administration
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO You may retain a photocopy for 10 years but you are not required to do so
b) Forward Series HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 11
Item No Nl-53-97-03-0002001
Item No Nl-53-97-03-0002002
)
Description of Item 0 ~ o~srAoi~~orJ-~X CREDIT ADVICEefi()()QQj COVERING REPLACEMENT BONDS OF LOST STOLEN 1mft7 NEW P-S
THESE DOCUMENTS AUTHORIZE THE PROCESSING OF SUBSTITUTE OR REPLACEMENT BONDS WHERE THE ORIGINAL HAS BEEN LOST STOLEN MUTILATED OR DESTROYED AND THE EXTENSION OF CREDIT FOR UNISSUED STOCK AND LOST PAID BONDS PREPARED BY FRB THE DOCUMENTS ARE SENT TO THE PARKERSBURG OFFICE FOR AUDIT~IN LIEU OF THE ORIGINAL BONDS lftZZ 1-FWklJCbulldffii cent 0Astr- T1RMJlii3
Form No Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF llRgti4hitbii1KMifkid)f 81 i eg IJ-4 1 IEz
Description of Item RfLATlf6- ro TflG Authority CORRESPONDENCE AND FORMSA~ CORRECTIONREISSUE OF SAVINGS BONDS NEW
mm~~L~~n~~~~ To As FORWARDING ITEMS~ (msi2~ ~dcopy-~P 4-a0 NPffim-l
~-
Form No Series No Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF ~~~t52~
Request For Record Disposition Authority Page 12
Item No lNl-53-97-03-0002003
Item No Nl-53-97-03-0002004
Description of Item Authority REISSUE REQUEST FOR SAVINGS BONDS SERIES E~ NEW48 REQUESTS PROCESSED WITHIN A GIVEN CALENDAR MONTH SHOULD BE FILED BY SERIES IN A DAILY CHRONOLOGICAL ORDER WITHOUT ALPHBETIZING OR OTHER FILE ARRANGEMENT ~wp29l1hjroe $JSEit2W Nf)r 4~
Form No Series No 1 Org Abbrev FRB Retain 0 yrs 2 mths CUTOFF FILE EACH MONTH AND HOLD FOR TWO MONTHS THIN FORWARD TO SBOO
Description of Item __ _ Authority REISSUE REQUEST FOR SAVINGS BONDS SERIES HHH-wifJl NEW (19
-~ Form No Series No Org Abbrev FRB Retain 0 yrs 1 mths RETAIN FOR 1 WEEK THEN TRANSFER TO SBOO BANKS MAY WISH TO MICROFILM AND RETAIN LONGER AT THEIR EXPENSE
Request For Record Disposition Authority Page 13
Item No Nl-53-97-03-000200S
Item No ~l-53-97-03-0002006
Description of Item Authority BOOK ENTRY STATEMENT OF ACTIVITVfflsectQi FOR EACH TRUSTEE ACCOUNT NEW TRANSFER ADVICES ADJUSTMENT ADVICES PERMANENT RECEIPTS BOOK ENTRY A~C REQUESTS REISSUE REQUESTS AND RELATED CLASSIFICATION LISTINGS ~jj2111$1D US~[)
TO REFLECT ALL ADJUSTMENTS TO THE ISSUING AND PAYING AGENTS ACCOUNTS
Form No Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF JbtifllrNfROiiAAiki DfbNbkSSP Hf irit 4Ai6l
Description of It~~f4 1gt1~euroD Authority SEN - bull NEW
E T IN F S R
~~lOtlLU=bull c A F- Jgt r o _middot c o 5 1pound M r To pspos70 o~ -Nrtro srArs $ fl4L euro--~ A-f(D ~li-c-A-r~ O CU-5-cf_4 w1r1+0wT A--0tltNfS~rotv tgtF
06C-G-~ E 0 DW1f~ILbulls F-S11gtlt-1E
Form No PDF 1050 Series No Al COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY liei6X8WY~Mfdi iMTgt-fJPiPL TRANSFER TO FRC AS VOLUME WARRANTS 0Q Z 6i ifosectfkaTgt Jj 00$ampQ (8f jjp-SltPi91ti 2MA-b () (iS T fJ 0 r Cgt r 6-A42-gt A- F rF-A- cCfT o Ff-
Request For Record Disposition Authority Page 14
Item No Description of Item Authority Nl-53-97-03-0002007 EST BY FIDUCIARY-60000 FOR REISSUE OF US SAVINGS BONDSNOTES NEW 425
--RET ON (1) FILE SERIES EEE AND SAVINGS NO ISSUE REQUESTS6i-ti N i-t t f A-amppound PROCESSED CALENDAR MONTH BY SERIES IN LY CHRONOLOGICAL ORDER
MONTHS BEFORE FORWARDING TO SBOO DO NOT SERIES HHH REISSUE REQUESTS WEEKLY WITH RETIRED BE MADE AND RETAINED IF ACCESSED WITH SUFFICIE RETENTION ( DISTRUTION AND NOT AS A REQUEST
Series No I Retamiddot bull 10 yrs O mths
ONDITIONS DETERMINE DISPOSITION SEE MEMO FIELD
Item No Description of Item Authority Nl-53-97-03-0002008 SPECIAL FORM OF REQUEST FOR PAYMENTElfiPiampi OF UNITED STATES SAVINGS NEW Cill
AND RETIREMENT SECURITIES WHERE mil USE OF A DETACHED REQUEST IS AUTHORIZED tlms lillJRFJlil O THIS FOIW IS Tit JfSCBIBF BOPILJli EOR HIHCII PaiilEftl H REQUESTlrl)
Form No PDF 1522 Series No I Org Abbrev FRB Retain 0 yrs 1 mths FORWARD TO SBOO WEEKLY
Page 14A
0002 007 Form PDF 1455 Request by fiduciary for reissue ofUS Savings BondsNotes
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series llliH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) When accepted as evidence of distribution and not as a request for reissue retain PD F 1455 for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Page 15
0002 009 Form PDF 1851 Request for reissue for US Savings BondsNotes in name of trustee of a personal trust estate
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Senes HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained 1f accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retied current income bonds
0002 010 Form PDF 1938 Request for reissue ofUS Savmgs BondNotes during the lives of both co-owners
Disposition a) File Series EEE and Savings Note reissue request processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retam original with other accrual request Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 16
Item No Nl-53-97-03-00020ll
Description of Item Authority REINVESTMENT APPLICATIONfiii iiamp TO REQUEST PAYMENT NEW~ lIU s [sJRH IQ MOUfS I ea I iitf AND TO USE PROCEEDS FROM THE PAYMENT OF MATURED BONDS TO PURCHASE NEW BONDS FORWARD PROCESSED FORMS WITH RELATED STUBS TO SBOO WEEKLY IF INCOMPLETE OR OTHERWISE DEFECTIVE REQUEST A CORRECTED APPLICATION IF CORRECTED COPY NOT RECEIVED IN 30 DAYS FORWARD ORIGINAL TO SBOO
Form No PDF 1993 Series No I Org Abbrev Retain 0 yrs O mths FORWARD TO SBOO WEEKLY L9iR ffltifl-bM5EJi2fM QiampJ
FRB
Item No Nl-53-97-03-0002012
Description of Item Authority INVESTIGATION SCHEDULE OF PAID BONDS UNDER INVESTIGATIONLsectfbulllllffl NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ita zan(Bm(aclmztffilgtIeNff cf)lJQlIoIWM0 Qfiamplgtlatz~ltaa~ cblflhti1b(llxlS za~ TH Is FORM IS TO DESCRIBE BONDSNOTES AND GIVE DETAILS OF A TRANSACTION UNDER INVESTIGATION
Form No PDF 2343 Series No A COPY Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER RPfi IWI ii hi Mfilir7 o4cent tit W SR-II2-+481
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 17
Item No Description of Item Authority Nl-53-97-03-0002013 Ast RampF APPLICATIONll2ampMiil FOR RELIEF ON ACCOUNT OF THE LOSS THEFT OR NEW
DESTRUCTION OF PAID US SAVINGS BOND~tJ04PE$sfJ9FtjNEJ ijfltasJ atYlJiUJ THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS JIIMamph $1 lNGll RI 1Spound1111 IQ -HJ IWdiAF95 id Jit61Eel THE te1s1 btCJJ PilfftHCTAL BIGUT(j1ilt 181 PliiYDNampiEISITl
Form No PDF 2517 Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUTOFF aas QIN iifi4ib4s lUWW111 hilldUtiff-- in-1Ff 4ftKJ
Item No Description of Item Authority ~l-53-97-03-0002014 CERTIFICATION ATTACHMEN 1Mi6IAJta C OMtgtt- _~ 0 fr SAVlltr5 (gtOM D OWNfil-S bull NEW~
~P~~Du~wj~ ~~u Z~e= llAemmnF fll~i rn BEHi mrn FORMS w
Form No PDF 2778 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF a 1copy9111ti BtSbL iii Hl 5J U1 ~ 018
Request For Record Disposition Authority Page 18
Item No Nl-53-97-03-0002015
Item No Nl-53-97-03-0002016
Description of Item Authority CLAIM FOR RELIEF ON ACCOUNT OF LOSS THEFT OR DESTRUCTION rmcs 10eo~ NEW Gal
-~~s ~--~~IYP AfrF-fl vALtD ss-1pound 3ur 172tO(Z TO P--1zc_f=-1tdegT 3( C)(UNpoundR
Form No PDF 3062 Series No I Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Description of Item Authority CLAIM FOR RELIEF FOR LOSTSTOLEN OR DESTROYED usSBOND STOCKeampiYu NEW 4il9 DHc ampnI Wbiamp UJCWfal)rjAbiOHIEOP lZJt ibE poundECgtWfriii snoo WEPKpoundYJ COPIES MAY BE MADE AND RETAINED IF ACCESSED WITH SUFFICIENT FREQUENCY TO WARRANT THE COSTS ASSOCIATED WITH CREATION AND RETENTION
Form No PDF 3062-3 Series No Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Page 19
0002 017 Form PDF 3253 Exchange application for US Savings Bonds of series HH
Disposition a) Forward processed forms with related stubs to SBOO weekly
b) If incomplete or otherwise defective request a corrected application If corrected copy not receive in 30 days forward original to SBOO
0002 018 Form PDF 3360 Request for reissue ofUS Savings BondsNotes in the name of person or persons other than the owner (including legal guardian custodian for a minor under a statute etc )
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 20
Item No tNl-53-97-03-0002019
Item No ~1-53-97-03-0002020
Description of Item Authority CONTINUATION SHEET FOR LISTING SECURITIES0863 NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ll 4elJitGiJW aBlEiRMON-H ~clWAA~~ Qllw d5liIIINcentCfiDqltWMS ZOPbHS dSCbEMMEJRgt
Form No PDF 3500 Series No 1B COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF illgtIffl tgtlbllq~SiD ZOJIS ar-ar--91()2 -81B
Description REQUEST FOR
~ S- TftltpoundM lcN-
A 6-fl- F-cT c 1-1- A f fr-fi- OF MA Aeuro
Form No PDF 3564 Series No IA COPY Org Abbrev FRB Retain 1 yrs O mths DESTROY OBSOLETE DOCUMENTS ANNUALLY REnfffI I 5SLO mt Ne1 53 YB Ad 0 3gt
Request For Record Disposition Authority Page 21
Item No Nl-53-97-03-0002021
Description of Item SECURITIES TRANSACTION REQUESIWliiiill THlt-f
Ltif$B---Ftpound]o9 DOCUMENTbull THE WITHDRAWAL OF SECURITIES FROM THE USB VAULT
Authority NEW 280
Form No PDF 3800 Series No D COPY Retain 1 yrs O mths CUT OFF FILE YEARLY DESTROY 1 YEAR AFTER FRB MAY HOLD THIS UNDER THEIR OWN ATHORITY
Org Abbrev
CUT OFF OR amp EXPENSE
FRB
Item No ~1-53-97-03-0002022
Description of Item SECURITIES TRANSACTION REQUEST pound4JS it TkA-T f1H~ DOCUMENT THE RECEIPT ANDOR WITHDRAWAL VAULT
OF SECURITIES FROM
Authority NEW
THE
Form No PDF 3800 Series No E COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF THIS IS A CONTROLAUDIT COPY ~fEHTHm RASPS 1111 II 1 ~ e 0 7 lP(lit-
Request For Record Disposition Authority Page 22
Item No Description of Item ((L iRus r 4(r~ll f11poundVr 1Nl-53-97-03-0002023 APPLICATIONS FOR ISSUING AGENT-- amin~PJT~~jjjjjjjQp bull
f-ll-euro coNIA-lff ORIGINAL AGREEMENT ffllii TO lt81 AS Mf lBBOHIG ACliID AND APPROPRIATE CORRESPONDENCE RELATING TO THIS AGREEMENT
Authority NEW
Form No PDF 3827 Series No IA COPY Retain 6 yrs 3 mths DESTROY 6 YEARS AFTER TERMINATION OF AGENCY
Org Abbrev FRB
11N hPPLICtTHJH fO
Q-AI IE lS MIT ISSUHf6 h6ENf MfEHfieH DilSED OH Hel 53 81 BQ 01
Item No Nl-53-97-03-0002024
Description of Item CERTIFICATE OF QUALIFICATION-ISSUING AGENT QUALIFY AS AN ISSUING AGENT FOR THE SERIES
1-( 5 ~gt (USSBo6922Bl EE BONDS
TO APPLY AND Authority NEW
Form No PDF 3828 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths D6ST(IOf- 6 r I AR S ~ YI OYrH ~ AFTER TERMINATION OF ISSUING AGENT STATUS ~TION axsuogN Jif l sect481 02 ~
Request For Record Disposition Authority Page 23
Item No Nl-53-97-03-0002025
~ fgtV tNamp-5 p OtvtgtS
Description of Item R20Jlti_S T F-Oa fJOOR F-M7Pr rRrlVSAcT10N BOOK ENTRY REQUEST FOR TRANSACTION IN USSB BY TRUSTEE-60508 Wi PURP06S Cll 11H5 iN ff TO INITIATE A TRANSACTION IN A BOOK ACCOUNT
IN (S
ENTRY
Authority NEW W
Item No bullNl-53-97-03-0002026
5~~ Mf~T flamppound
Form No PDF 3879 Series No ID COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
Description of Item Authority REQU BY THE OWNER OF REISSUE OF US SAVINGS BONDSNOTES-60000 NEW 451 --TITLE ADD BENEFICIARY OR COOWNER ELIMINATE BENE IARY OR DECEDENT SHOW CHANGE O ANDOR CORRECT ERROR I TION --RETENTION (l) FILE SERIES EEE AN VINGS NOTE REISSUE ESSED IN A CALENDAR MONTH BY SERIES I 2 FULL CALENDAR MONTHS bull---=~~bull NOT RETAIN COPIES (2) FORWARD SERIES HHH TIRED BONDS MICROFILM COPIES MAY BE MADE A FREQUENCY TO WARRANT THE COSTS ASSO Form No PDF 4000 Series No Al COPY FRB
0 yr O mths DETERMINE DISPOSITION SEE MEMO FIELD
FORW
Page 23A
0002 026 Form PDF 4000 Request by the owner for reissue of US Savings BondsNotes to add beneficiary or co-owner eliminate beneficiary or decedent show change of name andor correct error in registration
Disposition a) File series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series lil-IH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 24
Item No fll-53-97-03-0002027
Description of Item 4rtNC r REPORT OF NON-RECEIPTLOSSTHEFTDESTRUCTION OF FISCALACHECKmiddotUisZIB m ~JR tl9Hretl-EODH I L0SS fHSFT ~ kiisffilLc_Tfm~ENfv6rrc1f AND APPLICATION FOR REPLACEMENT
Authority NEW
Form No PDF 5235 Series No I Retain 7 yrs O mths C-tfr oF= F1(1amp-lt Ye4RL-- os~oS-
Org Abbrev FRB
Item No Nl-53-97-03-0002028
Description of ORDER IDIRi FOR
Item SERIES
u SAVINCr-~ Authority EE BONDS 8-11111dibijEnJm~~A-H I) ~ poundt A I GP Rc~~W Ba
SERVICE )-11tnNe1uDiESPil~OLl-]l~~~lJ~QRDS
Form No PDF 5263 Series No Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2
IA COPY Org Abbrev
MONTHS AFTER CUTOFF
FRB
Request For Record Disposition Authority Page 25
Item No Description of Item lf5 Sqvv-5 Authority Nl-53-97-03-0002029 ORDER FORM FOR SERIES EEBONDS 8lfl)a te4Dl40~ NEW_
~ dJ0RW ffi~~llv-imtY 00 NbisectiASIT SlsecttlIES=gtEE B~
10 fi ~e-6-- s T pound 12pound Igt I H Y4 M euro lF-- =- DU c 1 k fl r
Form No PDF 5263-1 Series No IA COPY Org Abbrev FRB Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2 MONTHS AFTER CUT OFF
Item No Description of Item SHUTS u s6- D ro Authority ~l-53-97-03-0003001 ACCOUNTABILITY STATEMENTS AND LEDGERYldbJSii606Jkr1a2~ INDICATEa ALL NEW
ACTIVITIES IN ISSUING AGENTS CONSIGNMENT ACCOUNTS LEDGER SHEETS 0 INCLUDE PIECES ON HAND BY DENOMINATION SERIAL NUMBERS AND BALANCES ON HAND
Form No Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3MOS AFTER CUT OFF ~~ sectA~D dm ftCP--53- 78---0zt- -8Q
Request For Record Disposition Authority Page 26
Item No Description of Item Authority Nl-53-97-03-0003002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLl4 i OOt NEW
BY BUREAU OF PUBLIC DEBT OFFICE aw amltS9Sl8 ~Q-gt ~ bull
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS
Org Abbrev
AFTER CUT OFF
FRB
Item No Nl-53-97-03-0003003
Description of Item ___ GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS~~ ~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT DOCUMENTING THE US TREASURY GENERAL ACCOUNT
ENTRIES
Authority NEW ltlillS TO
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
u-t------------ h
-OSITION AUTHORITY ~ JE BLANK (NARA use only)~EQUEST FOR RECORD JOB NUMBER AV --J - --
(See lnstructons on reverse) 1-5 J C1 ~ J DATE RECEIVED n _To NATIONAL ARCHIVES and RECORDS ADMINISTRATION (NIR)
WASHINGTON DC 20408 )- - 97 1 FROM (Agency or establishment) NOTIFICATION TO AGENCY
BUREAU OF THE PUBLIC DEBT In accordance with the prov1s10ns of 442 MAJOR SUBDIVISION USC 3313a the d1spos1t1on request
SAVINGS BONO OPERATION OFFICE mcludmg arrendments 1s approved except for items that may h( middotnarked d1spos1t10n3 MINOR SUBDIVISION not approved or w1thd1awn m cofumn 10
FEDERAL RESERVE BANKS 4 NAME OF PERSON WITH WHOM TO CONFER 5 TELEPHONE DATE AR~_O~THJ UDAlES
~-s-r (jamp fd~ VICKI S THORPE (304) 480-6553 6 AGENCY CERTIFICATION V I hereby certify that I am authorized to act for this agency in matters pertammg to the disposition of its records and that the records proposed for disposal on the attached __ page(s) are not now needed for the busmess of this agency or will not be needed after the retentionreriods sfecified and that written concurrence from the General Accounting Office under the provisions o Title~ot e GAO Manual for Guidance of Federal Agencies
D is not reqmred
----falslq-- (z middot is attached or has been requested
DATE
3 1 97
SIGNATUR2FA ~NC REPRESENTATIVE
L)amp ~~effrac14
TITLE
7 9 GRS OR 10 ACTION ITEM 8 DESCRIPTION OF ITEM AND PROPOSED DISPOSITION SUPERSEDED TAKEN(NARA NO JOB CITATION USE ONLY)
SEE ATTACHED
middota changes to this proposed schedule i1ave be1r approu -d bymiddot
middot~middotbull lt(97~~ fliiiappra1Sel --middot- date __ Agency reireseniave te
115-109 NSN 7540-00-634-4064 STANDARD FORM 115 (REV 3-91) PREVIOUS EDITION NOT USABLE Prescribed by NARA
rr 36 CFR 1228 1
~--~amptPIP _r j 0 LI JJAN 2 n 1998 lhfr V (I ) U) pound - tJR-
1 Request For Record Disposition Authority
Item No Description of Item bullNl-53-97-03-0001001 CORRESPONDENCE WITH INDIVIDUALS BANKS ETCffiitmtMli RELATING TO
SPECIFIC BOND TRANSACTIONS WITH THE FRB ~~-amp l ~)
Form No Series No Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
bull
Page
Authority NEWJJIB
2 Request For Record Disposition Authority Page
Item No Description of Item Authority Nl-53-97-03-0001002 CORRESPONDENCE OF APPLICANTS REJECT LETTER~ AS AGENTS NEWMJBI
~M )Jft)ljiiPgt-JtiiigtSlM7 jEy ilLUlilP COPIES OF INQUIRY LETTERS SENT TO THE TREASURY DEPT COPIES OF NON-RECEIPT CASES OVER FOUR MONTHS OLD SENT TO TREASURY AND OTHER ROUTINE MATERIAL RETAINED FOR RESEARCH ~ dltYOOiJiJwraquo$iliiid-tnJgtitokiisahWld ~
Form No Series No Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUTOFF
Item No Description of Item Authorityaa--middotNl-53-97-03-0001003 LEGAL EVIDENCE FOR~DrampPTJONS REISSUE amp EXCHANGEffflampflQJO S11NG-6 ~~NEW-
flH INamp_PSUPPORTING DOCUMEN StWEN SAVINGS BONDS ARE REDEMMED BY RESERVE BANKS ON BEHALF OF REGISTERED OWNERS OR OTHER ENTITLED PERSONS THESE INCLUDE DEATH CERTIFICATES ALTERNATE ID CERTIFICATES MARRIAGE LICENSES BIRTH NOTICES CERTICATES OF LEGAL INCOMPETENCY NOTICE OF WILL AND EQUIVALENT DOCUMENTATION
Form No Series No I Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY FILES 10 YRS AFTER CUT OFF
3 Request For Record Disposition Authority Page
Item No Description of Item Authority 1Nl-53-97-03-0001004 CORRESPONDENCE OF USSB REDEMPTIONS BY FR~rsectBltNitl NEW 811
FORMS AND CORRESPONDENCE RELATING TO THE REDEMPTION OF BONDS (EXCEPT THE ALPHA RECORDS ISSUED TO OWNER) WHEN PAYMENTS WERE MADE BY THE FRB
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority 1Nl-53-97-03-0001 005 CERTIFICATE OF IDENTITY OF OWNER OF SAVINGSRETIREMENT SECURITIE~ NEW 423
Jfllft-liicMJP09fJ ~GIC6ZBRP9RM liSI --i8euroNABLiltA PERSON WHO HAS NO INTEREST IN A BOND TO CERTIFY REGARDING OWNERS SIGNATURES ON REGISTERED SECURITIES
Form No PDF 385-1 Series No IA COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES EACH FISCAL YEAR DESTROY 10 YRS AFTER CUT OFF
4 Request For Record Disposition Authority Page
Item No bullNl-53-97-03-0001006
stpound Nc~r rA~t
Item No Nl-53-97-03-0001007
Description of Item Authority RE ST FOR REISSUE OF US SAVINGS BONDS-60000 UPON CHANG NEW 427
N (1) FILE SERIES EEE AND SAVINGS NOTE MONTH BY SERIES IN DAILY
SBOO DO NOT RE HH REISSUE REQUESTS WEEKLY WITH RETIRED B AND RETAINED (NOT TO EXCEED TWO YE QUENCY TO WARRANT THE COSTS ASSOCIAT ) RETAIN COPIES OF SUPPORTING EVIDE
540 Series No 1 Reta 0 yrs O mths
ONDITIONS DETERMINE DISPOSITION SEE MEMO FIELD
Description of Item ~--= Authority DISCLAIMER AND CONSENT WITH RESPECT TO US SAVINGS BONDSNOTES~ NEW laquoIamp THE PURPOSE OF THIS FORM IS TO DISCLAIM ANY RIGHT TITLE OR INTEREST IN SPECIFIC BONDS OR NOTES
Form No PDF 1849 Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YEARS AFTER CUT OFF
Page 4A
0001 006 Form PDF 1540 Request for reissue ofUS Savings Bonds upon change of name of or upon succession to corporation association or partnership
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When requests involve both accrual and current income bonds retain onginals with other accrual requests Prepare and submit photocopies with retired current income bonds
5 Request For Record Disposition Authority Page
Item No Description of Item Authority 1Nl-53-97-03-0001008 A CATIONS FOR DISPOSITION-60000 US SAVINGS BONDSNOTES ANDOR NEW 431
5euro6 NE-tr fA amp-fi LATED CHECKS (IN A COMBINED AMOUNT NOT EXCEEDING OWNED BY
CALENDAR FILE FOR 2 FUL COPIES (2) FO WEEKLY WITH RETIRED BONDS
ACCESSED WITH SUFFICIENT PAGE)
Series No I Retain yrs O mths 4 DITIONS DETERMINE DISPOSITION SEE MEMO FIELD
Item No Description of Item Authority ~l-53-97-03-0001009 APP IONS FOR DISPOSITION-60000 US SAVINGS BONDSNOTES AND0 NEW 432
--TITLE RE CHECKS OWNED BY DECEDENT WHOSE ESTATE IS B SETTLEDS~E NE~ PAamp--pound
WITHOUT ADMINISTRA (THIS FORM SHOULD BE USED WHE COMBINED FACE AMOUNT EXCEEDS $1000) E SERIES EEE ANDS PROCESSED IN A CALEND ONOLOGICAL ORDER RETAIN THE MONTHS FI E FORWARDING TO SBOO DO NOT RETAIN COPIES QUESTS WEEKLY WITH RETIRED BONDS MICROFILM NED IF ACCESSED WITH SUFFICIENT FREQUENC WARRANT THE TA CONTINUES ON NEXT PAGE)
-1 Series No
0 mths 4 ITIONS DETERMINE DISPOSITION SEE MEMO FIELD FOR
Page SA
0001 008 Form PDF 1946 Application for disposition US Savings BondsNotes andor related checks (in combined amount not exceeding $1000) owned by descendent whose estate is being settled without administration
Disposition a) File Series EEE and Savings Note reissue request processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series H1-Il-I reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When requests involve both accrual and current income bonds retain original with other accrual requests Prepare and subffilt photocopies with retired current income bonds
0001 009 Form PDF 1946-1 Application for disposition US Savings Bondsnotes andor related checks owned by descendent whose estate is being settled without administration (This form should be used when the combined face amount exceeds $1000)
Disposition a) File Series EEE and Savings Note reissued requests processed in a calendar month by senes in daily chronological order Retain the months file 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When requests involve both accrual and current mcome bonds retain original with other accrual requests Prepare and submit photocopies with retired current income bonds
6 Request For Record Disposition Authority Page
Item No Nl-53-97-03-0001010
Item No 1Nl-53-97-03-00010ll
j
Description of Item Authority APPLICATIONS BY PREFERRED CREDITO FOR DISPOSITION WITHOUT NEW 118 ADMINISTRATION WHERE DECEASED OWNERS ESTATE INCLUDES UNITED STATES REGISTERED SECURITIES ANDOR CHECKS IN AN AMOUNT NOT EXCEEDING $500 THIS FORM IS USED BY A PERSON WHO PAID BURIAL EXPENSES OF A DECEDENT WHOSE ESTATE HAS NOT BEEN AND SO FAR AS KNOWN WILL NOT BE ADMINISTERED IN COURT
Form No PDF 2216 Series No I Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF
Description of Item Authority CERTIFICATE OF ENTITLEMENT-60000 UNITED STATES SAVINGS AND NEW RETIREMENT SECURITIES AND CHECKS AFTER ADMINISTRATION OF DECEDENTS ESTATE THIS FORM IS TO CERTIFY THAT COURT RECORDS SHOW THE LISTED PERSON ENTITLED TO CERTAIN BONDS OR CHECKS AS DISTRIBUTION FROM A DECEDENTS ESTATE
Form No PDF 2458 Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 7
Item No Nl-53-97-03-0001012
Item No bullNl-53-97-03-0001013
Description of Item __ Authority CERTIFICATE BY LEGAL REPRESENTATIVE(S) OF DECEDENTS ESTATEfiriffiiltamp NEW da1 DURING ADMINISTRATION OF AUTHORITY TO ACT AND OF DISPOSITION WHERE ESTATE HOLDS NO MORE THAN $1000 (FACE AMOUNT) UNITED STATES SAVINGS AND RETIREMENT SECURITIES EXCLUDING CHECKS REPRESENTING INTEREST
Form No PDF 2488-1 Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YEARS AFTER CUT OFF
Description of Item Authority SPECIAL BOND OF INDEMNITY TO THE UNITED STATESf1N191lB NEWfliB THIS FORM IS USED BY A BOND PURCHASER TO IDEMNIFY THE DEPARTMENT AGAINST LOSS IN A TRANSACTION TO REFUND PURCHASE PRICE OF BONDS OBTAINED THROUGH A CHAIN LETTER SCHEME
Form No PDF 2966 Series No Org Abbrev FRB Retain 0 yrs 1 mths FORWARD TO SBOO MONTHLY
8 Request For Record Disposition Authority Page
Item No Description of Item AuthorityoF Nl-53-97-03-0001014 APPLICATIONS FOR DISPOSITION RETIREMENT PLAN ANDOR NEW amt
INDIVIDUAL RETIREMENT BONDS WITHOUT ADMINISTRATION OF DECEASED OWNERS ESTATE
Form No PDF 3565 Series No A COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF
Item No Description of Item Authority 1Nl-53-97-03-0001015 APPLICATIONS AGREEMENT-TO QUALIFY UNDER TD CIR888 (REV) NEW
THESE DOCUMENTS DEFINE THE TERMS OF AGREEMENT BETWEEN A FEDERAL RESERVE BANK AS ~k~ltiJL AGENT OF US FOR ISSUING ANDOR PAYING AGENT rncLUDESPD 3821 3828 3880 3881 3902 3903 u~osplusmnMiamptkf~-laquoLf= m
~ e$35idkbgt-Ji-deg
Form No MiampfJ IOI Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths DESTROY 6 YRS 3 MOS AFTER TERMINATION OF AGENT
e1 --+i 2 r)ijjt
9 Request For Record Disposition Authority Page
Item No Description of Item Authority Nl-53-97-03-0001016 NOTICE OF QUALIFICATION UNDER TREASURY DEPT CIRCULAR NO BodSbii NEW
AN AGREEMENT TO ESTABLISH THE ELIGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVING BONDS
Form No PDF 3903 Series No IB COPY Org Abbrev FRB Retain 6 yrs 3 mths HOLD FOR 6 YRS AND 3 MO AFTER TERMINATION OF PAYING AGENT STATUS Qal +NVEW iIW PYgt- A 2EidiBicr gtUW W li-6 fi 8 I 622 aft l
Item No Description of Item Authority Nl-53-97-03-0001017 APPLICATIONS FOR PAYMENT OF NEW
flllllilsectl iFTii ii A itPZ iZ kl Ji DJgt Htiv~ UNITED STATES SAVINGS BONDSNOTES ANDOR RELATED CHECKS IN AN AMOUNT NOT EXCEEDING $1000 BY THE SURVIVOR OF A DECEASED OWNER WHOSE ESTATE IS NOT BEING ADMINISTERED
Form No PDF 4881 Series No Al COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF GPrampAflA RUIS ri M aBllrQQJP tff9---dz1 M -tJ I~
Page 10
0001 018 Form PDF 5200 Overpayment history
Disposition a) Ifnot processed in 120 days forward to SBOO
b) Ifclaim disputed within 120 days forward to SBOO to settle claim
c) Ifoverpayment is settled destroy 10 years after settlement
0001 019 Form PDF 5336 Application for disposition - US Savings BondsNotes andor related checks owned by descendent whose estate is being settled without administration
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO You may retain a photocopy for 10 years but you are not required to do so
b) Forward Series HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 11
Item No Nl-53-97-03-0002001
Item No Nl-53-97-03-0002002
)
Description of Item 0 ~ o~srAoi~~orJ-~X CREDIT ADVICEefi()()QQj COVERING REPLACEMENT BONDS OF LOST STOLEN 1mft7 NEW P-S
THESE DOCUMENTS AUTHORIZE THE PROCESSING OF SUBSTITUTE OR REPLACEMENT BONDS WHERE THE ORIGINAL HAS BEEN LOST STOLEN MUTILATED OR DESTROYED AND THE EXTENSION OF CREDIT FOR UNISSUED STOCK AND LOST PAID BONDS PREPARED BY FRB THE DOCUMENTS ARE SENT TO THE PARKERSBURG OFFICE FOR AUDIT~IN LIEU OF THE ORIGINAL BONDS lftZZ 1-FWklJCbulldffii cent 0Astr- T1RMJlii3
Form No Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF llRgti4hitbii1KMifkid)f 81 i eg IJ-4 1 IEz
Description of Item RfLATlf6- ro TflG Authority CORRESPONDENCE AND FORMSA~ CORRECTIONREISSUE OF SAVINGS BONDS NEW
mm~~L~~n~~~~ To As FORWARDING ITEMS~ (msi2~ ~dcopy-~P 4-a0 NPffim-l
~-
Form No Series No Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF ~~~t52~
Request For Record Disposition Authority Page 12
Item No lNl-53-97-03-0002003
Item No Nl-53-97-03-0002004
Description of Item Authority REISSUE REQUEST FOR SAVINGS BONDS SERIES E~ NEW48 REQUESTS PROCESSED WITHIN A GIVEN CALENDAR MONTH SHOULD BE FILED BY SERIES IN A DAILY CHRONOLOGICAL ORDER WITHOUT ALPHBETIZING OR OTHER FILE ARRANGEMENT ~wp29l1hjroe $JSEit2W Nf)r 4~
Form No Series No 1 Org Abbrev FRB Retain 0 yrs 2 mths CUTOFF FILE EACH MONTH AND HOLD FOR TWO MONTHS THIN FORWARD TO SBOO
Description of Item __ _ Authority REISSUE REQUEST FOR SAVINGS BONDS SERIES HHH-wifJl NEW (19
-~ Form No Series No Org Abbrev FRB Retain 0 yrs 1 mths RETAIN FOR 1 WEEK THEN TRANSFER TO SBOO BANKS MAY WISH TO MICROFILM AND RETAIN LONGER AT THEIR EXPENSE
Request For Record Disposition Authority Page 13
Item No Nl-53-97-03-000200S
Item No ~l-53-97-03-0002006
Description of Item Authority BOOK ENTRY STATEMENT OF ACTIVITVfflsectQi FOR EACH TRUSTEE ACCOUNT NEW TRANSFER ADVICES ADJUSTMENT ADVICES PERMANENT RECEIPTS BOOK ENTRY A~C REQUESTS REISSUE REQUESTS AND RELATED CLASSIFICATION LISTINGS ~jj2111$1D US~[)
TO REFLECT ALL ADJUSTMENTS TO THE ISSUING AND PAYING AGENTS ACCOUNTS
Form No Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF JbtifllrNfROiiAAiki DfbNbkSSP Hf irit 4Ai6l
Description of It~~f4 1gt1~euroD Authority SEN - bull NEW
E T IN F S R
~~lOtlLU=bull c A F- Jgt r o _middot c o 5 1pound M r To pspos70 o~ -Nrtro srArs $ fl4L euro--~ A-f(D ~li-c-A-r~ O CU-5-cf_4 w1r1+0wT A--0tltNfS~rotv tgtF
06C-G-~ E 0 DW1f~ILbulls F-S11gtlt-1E
Form No PDF 1050 Series No Al COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY liei6X8WY~Mfdi iMTgt-fJPiPL TRANSFER TO FRC AS VOLUME WARRANTS 0Q Z 6i ifosectfkaTgt Jj 00$ampQ (8f jjp-SltPi91ti 2MA-b () (iS T fJ 0 r Cgt r 6-A42-gt A- F rF-A- cCfT o Ff-
Request For Record Disposition Authority Page 14
Item No Description of Item Authority Nl-53-97-03-0002007 EST BY FIDUCIARY-60000 FOR REISSUE OF US SAVINGS BONDSNOTES NEW 425
--RET ON (1) FILE SERIES EEE AND SAVINGS NO ISSUE REQUESTS6i-ti N i-t t f A-amppound PROCESSED CALENDAR MONTH BY SERIES IN LY CHRONOLOGICAL ORDER
MONTHS BEFORE FORWARDING TO SBOO DO NOT SERIES HHH REISSUE REQUESTS WEEKLY WITH RETIRED BE MADE AND RETAINED IF ACCESSED WITH SUFFICIE RETENTION ( DISTRUTION AND NOT AS A REQUEST
Series No I Retamiddot bull 10 yrs O mths
ONDITIONS DETERMINE DISPOSITION SEE MEMO FIELD
Item No Description of Item Authority Nl-53-97-03-0002008 SPECIAL FORM OF REQUEST FOR PAYMENTElfiPiampi OF UNITED STATES SAVINGS NEW Cill
AND RETIREMENT SECURITIES WHERE mil USE OF A DETACHED REQUEST IS AUTHORIZED tlms lillJRFJlil O THIS FOIW IS Tit JfSCBIBF BOPILJli EOR HIHCII PaiilEftl H REQUESTlrl)
Form No PDF 1522 Series No I Org Abbrev FRB Retain 0 yrs 1 mths FORWARD TO SBOO WEEKLY
Page 14A
0002 007 Form PDF 1455 Request by fiduciary for reissue ofUS Savings BondsNotes
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series llliH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) When accepted as evidence of distribution and not as a request for reissue retain PD F 1455 for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Page 15
0002 009 Form PDF 1851 Request for reissue for US Savings BondsNotes in name of trustee of a personal trust estate
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Senes HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained 1f accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retied current income bonds
0002 010 Form PDF 1938 Request for reissue ofUS Savmgs BondNotes during the lives of both co-owners
Disposition a) File Series EEE and Savings Note reissue request processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retam original with other accrual request Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 16
Item No Nl-53-97-03-00020ll
Description of Item Authority REINVESTMENT APPLICATIONfiii iiamp TO REQUEST PAYMENT NEW~ lIU s [sJRH IQ MOUfS I ea I iitf AND TO USE PROCEEDS FROM THE PAYMENT OF MATURED BONDS TO PURCHASE NEW BONDS FORWARD PROCESSED FORMS WITH RELATED STUBS TO SBOO WEEKLY IF INCOMPLETE OR OTHERWISE DEFECTIVE REQUEST A CORRECTED APPLICATION IF CORRECTED COPY NOT RECEIVED IN 30 DAYS FORWARD ORIGINAL TO SBOO
Form No PDF 1993 Series No I Org Abbrev Retain 0 yrs O mths FORWARD TO SBOO WEEKLY L9iR ffltifl-bM5EJi2fM QiampJ
FRB
Item No Nl-53-97-03-0002012
Description of Item Authority INVESTIGATION SCHEDULE OF PAID BONDS UNDER INVESTIGATIONLsectfbulllllffl NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ita zan(Bm(aclmztffilgtIeNff cf)lJQlIoIWM0 Qfiamplgtlatz~ltaa~ cblflhti1b(llxlS za~ TH Is FORM IS TO DESCRIBE BONDSNOTES AND GIVE DETAILS OF A TRANSACTION UNDER INVESTIGATION
Form No PDF 2343 Series No A COPY Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER RPfi IWI ii hi Mfilir7 o4cent tit W SR-II2-+481
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 17
Item No Description of Item Authority Nl-53-97-03-0002013 Ast RampF APPLICATIONll2ampMiil FOR RELIEF ON ACCOUNT OF THE LOSS THEFT OR NEW
DESTRUCTION OF PAID US SAVINGS BOND~tJ04PE$sfJ9FtjNEJ ijfltasJ atYlJiUJ THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS JIIMamph $1 lNGll RI 1Spound1111 IQ -HJ IWdiAF95 id Jit61Eel THE te1s1 btCJJ PilfftHCTAL BIGUT(j1ilt 181 PliiYDNampiEISITl
Form No PDF 2517 Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUTOFF aas QIN iifi4ib4s lUWW111 hilldUtiff-- in-1Ff 4ftKJ
Item No Description of Item Authority ~l-53-97-03-0002014 CERTIFICATION ATTACHMEN 1Mi6IAJta C OMtgtt- _~ 0 fr SAVlltr5 (gtOM D OWNfil-S bull NEW~
~P~~Du~wj~ ~~u Z~e= llAemmnF fll~i rn BEHi mrn FORMS w
Form No PDF 2778 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF a 1copy9111ti BtSbL iii Hl 5J U1 ~ 018
Request For Record Disposition Authority Page 18
Item No Nl-53-97-03-0002015
Item No Nl-53-97-03-0002016
Description of Item Authority CLAIM FOR RELIEF ON ACCOUNT OF LOSS THEFT OR DESTRUCTION rmcs 10eo~ NEW Gal
-~~s ~--~~IYP AfrF-fl vALtD ss-1pound 3ur 172tO(Z TO P--1zc_f=-1tdegT 3( C)(UNpoundR
Form No PDF 3062 Series No I Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Description of Item Authority CLAIM FOR RELIEF FOR LOSTSTOLEN OR DESTROYED usSBOND STOCKeampiYu NEW 4il9 DHc ampnI Wbiamp UJCWfal)rjAbiOHIEOP lZJt ibE poundECgtWfriii snoo WEPKpoundYJ COPIES MAY BE MADE AND RETAINED IF ACCESSED WITH SUFFICIENT FREQUENCY TO WARRANT THE COSTS ASSOCIATED WITH CREATION AND RETENTION
Form No PDF 3062-3 Series No Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Page 19
0002 017 Form PDF 3253 Exchange application for US Savings Bonds of series HH
Disposition a) Forward processed forms with related stubs to SBOO weekly
b) If incomplete or otherwise defective request a corrected application If corrected copy not receive in 30 days forward original to SBOO
0002 018 Form PDF 3360 Request for reissue ofUS Savings BondsNotes in the name of person or persons other than the owner (including legal guardian custodian for a minor under a statute etc )
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 20
Item No tNl-53-97-03-0002019
Item No ~1-53-97-03-0002020
Description of Item Authority CONTINUATION SHEET FOR LISTING SECURITIES0863 NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ll 4elJitGiJW aBlEiRMON-H ~clWAA~~ Qllw d5liIIINcentCfiDqltWMS ZOPbHS dSCbEMMEJRgt
Form No PDF 3500 Series No 1B COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF illgtIffl tgtlbllq~SiD ZOJIS ar-ar--91()2 -81B
Description REQUEST FOR
~ S- TftltpoundM lcN-
A 6-fl- F-cT c 1-1- A f fr-fi- OF MA Aeuro
Form No PDF 3564 Series No IA COPY Org Abbrev FRB Retain 1 yrs O mths DESTROY OBSOLETE DOCUMENTS ANNUALLY REnfffI I 5SLO mt Ne1 53 YB Ad 0 3gt
Request For Record Disposition Authority Page 21
Item No Nl-53-97-03-0002021
Description of Item SECURITIES TRANSACTION REQUESIWliiiill THlt-f
Ltif$B---Ftpound]o9 DOCUMENTbull THE WITHDRAWAL OF SECURITIES FROM THE USB VAULT
Authority NEW 280
Form No PDF 3800 Series No D COPY Retain 1 yrs O mths CUT OFF FILE YEARLY DESTROY 1 YEAR AFTER FRB MAY HOLD THIS UNDER THEIR OWN ATHORITY
Org Abbrev
CUT OFF OR amp EXPENSE
FRB
Item No ~1-53-97-03-0002022
Description of Item SECURITIES TRANSACTION REQUEST pound4JS it TkA-T f1H~ DOCUMENT THE RECEIPT ANDOR WITHDRAWAL VAULT
OF SECURITIES FROM
Authority NEW
THE
Form No PDF 3800 Series No E COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF THIS IS A CONTROLAUDIT COPY ~fEHTHm RASPS 1111 II 1 ~ e 0 7 lP(lit-
Request For Record Disposition Authority Page 22
Item No Description of Item ((L iRus r 4(r~ll f11poundVr 1Nl-53-97-03-0002023 APPLICATIONS FOR ISSUING AGENT-- amin~PJT~~jjjjjjjQp bull
f-ll-euro coNIA-lff ORIGINAL AGREEMENT ffllii TO lt81 AS Mf lBBOHIG ACliID AND APPROPRIATE CORRESPONDENCE RELATING TO THIS AGREEMENT
Authority NEW
Form No PDF 3827 Series No IA COPY Retain 6 yrs 3 mths DESTROY 6 YEARS AFTER TERMINATION OF AGENCY
Org Abbrev FRB
11N hPPLICtTHJH fO
Q-AI IE lS MIT ISSUHf6 h6ENf MfEHfieH DilSED OH Hel 53 81 BQ 01
Item No Nl-53-97-03-0002024
Description of Item CERTIFICATE OF QUALIFICATION-ISSUING AGENT QUALIFY AS AN ISSUING AGENT FOR THE SERIES
1-( 5 ~gt (USSBo6922Bl EE BONDS
TO APPLY AND Authority NEW
Form No PDF 3828 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths D6ST(IOf- 6 r I AR S ~ YI OYrH ~ AFTER TERMINATION OF ISSUING AGENT STATUS ~TION axsuogN Jif l sect481 02 ~
Request For Record Disposition Authority Page 23
Item No Nl-53-97-03-0002025
~ fgtV tNamp-5 p OtvtgtS
Description of Item R20Jlti_S T F-Oa fJOOR F-M7Pr rRrlVSAcT10N BOOK ENTRY REQUEST FOR TRANSACTION IN USSB BY TRUSTEE-60508 Wi PURP06S Cll 11H5 iN ff TO INITIATE A TRANSACTION IN A BOOK ACCOUNT
IN (S
ENTRY
Authority NEW W
Item No bullNl-53-97-03-0002026
5~~ Mf~T flamppound
Form No PDF 3879 Series No ID COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
Description of Item Authority REQU BY THE OWNER OF REISSUE OF US SAVINGS BONDSNOTES-60000 NEW 451 --TITLE ADD BENEFICIARY OR COOWNER ELIMINATE BENE IARY OR DECEDENT SHOW CHANGE O ANDOR CORRECT ERROR I TION --RETENTION (l) FILE SERIES EEE AN VINGS NOTE REISSUE ESSED IN A CALENDAR MONTH BY SERIES I 2 FULL CALENDAR MONTHS bull---=~~bull NOT RETAIN COPIES (2) FORWARD SERIES HHH TIRED BONDS MICROFILM COPIES MAY BE MADE A FREQUENCY TO WARRANT THE COSTS ASSO Form No PDF 4000 Series No Al COPY FRB
0 yr O mths DETERMINE DISPOSITION SEE MEMO FIELD
FORW
Page 23A
0002 026 Form PDF 4000 Request by the owner for reissue of US Savings BondsNotes to add beneficiary or co-owner eliminate beneficiary or decedent show change of name andor correct error in registration
Disposition a) File series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series lil-IH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 24
Item No fll-53-97-03-0002027
Description of Item 4rtNC r REPORT OF NON-RECEIPTLOSSTHEFTDESTRUCTION OF FISCALACHECKmiddotUisZIB m ~JR tl9Hretl-EODH I L0SS fHSFT ~ kiisffilLc_Tfm~ENfv6rrc1f AND APPLICATION FOR REPLACEMENT
Authority NEW
Form No PDF 5235 Series No I Retain 7 yrs O mths C-tfr oF= F1(1amp-lt Ye4RL-- os~oS-
Org Abbrev FRB
Item No Nl-53-97-03-0002028
Description of ORDER IDIRi FOR
Item SERIES
u SAVINCr-~ Authority EE BONDS 8-11111dibijEnJm~~A-H I) ~ poundt A I GP Rc~~W Ba
SERVICE )-11tnNe1uDiESPil~OLl-]l~~~lJ~QRDS
Form No PDF 5263 Series No Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2
IA COPY Org Abbrev
MONTHS AFTER CUTOFF
FRB
Request For Record Disposition Authority Page 25
Item No Description of Item lf5 Sqvv-5 Authority Nl-53-97-03-0002029 ORDER FORM FOR SERIES EEBONDS 8lfl)a te4Dl40~ NEW_
~ dJ0RW ffi~~llv-imtY 00 NbisectiASIT SlsecttlIES=gtEE B~
10 fi ~e-6-- s T pound 12pound Igt I H Y4 M euro lF-- =- DU c 1 k fl r
Form No PDF 5263-1 Series No IA COPY Org Abbrev FRB Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2 MONTHS AFTER CUT OFF
Item No Description of Item SHUTS u s6- D ro Authority ~l-53-97-03-0003001 ACCOUNTABILITY STATEMENTS AND LEDGERYldbJSii606Jkr1a2~ INDICATEa ALL NEW
ACTIVITIES IN ISSUING AGENTS CONSIGNMENT ACCOUNTS LEDGER SHEETS 0 INCLUDE PIECES ON HAND BY DENOMINATION SERIAL NUMBERS AND BALANCES ON HAND
Form No Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3MOS AFTER CUT OFF ~~ sectA~D dm ftCP--53- 78---0zt- -8Q
Request For Record Disposition Authority Page 26
Item No Description of Item Authority Nl-53-97-03-0003002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLl4 i OOt NEW
BY BUREAU OF PUBLIC DEBT OFFICE aw amltS9Sl8 ~Q-gt ~ bull
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS
Org Abbrev
AFTER CUT OFF
FRB
Item No Nl-53-97-03-0003003
Description of Item ___ GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS~~ ~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT DOCUMENTING THE US TREASURY GENERAL ACCOUNT
ENTRIES
Authority NEW ltlillS TO
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
1 Request For Record Disposition Authority
Item No Description of Item bullNl-53-97-03-0001001 CORRESPONDENCE WITH INDIVIDUALS BANKS ETCffiitmtMli RELATING TO
SPECIFIC BOND TRANSACTIONS WITH THE FRB ~~-amp l ~)
Form No Series No Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
bull
Page
Authority NEWJJIB
2 Request For Record Disposition Authority Page
Item No Description of Item Authority Nl-53-97-03-0001002 CORRESPONDENCE OF APPLICANTS REJECT LETTER~ AS AGENTS NEWMJBI
~M )Jft)ljiiPgt-JtiiigtSlM7 jEy ilLUlilP COPIES OF INQUIRY LETTERS SENT TO THE TREASURY DEPT COPIES OF NON-RECEIPT CASES OVER FOUR MONTHS OLD SENT TO TREASURY AND OTHER ROUTINE MATERIAL RETAINED FOR RESEARCH ~ dltYOOiJiJwraquo$iliiid-tnJgtitokiisahWld ~
Form No Series No Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUTOFF
Item No Description of Item Authorityaa--middotNl-53-97-03-0001003 LEGAL EVIDENCE FOR~DrampPTJONS REISSUE amp EXCHANGEffflampflQJO S11NG-6 ~~NEW-
flH INamp_PSUPPORTING DOCUMEN StWEN SAVINGS BONDS ARE REDEMMED BY RESERVE BANKS ON BEHALF OF REGISTERED OWNERS OR OTHER ENTITLED PERSONS THESE INCLUDE DEATH CERTIFICATES ALTERNATE ID CERTIFICATES MARRIAGE LICENSES BIRTH NOTICES CERTICATES OF LEGAL INCOMPETENCY NOTICE OF WILL AND EQUIVALENT DOCUMENTATION
Form No Series No I Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY FILES 10 YRS AFTER CUT OFF
3 Request For Record Disposition Authority Page
Item No Description of Item Authority 1Nl-53-97-03-0001004 CORRESPONDENCE OF USSB REDEMPTIONS BY FR~rsectBltNitl NEW 811
FORMS AND CORRESPONDENCE RELATING TO THE REDEMPTION OF BONDS (EXCEPT THE ALPHA RECORDS ISSUED TO OWNER) WHEN PAYMENTS WERE MADE BY THE FRB
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority 1Nl-53-97-03-0001 005 CERTIFICATE OF IDENTITY OF OWNER OF SAVINGSRETIREMENT SECURITIE~ NEW 423
Jfllft-liicMJP09fJ ~GIC6ZBRP9RM liSI --i8euroNABLiltA PERSON WHO HAS NO INTEREST IN A BOND TO CERTIFY REGARDING OWNERS SIGNATURES ON REGISTERED SECURITIES
Form No PDF 385-1 Series No IA COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES EACH FISCAL YEAR DESTROY 10 YRS AFTER CUT OFF
4 Request For Record Disposition Authority Page
Item No bullNl-53-97-03-0001006
stpound Nc~r rA~t
Item No Nl-53-97-03-0001007
Description of Item Authority RE ST FOR REISSUE OF US SAVINGS BONDS-60000 UPON CHANG NEW 427
N (1) FILE SERIES EEE AND SAVINGS NOTE MONTH BY SERIES IN DAILY
SBOO DO NOT RE HH REISSUE REQUESTS WEEKLY WITH RETIRED B AND RETAINED (NOT TO EXCEED TWO YE QUENCY TO WARRANT THE COSTS ASSOCIAT ) RETAIN COPIES OF SUPPORTING EVIDE
540 Series No 1 Reta 0 yrs O mths
ONDITIONS DETERMINE DISPOSITION SEE MEMO FIELD
Description of Item ~--= Authority DISCLAIMER AND CONSENT WITH RESPECT TO US SAVINGS BONDSNOTES~ NEW laquoIamp THE PURPOSE OF THIS FORM IS TO DISCLAIM ANY RIGHT TITLE OR INTEREST IN SPECIFIC BONDS OR NOTES
Form No PDF 1849 Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YEARS AFTER CUT OFF
Page 4A
0001 006 Form PDF 1540 Request for reissue ofUS Savings Bonds upon change of name of or upon succession to corporation association or partnership
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When requests involve both accrual and current income bonds retain onginals with other accrual requests Prepare and submit photocopies with retired current income bonds
5 Request For Record Disposition Authority Page
Item No Description of Item Authority 1Nl-53-97-03-0001008 A CATIONS FOR DISPOSITION-60000 US SAVINGS BONDSNOTES ANDOR NEW 431
5euro6 NE-tr fA amp-fi LATED CHECKS (IN A COMBINED AMOUNT NOT EXCEEDING OWNED BY
CALENDAR FILE FOR 2 FUL COPIES (2) FO WEEKLY WITH RETIRED BONDS
ACCESSED WITH SUFFICIENT PAGE)
Series No I Retain yrs O mths 4 DITIONS DETERMINE DISPOSITION SEE MEMO FIELD
Item No Description of Item Authority ~l-53-97-03-0001009 APP IONS FOR DISPOSITION-60000 US SAVINGS BONDSNOTES AND0 NEW 432
--TITLE RE CHECKS OWNED BY DECEDENT WHOSE ESTATE IS B SETTLEDS~E NE~ PAamp--pound
WITHOUT ADMINISTRA (THIS FORM SHOULD BE USED WHE COMBINED FACE AMOUNT EXCEEDS $1000) E SERIES EEE ANDS PROCESSED IN A CALEND ONOLOGICAL ORDER RETAIN THE MONTHS FI E FORWARDING TO SBOO DO NOT RETAIN COPIES QUESTS WEEKLY WITH RETIRED BONDS MICROFILM NED IF ACCESSED WITH SUFFICIENT FREQUENC WARRANT THE TA CONTINUES ON NEXT PAGE)
-1 Series No
0 mths 4 ITIONS DETERMINE DISPOSITION SEE MEMO FIELD FOR
Page SA
0001 008 Form PDF 1946 Application for disposition US Savings BondsNotes andor related checks (in combined amount not exceeding $1000) owned by descendent whose estate is being settled without administration
Disposition a) File Series EEE and Savings Note reissue request processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series H1-Il-I reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When requests involve both accrual and current income bonds retain original with other accrual requests Prepare and subffilt photocopies with retired current income bonds
0001 009 Form PDF 1946-1 Application for disposition US Savings Bondsnotes andor related checks owned by descendent whose estate is being settled without administration (This form should be used when the combined face amount exceeds $1000)
Disposition a) File Series EEE and Savings Note reissued requests processed in a calendar month by senes in daily chronological order Retain the months file 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When requests involve both accrual and current mcome bonds retain original with other accrual requests Prepare and submit photocopies with retired current income bonds
6 Request For Record Disposition Authority Page
Item No Nl-53-97-03-0001010
Item No 1Nl-53-97-03-00010ll
j
Description of Item Authority APPLICATIONS BY PREFERRED CREDITO FOR DISPOSITION WITHOUT NEW 118 ADMINISTRATION WHERE DECEASED OWNERS ESTATE INCLUDES UNITED STATES REGISTERED SECURITIES ANDOR CHECKS IN AN AMOUNT NOT EXCEEDING $500 THIS FORM IS USED BY A PERSON WHO PAID BURIAL EXPENSES OF A DECEDENT WHOSE ESTATE HAS NOT BEEN AND SO FAR AS KNOWN WILL NOT BE ADMINISTERED IN COURT
Form No PDF 2216 Series No I Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF
Description of Item Authority CERTIFICATE OF ENTITLEMENT-60000 UNITED STATES SAVINGS AND NEW RETIREMENT SECURITIES AND CHECKS AFTER ADMINISTRATION OF DECEDENTS ESTATE THIS FORM IS TO CERTIFY THAT COURT RECORDS SHOW THE LISTED PERSON ENTITLED TO CERTAIN BONDS OR CHECKS AS DISTRIBUTION FROM A DECEDENTS ESTATE
Form No PDF 2458 Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 7
Item No Nl-53-97-03-0001012
Item No bullNl-53-97-03-0001013
Description of Item __ Authority CERTIFICATE BY LEGAL REPRESENTATIVE(S) OF DECEDENTS ESTATEfiriffiiltamp NEW da1 DURING ADMINISTRATION OF AUTHORITY TO ACT AND OF DISPOSITION WHERE ESTATE HOLDS NO MORE THAN $1000 (FACE AMOUNT) UNITED STATES SAVINGS AND RETIREMENT SECURITIES EXCLUDING CHECKS REPRESENTING INTEREST
Form No PDF 2488-1 Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YEARS AFTER CUT OFF
Description of Item Authority SPECIAL BOND OF INDEMNITY TO THE UNITED STATESf1N191lB NEWfliB THIS FORM IS USED BY A BOND PURCHASER TO IDEMNIFY THE DEPARTMENT AGAINST LOSS IN A TRANSACTION TO REFUND PURCHASE PRICE OF BONDS OBTAINED THROUGH A CHAIN LETTER SCHEME
Form No PDF 2966 Series No Org Abbrev FRB Retain 0 yrs 1 mths FORWARD TO SBOO MONTHLY
8 Request For Record Disposition Authority Page
Item No Description of Item AuthorityoF Nl-53-97-03-0001014 APPLICATIONS FOR DISPOSITION RETIREMENT PLAN ANDOR NEW amt
INDIVIDUAL RETIREMENT BONDS WITHOUT ADMINISTRATION OF DECEASED OWNERS ESTATE
Form No PDF 3565 Series No A COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF
Item No Description of Item Authority 1Nl-53-97-03-0001015 APPLICATIONS AGREEMENT-TO QUALIFY UNDER TD CIR888 (REV) NEW
THESE DOCUMENTS DEFINE THE TERMS OF AGREEMENT BETWEEN A FEDERAL RESERVE BANK AS ~k~ltiJL AGENT OF US FOR ISSUING ANDOR PAYING AGENT rncLUDESPD 3821 3828 3880 3881 3902 3903 u~osplusmnMiamptkf~-laquoLf= m
~ e$35idkbgt-Ji-deg
Form No MiampfJ IOI Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths DESTROY 6 YRS 3 MOS AFTER TERMINATION OF AGENT
e1 --+i 2 r)ijjt
9 Request For Record Disposition Authority Page
Item No Description of Item Authority Nl-53-97-03-0001016 NOTICE OF QUALIFICATION UNDER TREASURY DEPT CIRCULAR NO BodSbii NEW
AN AGREEMENT TO ESTABLISH THE ELIGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVING BONDS
Form No PDF 3903 Series No IB COPY Org Abbrev FRB Retain 6 yrs 3 mths HOLD FOR 6 YRS AND 3 MO AFTER TERMINATION OF PAYING AGENT STATUS Qal +NVEW iIW PYgt- A 2EidiBicr gtUW W li-6 fi 8 I 622 aft l
Item No Description of Item Authority Nl-53-97-03-0001017 APPLICATIONS FOR PAYMENT OF NEW
flllllilsectl iFTii ii A itPZ iZ kl Ji DJgt Htiv~ UNITED STATES SAVINGS BONDSNOTES ANDOR RELATED CHECKS IN AN AMOUNT NOT EXCEEDING $1000 BY THE SURVIVOR OF A DECEASED OWNER WHOSE ESTATE IS NOT BEING ADMINISTERED
Form No PDF 4881 Series No Al COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF GPrampAflA RUIS ri M aBllrQQJP tff9---dz1 M -tJ I~
Page 10
0001 018 Form PDF 5200 Overpayment history
Disposition a) Ifnot processed in 120 days forward to SBOO
b) Ifclaim disputed within 120 days forward to SBOO to settle claim
c) Ifoverpayment is settled destroy 10 years after settlement
0001 019 Form PDF 5336 Application for disposition - US Savings BondsNotes andor related checks owned by descendent whose estate is being settled without administration
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO You may retain a photocopy for 10 years but you are not required to do so
b) Forward Series HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 11
Item No Nl-53-97-03-0002001
Item No Nl-53-97-03-0002002
)
Description of Item 0 ~ o~srAoi~~orJ-~X CREDIT ADVICEefi()()QQj COVERING REPLACEMENT BONDS OF LOST STOLEN 1mft7 NEW P-S
THESE DOCUMENTS AUTHORIZE THE PROCESSING OF SUBSTITUTE OR REPLACEMENT BONDS WHERE THE ORIGINAL HAS BEEN LOST STOLEN MUTILATED OR DESTROYED AND THE EXTENSION OF CREDIT FOR UNISSUED STOCK AND LOST PAID BONDS PREPARED BY FRB THE DOCUMENTS ARE SENT TO THE PARKERSBURG OFFICE FOR AUDIT~IN LIEU OF THE ORIGINAL BONDS lftZZ 1-FWklJCbulldffii cent 0Astr- T1RMJlii3
Form No Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF llRgti4hitbii1KMifkid)f 81 i eg IJ-4 1 IEz
Description of Item RfLATlf6- ro TflG Authority CORRESPONDENCE AND FORMSA~ CORRECTIONREISSUE OF SAVINGS BONDS NEW
mm~~L~~n~~~~ To As FORWARDING ITEMS~ (msi2~ ~dcopy-~P 4-a0 NPffim-l
~-
Form No Series No Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF ~~~t52~
Request For Record Disposition Authority Page 12
Item No lNl-53-97-03-0002003
Item No Nl-53-97-03-0002004
Description of Item Authority REISSUE REQUEST FOR SAVINGS BONDS SERIES E~ NEW48 REQUESTS PROCESSED WITHIN A GIVEN CALENDAR MONTH SHOULD BE FILED BY SERIES IN A DAILY CHRONOLOGICAL ORDER WITHOUT ALPHBETIZING OR OTHER FILE ARRANGEMENT ~wp29l1hjroe $JSEit2W Nf)r 4~
Form No Series No 1 Org Abbrev FRB Retain 0 yrs 2 mths CUTOFF FILE EACH MONTH AND HOLD FOR TWO MONTHS THIN FORWARD TO SBOO
Description of Item __ _ Authority REISSUE REQUEST FOR SAVINGS BONDS SERIES HHH-wifJl NEW (19
-~ Form No Series No Org Abbrev FRB Retain 0 yrs 1 mths RETAIN FOR 1 WEEK THEN TRANSFER TO SBOO BANKS MAY WISH TO MICROFILM AND RETAIN LONGER AT THEIR EXPENSE
Request For Record Disposition Authority Page 13
Item No Nl-53-97-03-000200S
Item No ~l-53-97-03-0002006
Description of Item Authority BOOK ENTRY STATEMENT OF ACTIVITVfflsectQi FOR EACH TRUSTEE ACCOUNT NEW TRANSFER ADVICES ADJUSTMENT ADVICES PERMANENT RECEIPTS BOOK ENTRY A~C REQUESTS REISSUE REQUESTS AND RELATED CLASSIFICATION LISTINGS ~jj2111$1D US~[)
TO REFLECT ALL ADJUSTMENTS TO THE ISSUING AND PAYING AGENTS ACCOUNTS
Form No Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF JbtifllrNfROiiAAiki DfbNbkSSP Hf irit 4Ai6l
Description of It~~f4 1gt1~euroD Authority SEN - bull NEW
E T IN F S R
~~lOtlLU=bull c A F- Jgt r o _middot c o 5 1pound M r To pspos70 o~ -Nrtro srArs $ fl4L euro--~ A-f(D ~li-c-A-r~ O CU-5-cf_4 w1r1+0wT A--0tltNfS~rotv tgtF
06C-G-~ E 0 DW1f~ILbulls F-S11gtlt-1E
Form No PDF 1050 Series No Al COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY liei6X8WY~Mfdi iMTgt-fJPiPL TRANSFER TO FRC AS VOLUME WARRANTS 0Q Z 6i ifosectfkaTgt Jj 00$ampQ (8f jjp-SltPi91ti 2MA-b () (iS T fJ 0 r Cgt r 6-A42-gt A- F rF-A- cCfT o Ff-
Request For Record Disposition Authority Page 14
Item No Description of Item Authority Nl-53-97-03-0002007 EST BY FIDUCIARY-60000 FOR REISSUE OF US SAVINGS BONDSNOTES NEW 425
--RET ON (1) FILE SERIES EEE AND SAVINGS NO ISSUE REQUESTS6i-ti N i-t t f A-amppound PROCESSED CALENDAR MONTH BY SERIES IN LY CHRONOLOGICAL ORDER
MONTHS BEFORE FORWARDING TO SBOO DO NOT SERIES HHH REISSUE REQUESTS WEEKLY WITH RETIRED BE MADE AND RETAINED IF ACCESSED WITH SUFFICIE RETENTION ( DISTRUTION AND NOT AS A REQUEST
Series No I Retamiddot bull 10 yrs O mths
ONDITIONS DETERMINE DISPOSITION SEE MEMO FIELD
Item No Description of Item Authority Nl-53-97-03-0002008 SPECIAL FORM OF REQUEST FOR PAYMENTElfiPiampi OF UNITED STATES SAVINGS NEW Cill
AND RETIREMENT SECURITIES WHERE mil USE OF A DETACHED REQUEST IS AUTHORIZED tlms lillJRFJlil O THIS FOIW IS Tit JfSCBIBF BOPILJli EOR HIHCII PaiilEftl H REQUESTlrl)
Form No PDF 1522 Series No I Org Abbrev FRB Retain 0 yrs 1 mths FORWARD TO SBOO WEEKLY
Page 14A
0002 007 Form PDF 1455 Request by fiduciary for reissue ofUS Savings BondsNotes
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series llliH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) When accepted as evidence of distribution and not as a request for reissue retain PD F 1455 for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Page 15
0002 009 Form PDF 1851 Request for reissue for US Savings BondsNotes in name of trustee of a personal trust estate
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Senes HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained 1f accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retied current income bonds
0002 010 Form PDF 1938 Request for reissue ofUS Savmgs BondNotes during the lives of both co-owners
Disposition a) File Series EEE and Savings Note reissue request processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retam original with other accrual request Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 16
Item No Nl-53-97-03-00020ll
Description of Item Authority REINVESTMENT APPLICATIONfiii iiamp TO REQUEST PAYMENT NEW~ lIU s [sJRH IQ MOUfS I ea I iitf AND TO USE PROCEEDS FROM THE PAYMENT OF MATURED BONDS TO PURCHASE NEW BONDS FORWARD PROCESSED FORMS WITH RELATED STUBS TO SBOO WEEKLY IF INCOMPLETE OR OTHERWISE DEFECTIVE REQUEST A CORRECTED APPLICATION IF CORRECTED COPY NOT RECEIVED IN 30 DAYS FORWARD ORIGINAL TO SBOO
Form No PDF 1993 Series No I Org Abbrev Retain 0 yrs O mths FORWARD TO SBOO WEEKLY L9iR ffltifl-bM5EJi2fM QiampJ
FRB
Item No Nl-53-97-03-0002012
Description of Item Authority INVESTIGATION SCHEDULE OF PAID BONDS UNDER INVESTIGATIONLsectfbulllllffl NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ita zan(Bm(aclmztffilgtIeNff cf)lJQlIoIWM0 Qfiamplgtlatz~ltaa~ cblflhti1b(llxlS za~ TH Is FORM IS TO DESCRIBE BONDSNOTES AND GIVE DETAILS OF A TRANSACTION UNDER INVESTIGATION
Form No PDF 2343 Series No A COPY Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER RPfi IWI ii hi Mfilir7 o4cent tit W SR-II2-+481
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 17
Item No Description of Item Authority Nl-53-97-03-0002013 Ast RampF APPLICATIONll2ampMiil FOR RELIEF ON ACCOUNT OF THE LOSS THEFT OR NEW
DESTRUCTION OF PAID US SAVINGS BOND~tJ04PE$sfJ9FtjNEJ ijfltasJ atYlJiUJ THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS JIIMamph $1 lNGll RI 1Spound1111 IQ -HJ IWdiAF95 id Jit61Eel THE te1s1 btCJJ PilfftHCTAL BIGUT(j1ilt 181 PliiYDNampiEISITl
Form No PDF 2517 Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUTOFF aas QIN iifi4ib4s lUWW111 hilldUtiff-- in-1Ff 4ftKJ
Item No Description of Item Authority ~l-53-97-03-0002014 CERTIFICATION ATTACHMEN 1Mi6IAJta C OMtgtt- _~ 0 fr SAVlltr5 (gtOM D OWNfil-S bull NEW~
~P~~Du~wj~ ~~u Z~e= llAemmnF fll~i rn BEHi mrn FORMS w
Form No PDF 2778 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF a 1copy9111ti BtSbL iii Hl 5J U1 ~ 018
Request For Record Disposition Authority Page 18
Item No Nl-53-97-03-0002015
Item No Nl-53-97-03-0002016
Description of Item Authority CLAIM FOR RELIEF ON ACCOUNT OF LOSS THEFT OR DESTRUCTION rmcs 10eo~ NEW Gal
-~~s ~--~~IYP AfrF-fl vALtD ss-1pound 3ur 172tO(Z TO P--1zc_f=-1tdegT 3( C)(UNpoundR
Form No PDF 3062 Series No I Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Description of Item Authority CLAIM FOR RELIEF FOR LOSTSTOLEN OR DESTROYED usSBOND STOCKeampiYu NEW 4il9 DHc ampnI Wbiamp UJCWfal)rjAbiOHIEOP lZJt ibE poundECgtWfriii snoo WEPKpoundYJ COPIES MAY BE MADE AND RETAINED IF ACCESSED WITH SUFFICIENT FREQUENCY TO WARRANT THE COSTS ASSOCIATED WITH CREATION AND RETENTION
Form No PDF 3062-3 Series No Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Page 19
0002 017 Form PDF 3253 Exchange application for US Savings Bonds of series HH
Disposition a) Forward processed forms with related stubs to SBOO weekly
b) If incomplete or otherwise defective request a corrected application If corrected copy not receive in 30 days forward original to SBOO
0002 018 Form PDF 3360 Request for reissue ofUS Savings BondsNotes in the name of person or persons other than the owner (including legal guardian custodian for a minor under a statute etc )
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 20
Item No tNl-53-97-03-0002019
Item No ~1-53-97-03-0002020
Description of Item Authority CONTINUATION SHEET FOR LISTING SECURITIES0863 NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ll 4elJitGiJW aBlEiRMON-H ~clWAA~~ Qllw d5liIIINcentCfiDqltWMS ZOPbHS dSCbEMMEJRgt
Form No PDF 3500 Series No 1B COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF illgtIffl tgtlbllq~SiD ZOJIS ar-ar--91()2 -81B
Description REQUEST FOR
~ S- TftltpoundM lcN-
A 6-fl- F-cT c 1-1- A f fr-fi- OF MA Aeuro
Form No PDF 3564 Series No IA COPY Org Abbrev FRB Retain 1 yrs O mths DESTROY OBSOLETE DOCUMENTS ANNUALLY REnfffI I 5SLO mt Ne1 53 YB Ad 0 3gt
Request For Record Disposition Authority Page 21
Item No Nl-53-97-03-0002021
Description of Item SECURITIES TRANSACTION REQUESIWliiiill THlt-f
Ltif$B---Ftpound]o9 DOCUMENTbull THE WITHDRAWAL OF SECURITIES FROM THE USB VAULT
Authority NEW 280
Form No PDF 3800 Series No D COPY Retain 1 yrs O mths CUT OFF FILE YEARLY DESTROY 1 YEAR AFTER FRB MAY HOLD THIS UNDER THEIR OWN ATHORITY
Org Abbrev
CUT OFF OR amp EXPENSE
FRB
Item No ~1-53-97-03-0002022
Description of Item SECURITIES TRANSACTION REQUEST pound4JS it TkA-T f1H~ DOCUMENT THE RECEIPT ANDOR WITHDRAWAL VAULT
OF SECURITIES FROM
Authority NEW
THE
Form No PDF 3800 Series No E COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF THIS IS A CONTROLAUDIT COPY ~fEHTHm RASPS 1111 II 1 ~ e 0 7 lP(lit-
Request For Record Disposition Authority Page 22
Item No Description of Item ((L iRus r 4(r~ll f11poundVr 1Nl-53-97-03-0002023 APPLICATIONS FOR ISSUING AGENT-- amin~PJT~~jjjjjjjQp bull
f-ll-euro coNIA-lff ORIGINAL AGREEMENT ffllii TO lt81 AS Mf lBBOHIG ACliID AND APPROPRIATE CORRESPONDENCE RELATING TO THIS AGREEMENT
Authority NEW
Form No PDF 3827 Series No IA COPY Retain 6 yrs 3 mths DESTROY 6 YEARS AFTER TERMINATION OF AGENCY
Org Abbrev FRB
11N hPPLICtTHJH fO
Q-AI IE lS MIT ISSUHf6 h6ENf MfEHfieH DilSED OH Hel 53 81 BQ 01
Item No Nl-53-97-03-0002024
Description of Item CERTIFICATE OF QUALIFICATION-ISSUING AGENT QUALIFY AS AN ISSUING AGENT FOR THE SERIES
1-( 5 ~gt (USSBo6922Bl EE BONDS
TO APPLY AND Authority NEW
Form No PDF 3828 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths D6ST(IOf- 6 r I AR S ~ YI OYrH ~ AFTER TERMINATION OF ISSUING AGENT STATUS ~TION axsuogN Jif l sect481 02 ~
Request For Record Disposition Authority Page 23
Item No Nl-53-97-03-0002025
~ fgtV tNamp-5 p OtvtgtS
Description of Item R20Jlti_S T F-Oa fJOOR F-M7Pr rRrlVSAcT10N BOOK ENTRY REQUEST FOR TRANSACTION IN USSB BY TRUSTEE-60508 Wi PURP06S Cll 11H5 iN ff TO INITIATE A TRANSACTION IN A BOOK ACCOUNT
IN (S
ENTRY
Authority NEW W
Item No bullNl-53-97-03-0002026
5~~ Mf~T flamppound
Form No PDF 3879 Series No ID COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
Description of Item Authority REQU BY THE OWNER OF REISSUE OF US SAVINGS BONDSNOTES-60000 NEW 451 --TITLE ADD BENEFICIARY OR COOWNER ELIMINATE BENE IARY OR DECEDENT SHOW CHANGE O ANDOR CORRECT ERROR I TION --RETENTION (l) FILE SERIES EEE AN VINGS NOTE REISSUE ESSED IN A CALENDAR MONTH BY SERIES I 2 FULL CALENDAR MONTHS bull---=~~bull NOT RETAIN COPIES (2) FORWARD SERIES HHH TIRED BONDS MICROFILM COPIES MAY BE MADE A FREQUENCY TO WARRANT THE COSTS ASSO Form No PDF 4000 Series No Al COPY FRB
0 yr O mths DETERMINE DISPOSITION SEE MEMO FIELD
FORW
Page 23A
0002 026 Form PDF 4000 Request by the owner for reissue of US Savings BondsNotes to add beneficiary or co-owner eliminate beneficiary or decedent show change of name andor correct error in registration
Disposition a) File series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series lil-IH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 24
Item No fll-53-97-03-0002027
Description of Item 4rtNC r REPORT OF NON-RECEIPTLOSSTHEFTDESTRUCTION OF FISCALACHECKmiddotUisZIB m ~JR tl9Hretl-EODH I L0SS fHSFT ~ kiisffilLc_Tfm~ENfv6rrc1f AND APPLICATION FOR REPLACEMENT
Authority NEW
Form No PDF 5235 Series No I Retain 7 yrs O mths C-tfr oF= F1(1amp-lt Ye4RL-- os~oS-
Org Abbrev FRB
Item No Nl-53-97-03-0002028
Description of ORDER IDIRi FOR
Item SERIES
u SAVINCr-~ Authority EE BONDS 8-11111dibijEnJm~~A-H I) ~ poundt A I GP Rc~~W Ba
SERVICE )-11tnNe1uDiESPil~OLl-]l~~~lJ~QRDS
Form No PDF 5263 Series No Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2
IA COPY Org Abbrev
MONTHS AFTER CUTOFF
FRB
Request For Record Disposition Authority Page 25
Item No Description of Item lf5 Sqvv-5 Authority Nl-53-97-03-0002029 ORDER FORM FOR SERIES EEBONDS 8lfl)a te4Dl40~ NEW_
~ dJ0RW ffi~~llv-imtY 00 NbisectiASIT SlsecttlIES=gtEE B~
10 fi ~e-6-- s T pound 12pound Igt I H Y4 M euro lF-- =- DU c 1 k fl r
Form No PDF 5263-1 Series No IA COPY Org Abbrev FRB Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2 MONTHS AFTER CUT OFF
Item No Description of Item SHUTS u s6- D ro Authority ~l-53-97-03-0003001 ACCOUNTABILITY STATEMENTS AND LEDGERYldbJSii606Jkr1a2~ INDICATEa ALL NEW
ACTIVITIES IN ISSUING AGENTS CONSIGNMENT ACCOUNTS LEDGER SHEETS 0 INCLUDE PIECES ON HAND BY DENOMINATION SERIAL NUMBERS AND BALANCES ON HAND
Form No Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3MOS AFTER CUT OFF ~~ sectA~D dm ftCP--53- 78---0zt- -8Q
Request For Record Disposition Authority Page 26
Item No Description of Item Authority Nl-53-97-03-0003002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLl4 i OOt NEW
BY BUREAU OF PUBLIC DEBT OFFICE aw amltS9Sl8 ~Q-gt ~ bull
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS
Org Abbrev
AFTER CUT OFF
FRB
Item No Nl-53-97-03-0003003
Description of Item ___ GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS~~ ~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT DOCUMENTING THE US TREASURY GENERAL ACCOUNT
ENTRIES
Authority NEW ltlillS TO
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
2 Request For Record Disposition Authority Page
Item No Description of Item Authority Nl-53-97-03-0001002 CORRESPONDENCE OF APPLICANTS REJECT LETTER~ AS AGENTS NEWMJBI
~M )Jft)ljiiPgt-JtiiigtSlM7 jEy ilLUlilP COPIES OF INQUIRY LETTERS SENT TO THE TREASURY DEPT COPIES OF NON-RECEIPT CASES OVER FOUR MONTHS OLD SENT TO TREASURY AND OTHER ROUTINE MATERIAL RETAINED FOR RESEARCH ~ dltYOOiJiJwraquo$iliiid-tnJgtitokiisahWld ~
Form No Series No Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUTOFF
Item No Description of Item Authorityaa--middotNl-53-97-03-0001003 LEGAL EVIDENCE FOR~DrampPTJONS REISSUE amp EXCHANGEffflampflQJO S11NG-6 ~~NEW-
flH INamp_PSUPPORTING DOCUMEN StWEN SAVINGS BONDS ARE REDEMMED BY RESERVE BANKS ON BEHALF OF REGISTERED OWNERS OR OTHER ENTITLED PERSONS THESE INCLUDE DEATH CERTIFICATES ALTERNATE ID CERTIFICATES MARRIAGE LICENSES BIRTH NOTICES CERTICATES OF LEGAL INCOMPETENCY NOTICE OF WILL AND EQUIVALENT DOCUMENTATION
Form No Series No I Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY FILES 10 YRS AFTER CUT OFF
3 Request For Record Disposition Authority Page
Item No Description of Item Authority 1Nl-53-97-03-0001004 CORRESPONDENCE OF USSB REDEMPTIONS BY FR~rsectBltNitl NEW 811
FORMS AND CORRESPONDENCE RELATING TO THE REDEMPTION OF BONDS (EXCEPT THE ALPHA RECORDS ISSUED TO OWNER) WHEN PAYMENTS WERE MADE BY THE FRB
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority 1Nl-53-97-03-0001 005 CERTIFICATE OF IDENTITY OF OWNER OF SAVINGSRETIREMENT SECURITIE~ NEW 423
Jfllft-liicMJP09fJ ~GIC6ZBRP9RM liSI --i8euroNABLiltA PERSON WHO HAS NO INTEREST IN A BOND TO CERTIFY REGARDING OWNERS SIGNATURES ON REGISTERED SECURITIES
Form No PDF 385-1 Series No IA COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES EACH FISCAL YEAR DESTROY 10 YRS AFTER CUT OFF
4 Request For Record Disposition Authority Page
Item No bullNl-53-97-03-0001006
stpound Nc~r rA~t
Item No Nl-53-97-03-0001007
Description of Item Authority RE ST FOR REISSUE OF US SAVINGS BONDS-60000 UPON CHANG NEW 427
N (1) FILE SERIES EEE AND SAVINGS NOTE MONTH BY SERIES IN DAILY
SBOO DO NOT RE HH REISSUE REQUESTS WEEKLY WITH RETIRED B AND RETAINED (NOT TO EXCEED TWO YE QUENCY TO WARRANT THE COSTS ASSOCIAT ) RETAIN COPIES OF SUPPORTING EVIDE
540 Series No 1 Reta 0 yrs O mths
ONDITIONS DETERMINE DISPOSITION SEE MEMO FIELD
Description of Item ~--= Authority DISCLAIMER AND CONSENT WITH RESPECT TO US SAVINGS BONDSNOTES~ NEW laquoIamp THE PURPOSE OF THIS FORM IS TO DISCLAIM ANY RIGHT TITLE OR INTEREST IN SPECIFIC BONDS OR NOTES
Form No PDF 1849 Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YEARS AFTER CUT OFF
Page 4A
0001 006 Form PDF 1540 Request for reissue ofUS Savings Bonds upon change of name of or upon succession to corporation association or partnership
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When requests involve both accrual and current income bonds retain onginals with other accrual requests Prepare and submit photocopies with retired current income bonds
5 Request For Record Disposition Authority Page
Item No Description of Item Authority 1Nl-53-97-03-0001008 A CATIONS FOR DISPOSITION-60000 US SAVINGS BONDSNOTES ANDOR NEW 431
5euro6 NE-tr fA amp-fi LATED CHECKS (IN A COMBINED AMOUNT NOT EXCEEDING OWNED BY
CALENDAR FILE FOR 2 FUL COPIES (2) FO WEEKLY WITH RETIRED BONDS
ACCESSED WITH SUFFICIENT PAGE)
Series No I Retain yrs O mths 4 DITIONS DETERMINE DISPOSITION SEE MEMO FIELD
Item No Description of Item Authority ~l-53-97-03-0001009 APP IONS FOR DISPOSITION-60000 US SAVINGS BONDSNOTES AND0 NEW 432
--TITLE RE CHECKS OWNED BY DECEDENT WHOSE ESTATE IS B SETTLEDS~E NE~ PAamp--pound
WITHOUT ADMINISTRA (THIS FORM SHOULD BE USED WHE COMBINED FACE AMOUNT EXCEEDS $1000) E SERIES EEE ANDS PROCESSED IN A CALEND ONOLOGICAL ORDER RETAIN THE MONTHS FI E FORWARDING TO SBOO DO NOT RETAIN COPIES QUESTS WEEKLY WITH RETIRED BONDS MICROFILM NED IF ACCESSED WITH SUFFICIENT FREQUENC WARRANT THE TA CONTINUES ON NEXT PAGE)
-1 Series No
0 mths 4 ITIONS DETERMINE DISPOSITION SEE MEMO FIELD FOR
Page SA
0001 008 Form PDF 1946 Application for disposition US Savings BondsNotes andor related checks (in combined amount not exceeding $1000) owned by descendent whose estate is being settled without administration
Disposition a) File Series EEE and Savings Note reissue request processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series H1-Il-I reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When requests involve both accrual and current income bonds retain original with other accrual requests Prepare and subffilt photocopies with retired current income bonds
0001 009 Form PDF 1946-1 Application for disposition US Savings Bondsnotes andor related checks owned by descendent whose estate is being settled without administration (This form should be used when the combined face amount exceeds $1000)
Disposition a) File Series EEE and Savings Note reissued requests processed in a calendar month by senes in daily chronological order Retain the months file 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When requests involve both accrual and current mcome bonds retain original with other accrual requests Prepare and submit photocopies with retired current income bonds
6 Request For Record Disposition Authority Page
Item No Nl-53-97-03-0001010
Item No 1Nl-53-97-03-00010ll
j
Description of Item Authority APPLICATIONS BY PREFERRED CREDITO FOR DISPOSITION WITHOUT NEW 118 ADMINISTRATION WHERE DECEASED OWNERS ESTATE INCLUDES UNITED STATES REGISTERED SECURITIES ANDOR CHECKS IN AN AMOUNT NOT EXCEEDING $500 THIS FORM IS USED BY A PERSON WHO PAID BURIAL EXPENSES OF A DECEDENT WHOSE ESTATE HAS NOT BEEN AND SO FAR AS KNOWN WILL NOT BE ADMINISTERED IN COURT
Form No PDF 2216 Series No I Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF
Description of Item Authority CERTIFICATE OF ENTITLEMENT-60000 UNITED STATES SAVINGS AND NEW RETIREMENT SECURITIES AND CHECKS AFTER ADMINISTRATION OF DECEDENTS ESTATE THIS FORM IS TO CERTIFY THAT COURT RECORDS SHOW THE LISTED PERSON ENTITLED TO CERTAIN BONDS OR CHECKS AS DISTRIBUTION FROM A DECEDENTS ESTATE
Form No PDF 2458 Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 7
Item No Nl-53-97-03-0001012
Item No bullNl-53-97-03-0001013
Description of Item __ Authority CERTIFICATE BY LEGAL REPRESENTATIVE(S) OF DECEDENTS ESTATEfiriffiiltamp NEW da1 DURING ADMINISTRATION OF AUTHORITY TO ACT AND OF DISPOSITION WHERE ESTATE HOLDS NO MORE THAN $1000 (FACE AMOUNT) UNITED STATES SAVINGS AND RETIREMENT SECURITIES EXCLUDING CHECKS REPRESENTING INTEREST
Form No PDF 2488-1 Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YEARS AFTER CUT OFF
Description of Item Authority SPECIAL BOND OF INDEMNITY TO THE UNITED STATESf1N191lB NEWfliB THIS FORM IS USED BY A BOND PURCHASER TO IDEMNIFY THE DEPARTMENT AGAINST LOSS IN A TRANSACTION TO REFUND PURCHASE PRICE OF BONDS OBTAINED THROUGH A CHAIN LETTER SCHEME
Form No PDF 2966 Series No Org Abbrev FRB Retain 0 yrs 1 mths FORWARD TO SBOO MONTHLY
8 Request For Record Disposition Authority Page
Item No Description of Item AuthorityoF Nl-53-97-03-0001014 APPLICATIONS FOR DISPOSITION RETIREMENT PLAN ANDOR NEW amt
INDIVIDUAL RETIREMENT BONDS WITHOUT ADMINISTRATION OF DECEASED OWNERS ESTATE
Form No PDF 3565 Series No A COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF
Item No Description of Item Authority 1Nl-53-97-03-0001015 APPLICATIONS AGREEMENT-TO QUALIFY UNDER TD CIR888 (REV) NEW
THESE DOCUMENTS DEFINE THE TERMS OF AGREEMENT BETWEEN A FEDERAL RESERVE BANK AS ~k~ltiJL AGENT OF US FOR ISSUING ANDOR PAYING AGENT rncLUDESPD 3821 3828 3880 3881 3902 3903 u~osplusmnMiamptkf~-laquoLf= m
~ e$35idkbgt-Ji-deg
Form No MiampfJ IOI Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths DESTROY 6 YRS 3 MOS AFTER TERMINATION OF AGENT
e1 --+i 2 r)ijjt
9 Request For Record Disposition Authority Page
Item No Description of Item Authority Nl-53-97-03-0001016 NOTICE OF QUALIFICATION UNDER TREASURY DEPT CIRCULAR NO BodSbii NEW
AN AGREEMENT TO ESTABLISH THE ELIGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVING BONDS
Form No PDF 3903 Series No IB COPY Org Abbrev FRB Retain 6 yrs 3 mths HOLD FOR 6 YRS AND 3 MO AFTER TERMINATION OF PAYING AGENT STATUS Qal +NVEW iIW PYgt- A 2EidiBicr gtUW W li-6 fi 8 I 622 aft l
Item No Description of Item Authority Nl-53-97-03-0001017 APPLICATIONS FOR PAYMENT OF NEW
flllllilsectl iFTii ii A itPZ iZ kl Ji DJgt Htiv~ UNITED STATES SAVINGS BONDSNOTES ANDOR RELATED CHECKS IN AN AMOUNT NOT EXCEEDING $1000 BY THE SURVIVOR OF A DECEASED OWNER WHOSE ESTATE IS NOT BEING ADMINISTERED
Form No PDF 4881 Series No Al COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF GPrampAflA RUIS ri M aBllrQQJP tff9---dz1 M -tJ I~
Page 10
0001 018 Form PDF 5200 Overpayment history
Disposition a) Ifnot processed in 120 days forward to SBOO
b) Ifclaim disputed within 120 days forward to SBOO to settle claim
c) Ifoverpayment is settled destroy 10 years after settlement
0001 019 Form PDF 5336 Application for disposition - US Savings BondsNotes andor related checks owned by descendent whose estate is being settled without administration
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO You may retain a photocopy for 10 years but you are not required to do so
b) Forward Series HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 11
Item No Nl-53-97-03-0002001
Item No Nl-53-97-03-0002002
)
Description of Item 0 ~ o~srAoi~~orJ-~X CREDIT ADVICEefi()()QQj COVERING REPLACEMENT BONDS OF LOST STOLEN 1mft7 NEW P-S
THESE DOCUMENTS AUTHORIZE THE PROCESSING OF SUBSTITUTE OR REPLACEMENT BONDS WHERE THE ORIGINAL HAS BEEN LOST STOLEN MUTILATED OR DESTROYED AND THE EXTENSION OF CREDIT FOR UNISSUED STOCK AND LOST PAID BONDS PREPARED BY FRB THE DOCUMENTS ARE SENT TO THE PARKERSBURG OFFICE FOR AUDIT~IN LIEU OF THE ORIGINAL BONDS lftZZ 1-FWklJCbulldffii cent 0Astr- T1RMJlii3
Form No Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF llRgti4hitbii1KMifkid)f 81 i eg IJ-4 1 IEz
Description of Item RfLATlf6- ro TflG Authority CORRESPONDENCE AND FORMSA~ CORRECTIONREISSUE OF SAVINGS BONDS NEW
mm~~L~~n~~~~ To As FORWARDING ITEMS~ (msi2~ ~dcopy-~P 4-a0 NPffim-l
~-
Form No Series No Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF ~~~t52~
Request For Record Disposition Authority Page 12
Item No lNl-53-97-03-0002003
Item No Nl-53-97-03-0002004
Description of Item Authority REISSUE REQUEST FOR SAVINGS BONDS SERIES E~ NEW48 REQUESTS PROCESSED WITHIN A GIVEN CALENDAR MONTH SHOULD BE FILED BY SERIES IN A DAILY CHRONOLOGICAL ORDER WITHOUT ALPHBETIZING OR OTHER FILE ARRANGEMENT ~wp29l1hjroe $JSEit2W Nf)r 4~
Form No Series No 1 Org Abbrev FRB Retain 0 yrs 2 mths CUTOFF FILE EACH MONTH AND HOLD FOR TWO MONTHS THIN FORWARD TO SBOO
Description of Item __ _ Authority REISSUE REQUEST FOR SAVINGS BONDS SERIES HHH-wifJl NEW (19
-~ Form No Series No Org Abbrev FRB Retain 0 yrs 1 mths RETAIN FOR 1 WEEK THEN TRANSFER TO SBOO BANKS MAY WISH TO MICROFILM AND RETAIN LONGER AT THEIR EXPENSE
Request For Record Disposition Authority Page 13
Item No Nl-53-97-03-000200S
Item No ~l-53-97-03-0002006
Description of Item Authority BOOK ENTRY STATEMENT OF ACTIVITVfflsectQi FOR EACH TRUSTEE ACCOUNT NEW TRANSFER ADVICES ADJUSTMENT ADVICES PERMANENT RECEIPTS BOOK ENTRY A~C REQUESTS REISSUE REQUESTS AND RELATED CLASSIFICATION LISTINGS ~jj2111$1D US~[)
TO REFLECT ALL ADJUSTMENTS TO THE ISSUING AND PAYING AGENTS ACCOUNTS
Form No Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF JbtifllrNfROiiAAiki DfbNbkSSP Hf irit 4Ai6l
Description of It~~f4 1gt1~euroD Authority SEN - bull NEW
E T IN F S R
~~lOtlLU=bull c A F- Jgt r o _middot c o 5 1pound M r To pspos70 o~ -Nrtro srArs $ fl4L euro--~ A-f(D ~li-c-A-r~ O CU-5-cf_4 w1r1+0wT A--0tltNfS~rotv tgtF
06C-G-~ E 0 DW1f~ILbulls F-S11gtlt-1E
Form No PDF 1050 Series No Al COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY liei6X8WY~Mfdi iMTgt-fJPiPL TRANSFER TO FRC AS VOLUME WARRANTS 0Q Z 6i ifosectfkaTgt Jj 00$ampQ (8f jjp-SltPi91ti 2MA-b () (iS T fJ 0 r Cgt r 6-A42-gt A- F rF-A- cCfT o Ff-
Request For Record Disposition Authority Page 14
Item No Description of Item Authority Nl-53-97-03-0002007 EST BY FIDUCIARY-60000 FOR REISSUE OF US SAVINGS BONDSNOTES NEW 425
--RET ON (1) FILE SERIES EEE AND SAVINGS NO ISSUE REQUESTS6i-ti N i-t t f A-amppound PROCESSED CALENDAR MONTH BY SERIES IN LY CHRONOLOGICAL ORDER
MONTHS BEFORE FORWARDING TO SBOO DO NOT SERIES HHH REISSUE REQUESTS WEEKLY WITH RETIRED BE MADE AND RETAINED IF ACCESSED WITH SUFFICIE RETENTION ( DISTRUTION AND NOT AS A REQUEST
Series No I Retamiddot bull 10 yrs O mths
ONDITIONS DETERMINE DISPOSITION SEE MEMO FIELD
Item No Description of Item Authority Nl-53-97-03-0002008 SPECIAL FORM OF REQUEST FOR PAYMENTElfiPiampi OF UNITED STATES SAVINGS NEW Cill
AND RETIREMENT SECURITIES WHERE mil USE OF A DETACHED REQUEST IS AUTHORIZED tlms lillJRFJlil O THIS FOIW IS Tit JfSCBIBF BOPILJli EOR HIHCII PaiilEftl H REQUESTlrl)
Form No PDF 1522 Series No I Org Abbrev FRB Retain 0 yrs 1 mths FORWARD TO SBOO WEEKLY
Page 14A
0002 007 Form PDF 1455 Request by fiduciary for reissue ofUS Savings BondsNotes
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series llliH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) When accepted as evidence of distribution and not as a request for reissue retain PD F 1455 for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Page 15
0002 009 Form PDF 1851 Request for reissue for US Savings BondsNotes in name of trustee of a personal trust estate
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Senes HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained 1f accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retied current income bonds
0002 010 Form PDF 1938 Request for reissue ofUS Savmgs BondNotes during the lives of both co-owners
Disposition a) File Series EEE and Savings Note reissue request processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retam original with other accrual request Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 16
Item No Nl-53-97-03-00020ll
Description of Item Authority REINVESTMENT APPLICATIONfiii iiamp TO REQUEST PAYMENT NEW~ lIU s [sJRH IQ MOUfS I ea I iitf AND TO USE PROCEEDS FROM THE PAYMENT OF MATURED BONDS TO PURCHASE NEW BONDS FORWARD PROCESSED FORMS WITH RELATED STUBS TO SBOO WEEKLY IF INCOMPLETE OR OTHERWISE DEFECTIVE REQUEST A CORRECTED APPLICATION IF CORRECTED COPY NOT RECEIVED IN 30 DAYS FORWARD ORIGINAL TO SBOO
Form No PDF 1993 Series No I Org Abbrev Retain 0 yrs O mths FORWARD TO SBOO WEEKLY L9iR ffltifl-bM5EJi2fM QiampJ
FRB
Item No Nl-53-97-03-0002012
Description of Item Authority INVESTIGATION SCHEDULE OF PAID BONDS UNDER INVESTIGATIONLsectfbulllllffl NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ita zan(Bm(aclmztffilgtIeNff cf)lJQlIoIWM0 Qfiamplgtlatz~ltaa~ cblflhti1b(llxlS za~ TH Is FORM IS TO DESCRIBE BONDSNOTES AND GIVE DETAILS OF A TRANSACTION UNDER INVESTIGATION
Form No PDF 2343 Series No A COPY Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER RPfi IWI ii hi Mfilir7 o4cent tit W SR-II2-+481
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 17
Item No Description of Item Authority Nl-53-97-03-0002013 Ast RampF APPLICATIONll2ampMiil FOR RELIEF ON ACCOUNT OF THE LOSS THEFT OR NEW
DESTRUCTION OF PAID US SAVINGS BOND~tJ04PE$sfJ9FtjNEJ ijfltasJ atYlJiUJ THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS JIIMamph $1 lNGll RI 1Spound1111 IQ -HJ IWdiAF95 id Jit61Eel THE te1s1 btCJJ PilfftHCTAL BIGUT(j1ilt 181 PliiYDNampiEISITl
Form No PDF 2517 Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUTOFF aas QIN iifi4ib4s lUWW111 hilldUtiff-- in-1Ff 4ftKJ
Item No Description of Item Authority ~l-53-97-03-0002014 CERTIFICATION ATTACHMEN 1Mi6IAJta C OMtgtt- _~ 0 fr SAVlltr5 (gtOM D OWNfil-S bull NEW~
~P~~Du~wj~ ~~u Z~e= llAemmnF fll~i rn BEHi mrn FORMS w
Form No PDF 2778 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF a 1copy9111ti BtSbL iii Hl 5J U1 ~ 018
Request For Record Disposition Authority Page 18
Item No Nl-53-97-03-0002015
Item No Nl-53-97-03-0002016
Description of Item Authority CLAIM FOR RELIEF ON ACCOUNT OF LOSS THEFT OR DESTRUCTION rmcs 10eo~ NEW Gal
-~~s ~--~~IYP AfrF-fl vALtD ss-1pound 3ur 172tO(Z TO P--1zc_f=-1tdegT 3( C)(UNpoundR
Form No PDF 3062 Series No I Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Description of Item Authority CLAIM FOR RELIEF FOR LOSTSTOLEN OR DESTROYED usSBOND STOCKeampiYu NEW 4il9 DHc ampnI Wbiamp UJCWfal)rjAbiOHIEOP lZJt ibE poundECgtWfriii snoo WEPKpoundYJ COPIES MAY BE MADE AND RETAINED IF ACCESSED WITH SUFFICIENT FREQUENCY TO WARRANT THE COSTS ASSOCIATED WITH CREATION AND RETENTION
Form No PDF 3062-3 Series No Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Page 19
0002 017 Form PDF 3253 Exchange application for US Savings Bonds of series HH
Disposition a) Forward processed forms with related stubs to SBOO weekly
b) If incomplete or otherwise defective request a corrected application If corrected copy not receive in 30 days forward original to SBOO
0002 018 Form PDF 3360 Request for reissue ofUS Savings BondsNotes in the name of person or persons other than the owner (including legal guardian custodian for a minor under a statute etc )
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 20
Item No tNl-53-97-03-0002019
Item No ~1-53-97-03-0002020
Description of Item Authority CONTINUATION SHEET FOR LISTING SECURITIES0863 NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ll 4elJitGiJW aBlEiRMON-H ~clWAA~~ Qllw d5liIIINcentCfiDqltWMS ZOPbHS dSCbEMMEJRgt
Form No PDF 3500 Series No 1B COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF illgtIffl tgtlbllq~SiD ZOJIS ar-ar--91()2 -81B
Description REQUEST FOR
~ S- TftltpoundM lcN-
A 6-fl- F-cT c 1-1- A f fr-fi- OF MA Aeuro
Form No PDF 3564 Series No IA COPY Org Abbrev FRB Retain 1 yrs O mths DESTROY OBSOLETE DOCUMENTS ANNUALLY REnfffI I 5SLO mt Ne1 53 YB Ad 0 3gt
Request For Record Disposition Authority Page 21
Item No Nl-53-97-03-0002021
Description of Item SECURITIES TRANSACTION REQUESIWliiiill THlt-f
Ltif$B---Ftpound]o9 DOCUMENTbull THE WITHDRAWAL OF SECURITIES FROM THE USB VAULT
Authority NEW 280
Form No PDF 3800 Series No D COPY Retain 1 yrs O mths CUT OFF FILE YEARLY DESTROY 1 YEAR AFTER FRB MAY HOLD THIS UNDER THEIR OWN ATHORITY
Org Abbrev
CUT OFF OR amp EXPENSE
FRB
Item No ~1-53-97-03-0002022
Description of Item SECURITIES TRANSACTION REQUEST pound4JS it TkA-T f1H~ DOCUMENT THE RECEIPT ANDOR WITHDRAWAL VAULT
OF SECURITIES FROM
Authority NEW
THE
Form No PDF 3800 Series No E COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF THIS IS A CONTROLAUDIT COPY ~fEHTHm RASPS 1111 II 1 ~ e 0 7 lP(lit-
Request For Record Disposition Authority Page 22
Item No Description of Item ((L iRus r 4(r~ll f11poundVr 1Nl-53-97-03-0002023 APPLICATIONS FOR ISSUING AGENT-- amin~PJT~~jjjjjjjQp bull
f-ll-euro coNIA-lff ORIGINAL AGREEMENT ffllii TO lt81 AS Mf lBBOHIG ACliID AND APPROPRIATE CORRESPONDENCE RELATING TO THIS AGREEMENT
Authority NEW
Form No PDF 3827 Series No IA COPY Retain 6 yrs 3 mths DESTROY 6 YEARS AFTER TERMINATION OF AGENCY
Org Abbrev FRB
11N hPPLICtTHJH fO
Q-AI IE lS MIT ISSUHf6 h6ENf MfEHfieH DilSED OH Hel 53 81 BQ 01
Item No Nl-53-97-03-0002024
Description of Item CERTIFICATE OF QUALIFICATION-ISSUING AGENT QUALIFY AS AN ISSUING AGENT FOR THE SERIES
1-( 5 ~gt (USSBo6922Bl EE BONDS
TO APPLY AND Authority NEW
Form No PDF 3828 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths D6ST(IOf- 6 r I AR S ~ YI OYrH ~ AFTER TERMINATION OF ISSUING AGENT STATUS ~TION axsuogN Jif l sect481 02 ~
Request For Record Disposition Authority Page 23
Item No Nl-53-97-03-0002025
~ fgtV tNamp-5 p OtvtgtS
Description of Item R20Jlti_S T F-Oa fJOOR F-M7Pr rRrlVSAcT10N BOOK ENTRY REQUEST FOR TRANSACTION IN USSB BY TRUSTEE-60508 Wi PURP06S Cll 11H5 iN ff TO INITIATE A TRANSACTION IN A BOOK ACCOUNT
IN (S
ENTRY
Authority NEW W
Item No bullNl-53-97-03-0002026
5~~ Mf~T flamppound
Form No PDF 3879 Series No ID COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
Description of Item Authority REQU BY THE OWNER OF REISSUE OF US SAVINGS BONDSNOTES-60000 NEW 451 --TITLE ADD BENEFICIARY OR COOWNER ELIMINATE BENE IARY OR DECEDENT SHOW CHANGE O ANDOR CORRECT ERROR I TION --RETENTION (l) FILE SERIES EEE AN VINGS NOTE REISSUE ESSED IN A CALENDAR MONTH BY SERIES I 2 FULL CALENDAR MONTHS bull---=~~bull NOT RETAIN COPIES (2) FORWARD SERIES HHH TIRED BONDS MICROFILM COPIES MAY BE MADE A FREQUENCY TO WARRANT THE COSTS ASSO Form No PDF 4000 Series No Al COPY FRB
0 yr O mths DETERMINE DISPOSITION SEE MEMO FIELD
FORW
Page 23A
0002 026 Form PDF 4000 Request by the owner for reissue of US Savings BondsNotes to add beneficiary or co-owner eliminate beneficiary or decedent show change of name andor correct error in registration
Disposition a) File series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series lil-IH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 24
Item No fll-53-97-03-0002027
Description of Item 4rtNC r REPORT OF NON-RECEIPTLOSSTHEFTDESTRUCTION OF FISCALACHECKmiddotUisZIB m ~JR tl9Hretl-EODH I L0SS fHSFT ~ kiisffilLc_Tfm~ENfv6rrc1f AND APPLICATION FOR REPLACEMENT
Authority NEW
Form No PDF 5235 Series No I Retain 7 yrs O mths C-tfr oF= F1(1amp-lt Ye4RL-- os~oS-
Org Abbrev FRB
Item No Nl-53-97-03-0002028
Description of ORDER IDIRi FOR
Item SERIES
u SAVINCr-~ Authority EE BONDS 8-11111dibijEnJm~~A-H I) ~ poundt A I GP Rc~~W Ba
SERVICE )-11tnNe1uDiESPil~OLl-]l~~~lJ~QRDS
Form No PDF 5263 Series No Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2
IA COPY Org Abbrev
MONTHS AFTER CUTOFF
FRB
Request For Record Disposition Authority Page 25
Item No Description of Item lf5 Sqvv-5 Authority Nl-53-97-03-0002029 ORDER FORM FOR SERIES EEBONDS 8lfl)a te4Dl40~ NEW_
~ dJ0RW ffi~~llv-imtY 00 NbisectiASIT SlsecttlIES=gtEE B~
10 fi ~e-6-- s T pound 12pound Igt I H Y4 M euro lF-- =- DU c 1 k fl r
Form No PDF 5263-1 Series No IA COPY Org Abbrev FRB Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2 MONTHS AFTER CUT OFF
Item No Description of Item SHUTS u s6- D ro Authority ~l-53-97-03-0003001 ACCOUNTABILITY STATEMENTS AND LEDGERYldbJSii606Jkr1a2~ INDICATEa ALL NEW
ACTIVITIES IN ISSUING AGENTS CONSIGNMENT ACCOUNTS LEDGER SHEETS 0 INCLUDE PIECES ON HAND BY DENOMINATION SERIAL NUMBERS AND BALANCES ON HAND
Form No Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3MOS AFTER CUT OFF ~~ sectA~D dm ftCP--53- 78---0zt- -8Q
Request For Record Disposition Authority Page 26
Item No Description of Item Authority Nl-53-97-03-0003002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLl4 i OOt NEW
BY BUREAU OF PUBLIC DEBT OFFICE aw amltS9Sl8 ~Q-gt ~ bull
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS
Org Abbrev
AFTER CUT OFF
FRB
Item No Nl-53-97-03-0003003
Description of Item ___ GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS~~ ~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT DOCUMENTING THE US TREASURY GENERAL ACCOUNT
ENTRIES
Authority NEW ltlillS TO
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
3 Request For Record Disposition Authority Page
Item No Description of Item Authority 1Nl-53-97-03-0001004 CORRESPONDENCE OF USSB REDEMPTIONS BY FR~rsectBltNitl NEW 811
FORMS AND CORRESPONDENCE RELATING TO THE REDEMPTION OF BONDS (EXCEPT THE ALPHA RECORDS ISSUED TO OWNER) WHEN PAYMENTS WERE MADE BY THE FRB
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority 1Nl-53-97-03-0001 005 CERTIFICATE OF IDENTITY OF OWNER OF SAVINGSRETIREMENT SECURITIE~ NEW 423
Jfllft-liicMJP09fJ ~GIC6ZBRP9RM liSI --i8euroNABLiltA PERSON WHO HAS NO INTEREST IN A BOND TO CERTIFY REGARDING OWNERS SIGNATURES ON REGISTERED SECURITIES
Form No PDF 385-1 Series No IA COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES EACH FISCAL YEAR DESTROY 10 YRS AFTER CUT OFF
4 Request For Record Disposition Authority Page
Item No bullNl-53-97-03-0001006
stpound Nc~r rA~t
Item No Nl-53-97-03-0001007
Description of Item Authority RE ST FOR REISSUE OF US SAVINGS BONDS-60000 UPON CHANG NEW 427
N (1) FILE SERIES EEE AND SAVINGS NOTE MONTH BY SERIES IN DAILY
SBOO DO NOT RE HH REISSUE REQUESTS WEEKLY WITH RETIRED B AND RETAINED (NOT TO EXCEED TWO YE QUENCY TO WARRANT THE COSTS ASSOCIAT ) RETAIN COPIES OF SUPPORTING EVIDE
540 Series No 1 Reta 0 yrs O mths
ONDITIONS DETERMINE DISPOSITION SEE MEMO FIELD
Description of Item ~--= Authority DISCLAIMER AND CONSENT WITH RESPECT TO US SAVINGS BONDSNOTES~ NEW laquoIamp THE PURPOSE OF THIS FORM IS TO DISCLAIM ANY RIGHT TITLE OR INTEREST IN SPECIFIC BONDS OR NOTES
Form No PDF 1849 Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YEARS AFTER CUT OFF
Page 4A
0001 006 Form PDF 1540 Request for reissue ofUS Savings Bonds upon change of name of or upon succession to corporation association or partnership
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When requests involve both accrual and current income bonds retain onginals with other accrual requests Prepare and submit photocopies with retired current income bonds
5 Request For Record Disposition Authority Page
Item No Description of Item Authority 1Nl-53-97-03-0001008 A CATIONS FOR DISPOSITION-60000 US SAVINGS BONDSNOTES ANDOR NEW 431
5euro6 NE-tr fA amp-fi LATED CHECKS (IN A COMBINED AMOUNT NOT EXCEEDING OWNED BY
CALENDAR FILE FOR 2 FUL COPIES (2) FO WEEKLY WITH RETIRED BONDS
ACCESSED WITH SUFFICIENT PAGE)
Series No I Retain yrs O mths 4 DITIONS DETERMINE DISPOSITION SEE MEMO FIELD
Item No Description of Item Authority ~l-53-97-03-0001009 APP IONS FOR DISPOSITION-60000 US SAVINGS BONDSNOTES AND0 NEW 432
--TITLE RE CHECKS OWNED BY DECEDENT WHOSE ESTATE IS B SETTLEDS~E NE~ PAamp--pound
WITHOUT ADMINISTRA (THIS FORM SHOULD BE USED WHE COMBINED FACE AMOUNT EXCEEDS $1000) E SERIES EEE ANDS PROCESSED IN A CALEND ONOLOGICAL ORDER RETAIN THE MONTHS FI E FORWARDING TO SBOO DO NOT RETAIN COPIES QUESTS WEEKLY WITH RETIRED BONDS MICROFILM NED IF ACCESSED WITH SUFFICIENT FREQUENC WARRANT THE TA CONTINUES ON NEXT PAGE)
-1 Series No
0 mths 4 ITIONS DETERMINE DISPOSITION SEE MEMO FIELD FOR
Page SA
0001 008 Form PDF 1946 Application for disposition US Savings BondsNotes andor related checks (in combined amount not exceeding $1000) owned by descendent whose estate is being settled without administration
Disposition a) File Series EEE and Savings Note reissue request processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series H1-Il-I reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When requests involve both accrual and current income bonds retain original with other accrual requests Prepare and subffilt photocopies with retired current income bonds
0001 009 Form PDF 1946-1 Application for disposition US Savings Bondsnotes andor related checks owned by descendent whose estate is being settled without administration (This form should be used when the combined face amount exceeds $1000)
Disposition a) File Series EEE and Savings Note reissued requests processed in a calendar month by senes in daily chronological order Retain the months file 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When requests involve both accrual and current mcome bonds retain original with other accrual requests Prepare and submit photocopies with retired current income bonds
6 Request For Record Disposition Authority Page
Item No Nl-53-97-03-0001010
Item No 1Nl-53-97-03-00010ll
j
Description of Item Authority APPLICATIONS BY PREFERRED CREDITO FOR DISPOSITION WITHOUT NEW 118 ADMINISTRATION WHERE DECEASED OWNERS ESTATE INCLUDES UNITED STATES REGISTERED SECURITIES ANDOR CHECKS IN AN AMOUNT NOT EXCEEDING $500 THIS FORM IS USED BY A PERSON WHO PAID BURIAL EXPENSES OF A DECEDENT WHOSE ESTATE HAS NOT BEEN AND SO FAR AS KNOWN WILL NOT BE ADMINISTERED IN COURT
Form No PDF 2216 Series No I Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF
Description of Item Authority CERTIFICATE OF ENTITLEMENT-60000 UNITED STATES SAVINGS AND NEW RETIREMENT SECURITIES AND CHECKS AFTER ADMINISTRATION OF DECEDENTS ESTATE THIS FORM IS TO CERTIFY THAT COURT RECORDS SHOW THE LISTED PERSON ENTITLED TO CERTAIN BONDS OR CHECKS AS DISTRIBUTION FROM A DECEDENTS ESTATE
Form No PDF 2458 Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 7
Item No Nl-53-97-03-0001012
Item No bullNl-53-97-03-0001013
Description of Item __ Authority CERTIFICATE BY LEGAL REPRESENTATIVE(S) OF DECEDENTS ESTATEfiriffiiltamp NEW da1 DURING ADMINISTRATION OF AUTHORITY TO ACT AND OF DISPOSITION WHERE ESTATE HOLDS NO MORE THAN $1000 (FACE AMOUNT) UNITED STATES SAVINGS AND RETIREMENT SECURITIES EXCLUDING CHECKS REPRESENTING INTEREST
Form No PDF 2488-1 Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YEARS AFTER CUT OFF
Description of Item Authority SPECIAL BOND OF INDEMNITY TO THE UNITED STATESf1N191lB NEWfliB THIS FORM IS USED BY A BOND PURCHASER TO IDEMNIFY THE DEPARTMENT AGAINST LOSS IN A TRANSACTION TO REFUND PURCHASE PRICE OF BONDS OBTAINED THROUGH A CHAIN LETTER SCHEME
Form No PDF 2966 Series No Org Abbrev FRB Retain 0 yrs 1 mths FORWARD TO SBOO MONTHLY
8 Request For Record Disposition Authority Page
Item No Description of Item AuthorityoF Nl-53-97-03-0001014 APPLICATIONS FOR DISPOSITION RETIREMENT PLAN ANDOR NEW amt
INDIVIDUAL RETIREMENT BONDS WITHOUT ADMINISTRATION OF DECEASED OWNERS ESTATE
Form No PDF 3565 Series No A COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF
Item No Description of Item Authority 1Nl-53-97-03-0001015 APPLICATIONS AGREEMENT-TO QUALIFY UNDER TD CIR888 (REV) NEW
THESE DOCUMENTS DEFINE THE TERMS OF AGREEMENT BETWEEN A FEDERAL RESERVE BANK AS ~k~ltiJL AGENT OF US FOR ISSUING ANDOR PAYING AGENT rncLUDESPD 3821 3828 3880 3881 3902 3903 u~osplusmnMiamptkf~-laquoLf= m
~ e$35idkbgt-Ji-deg
Form No MiampfJ IOI Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths DESTROY 6 YRS 3 MOS AFTER TERMINATION OF AGENT
e1 --+i 2 r)ijjt
9 Request For Record Disposition Authority Page
Item No Description of Item Authority Nl-53-97-03-0001016 NOTICE OF QUALIFICATION UNDER TREASURY DEPT CIRCULAR NO BodSbii NEW
AN AGREEMENT TO ESTABLISH THE ELIGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVING BONDS
Form No PDF 3903 Series No IB COPY Org Abbrev FRB Retain 6 yrs 3 mths HOLD FOR 6 YRS AND 3 MO AFTER TERMINATION OF PAYING AGENT STATUS Qal +NVEW iIW PYgt- A 2EidiBicr gtUW W li-6 fi 8 I 622 aft l
Item No Description of Item Authority Nl-53-97-03-0001017 APPLICATIONS FOR PAYMENT OF NEW
flllllilsectl iFTii ii A itPZ iZ kl Ji DJgt Htiv~ UNITED STATES SAVINGS BONDSNOTES ANDOR RELATED CHECKS IN AN AMOUNT NOT EXCEEDING $1000 BY THE SURVIVOR OF A DECEASED OWNER WHOSE ESTATE IS NOT BEING ADMINISTERED
Form No PDF 4881 Series No Al COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF GPrampAflA RUIS ri M aBllrQQJP tff9---dz1 M -tJ I~
Page 10
0001 018 Form PDF 5200 Overpayment history
Disposition a) Ifnot processed in 120 days forward to SBOO
b) Ifclaim disputed within 120 days forward to SBOO to settle claim
c) Ifoverpayment is settled destroy 10 years after settlement
0001 019 Form PDF 5336 Application for disposition - US Savings BondsNotes andor related checks owned by descendent whose estate is being settled without administration
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO You may retain a photocopy for 10 years but you are not required to do so
b) Forward Series HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 11
Item No Nl-53-97-03-0002001
Item No Nl-53-97-03-0002002
)
Description of Item 0 ~ o~srAoi~~orJ-~X CREDIT ADVICEefi()()QQj COVERING REPLACEMENT BONDS OF LOST STOLEN 1mft7 NEW P-S
THESE DOCUMENTS AUTHORIZE THE PROCESSING OF SUBSTITUTE OR REPLACEMENT BONDS WHERE THE ORIGINAL HAS BEEN LOST STOLEN MUTILATED OR DESTROYED AND THE EXTENSION OF CREDIT FOR UNISSUED STOCK AND LOST PAID BONDS PREPARED BY FRB THE DOCUMENTS ARE SENT TO THE PARKERSBURG OFFICE FOR AUDIT~IN LIEU OF THE ORIGINAL BONDS lftZZ 1-FWklJCbulldffii cent 0Astr- T1RMJlii3
Form No Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF llRgti4hitbii1KMifkid)f 81 i eg IJ-4 1 IEz
Description of Item RfLATlf6- ro TflG Authority CORRESPONDENCE AND FORMSA~ CORRECTIONREISSUE OF SAVINGS BONDS NEW
mm~~L~~n~~~~ To As FORWARDING ITEMS~ (msi2~ ~dcopy-~P 4-a0 NPffim-l
~-
Form No Series No Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF ~~~t52~
Request For Record Disposition Authority Page 12
Item No lNl-53-97-03-0002003
Item No Nl-53-97-03-0002004
Description of Item Authority REISSUE REQUEST FOR SAVINGS BONDS SERIES E~ NEW48 REQUESTS PROCESSED WITHIN A GIVEN CALENDAR MONTH SHOULD BE FILED BY SERIES IN A DAILY CHRONOLOGICAL ORDER WITHOUT ALPHBETIZING OR OTHER FILE ARRANGEMENT ~wp29l1hjroe $JSEit2W Nf)r 4~
Form No Series No 1 Org Abbrev FRB Retain 0 yrs 2 mths CUTOFF FILE EACH MONTH AND HOLD FOR TWO MONTHS THIN FORWARD TO SBOO
Description of Item __ _ Authority REISSUE REQUEST FOR SAVINGS BONDS SERIES HHH-wifJl NEW (19
-~ Form No Series No Org Abbrev FRB Retain 0 yrs 1 mths RETAIN FOR 1 WEEK THEN TRANSFER TO SBOO BANKS MAY WISH TO MICROFILM AND RETAIN LONGER AT THEIR EXPENSE
Request For Record Disposition Authority Page 13
Item No Nl-53-97-03-000200S
Item No ~l-53-97-03-0002006
Description of Item Authority BOOK ENTRY STATEMENT OF ACTIVITVfflsectQi FOR EACH TRUSTEE ACCOUNT NEW TRANSFER ADVICES ADJUSTMENT ADVICES PERMANENT RECEIPTS BOOK ENTRY A~C REQUESTS REISSUE REQUESTS AND RELATED CLASSIFICATION LISTINGS ~jj2111$1D US~[)
TO REFLECT ALL ADJUSTMENTS TO THE ISSUING AND PAYING AGENTS ACCOUNTS
Form No Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF JbtifllrNfROiiAAiki DfbNbkSSP Hf irit 4Ai6l
Description of It~~f4 1gt1~euroD Authority SEN - bull NEW
E T IN F S R
~~lOtlLU=bull c A F- Jgt r o _middot c o 5 1pound M r To pspos70 o~ -Nrtro srArs $ fl4L euro--~ A-f(D ~li-c-A-r~ O CU-5-cf_4 w1r1+0wT A--0tltNfS~rotv tgtF
06C-G-~ E 0 DW1f~ILbulls F-S11gtlt-1E
Form No PDF 1050 Series No Al COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY liei6X8WY~Mfdi iMTgt-fJPiPL TRANSFER TO FRC AS VOLUME WARRANTS 0Q Z 6i ifosectfkaTgt Jj 00$ampQ (8f jjp-SltPi91ti 2MA-b () (iS T fJ 0 r Cgt r 6-A42-gt A- F rF-A- cCfT o Ff-
Request For Record Disposition Authority Page 14
Item No Description of Item Authority Nl-53-97-03-0002007 EST BY FIDUCIARY-60000 FOR REISSUE OF US SAVINGS BONDSNOTES NEW 425
--RET ON (1) FILE SERIES EEE AND SAVINGS NO ISSUE REQUESTS6i-ti N i-t t f A-amppound PROCESSED CALENDAR MONTH BY SERIES IN LY CHRONOLOGICAL ORDER
MONTHS BEFORE FORWARDING TO SBOO DO NOT SERIES HHH REISSUE REQUESTS WEEKLY WITH RETIRED BE MADE AND RETAINED IF ACCESSED WITH SUFFICIE RETENTION ( DISTRUTION AND NOT AS A REQUEST
Series No I Retamiddot bull 10 yrs O mths
ONDITIONS DETERMINE DISPOSITION SEE MEMO FIELD
Item No Description of Item Authority Nl-53-97-03-0002008 SPECIAL FORM OF REQUEST FOR PAYMENTElfiPiampi OF UNITED STATES SAVINGS NEW Cill
AND RETIREMENT SECURITIES WHERE mil USE OF A DETACHED REQUEST IS AUTHORIZED tlms lillJRFJlil O THIS FOIW IS Tit JfSCBIBF BOPILJli EOR HIHCII PaiilEftl H REQUESTlrl)
Form No PDF 1522 Series No I Org Abbrev FRB Retain 0 yrs 1 mths FORWARD TO SBOO WEEKLY
Page 14A
0002 007 Form PDF 1455 Request by fiduciary for reissue ofUS Savings BondsNotes
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series llliH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) When accepted as evidence of distribution and not as a request for reissue retain PD F 1455 for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Page 15
0002 009 Form PDF 1851 Request for reissue for US Savings BondsNotes in name of trustee of a personal trust estate
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Senes HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained 1f accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retied current income bonds
0002 010 Form PDF 1938 Request for reissue ofUS Savmgs BondNotes during the lives of both co-owners
Disposition a) File Series EEE and Savings Note reissue request processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retam original with other accrual request Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 16
Item No Nl-53-97-03-00020ll
Description of Item Authority REINVESTMENT APPLICATIONfiii iiamp TO REQUEST PAYMENT NEW~ lIU s [sJRH IQ MOUfS I ea I iitf AND TO USE PROCEEDS FROM THE PAYMENT OF MATURED BONDS TO PURCHASE NEW BONDS FORWARD PROCESSED FORMS WITH RELATED STUBS TO SBOO WEEKLY IF INCOMPLETE OR OTHERWISE DEFECTIVE REQUEST A CORRECTED APPLICATION IF CORRECTED COPY NOT RECEIVED IN 30 DAYS FORWARD ORIGINAL TO SBOO
Form No PDF 1993 Series No I Org Abbrev Retain 0 yrs O mths FORWARD TO SBOO WEEKLY L9iR ffltifl-bM5EJi2fM QiampJ
FRB
Item No Nl-53-97-03-0002012
Description of Item Authority INVESTIGATION SCHEDULE OF PAID BONDS UNDER INVESTIGATIONLsectfbulllllffl NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ita zan(Bm(aclmztffilgtIeNff cf)lJQlIoIWM0 Qfiamplgtlatz~ltaa~ cblflhti1b(llxlS za~ TH Is FORM IS TO DESCRIBE BONDSNOTES AND GIVE DETAILS OF A TRANSACTION UNDER INVESTIGATION
Form No PDF 2343 Series No A COPY Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER RPfi IWI ii hi Mfilir7 o4cent tit W SR-II2-+481
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 17
Item No Description of Item Authority Nl-53-97-03-0002013 Ast RampF APPLICATIONll2ampMiil FOR RELIEF ON ACCOUNT OF THE LOSS THEFT OR NEW
DESTRUCTION OF PAID US SAVINGS BOND~tJ04PE$sfJ9FtjNEJ ijfltasJ atYlJiUJ THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS JIIMamph $1 lNGll RI 1Spound1111 IQ -HJ IWdiAF95 id Jit61Eel THE te1s1 btCJJ PilfftHCTAL BIGUT(j1ilt 181 PliiYDNampiEISITl
Form No PDF 2517 Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUTOFF aas QIN iifi4ib4s lUWW111 hilldUtiff-- in-1Ff 4ftKJ
Item No Description of Item Authority ~l-53-97-03-0002014 CERTIFICATION ATTACHMEN 1Mi6IAJta C OMtgtt- _~ 0 fr SAVlltr5 (gtOM D OWNfil-S bull NEW~
~P~~Du~wj~ ~~u Z~e= llAemmnF fll~i rn BEHi mrn FORMS w
Form No PDF 2778 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF a 1copy9111ti BtSbL iii Hl 5J U1 ~ 018
Request For Record Disposition Authority Page 18
Item No Nl-53-97-03-0002015
Item No Nl-53-97-03-0002016
Description of Item Authority CLAIM FOR RELIEF ON ACCOUNT OF LOSS THEFT OR DESTRUCTION rmcs 10eo~ NEW Gal
-~~s ~--~~IYP AfrF-fl vALtD ss-1pound 3ur 172tO(Z TO P--1zc_f=-1tdegT 3( C)(UNpoundR
Form No PDF 3062 Series No I Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Description of Item Authority CLAIM FOR RELIEF FOR LOSTSTOLEN OR DESTROYED usSBOND STOCKeampiYu NEW 4il9 DHc ampnI Wbiamp UJCWfal)rjAbiOHIEOP lZJt ibE poundECgtWfriii snoo WEPKpoundYJ COPIES MAY BE MADE AND RETAINED IF ACCESSED WITH SUFFICIENT FREQUENCY TO WARRANT THE COSTS ASSOCIATED WITH CREATION AND RETENTION
Form No PDF 3062-3 Series No Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Page 19
0002 017 Form PDF 3253 Exchange application for US Savings Bonds of series HH
Disposition a) Forward processed forms with related stubs to SBOO weekly
b) If incomplete or otherwise defective request a corrected application If corrected copy not receive in 30 days forward original to SBOO
0002 018 Form PDF 3360 Request for reissue ofUS Savings BondsNotes in the name of person or persons other than the owner (including legal guardian custodian for a minor under a statute etc )
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 20
Item No tNl-53-97-03-0002019
Item No ~1-53-97-03-0002020
Description of Item Authority CONTINUATION SHEET FOR LISTING SECURITIES0863 NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ll 4elJitGiJW aBlEiRMON-H ~clWAA~~ Qllw d5liIIINcentCfiDqltWMS ZOPbHS dSCbEMMEJRgt
Form No PDF 3500 Series No 1B COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF illgtIffl tgtlbllq~SiD ZOJIS ar-ar--91()2 -81B
Description REQUEST FOR
~ S- TftltpoundM lcN-
A 6-fl- F-cT c 1-1- A f fr-fi- OF MA Aeuro
Form No PDF 3564 Series No IA COPY Org Abbrev FRB Retain 1 yrs O mths DESTROY OBSOLETE DOCUMENTS ANNUALLY REnfffI I 5SLO mt Ne1 53 YB Ad 0 3gt
Request For Record Disposition Authority Page 21
Item No Nl-53-97-03-0002021
Description of Item SECURITIES TRANSACTION REQUESIWliiiill THlt-f
Ltif$B---Ftpound]o9 DOCUMENTbull THE WITHDRAWAL OF SECURITIES FROM THE USB VAULT
Authority NEW 280
Form No PDF 3800 Series No D COPY Retain 1 yrs O mths CUT OFF FILE YEARLY DESTROY 1 YEAR AFTER FRB MAY HOLD THIS UNDER THEIR OWN ATHORITY
Org Abbrev
CUT OFF OR amp EXPENSE
FRB
Item No ~1-53-97-03-0002022
Description of Item SECURITIES TRANSACTION REQUEST pound4JS it TkA-T f1H~ DOCUMENT THE RECEIPT ANDOR WITHDRAWAL VAULT
OF SECURITIES FROM
Authority NEW
THE
Form No PDF 3800 Series No E COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF THIS IS A CONTROLAUDIT COPY ~fEHTHm RASPS 1111 II 1 ~ e 0 7 lP(lit-
Request For Record Disposition Authority Page 22
Item No Description of Item ((L iRus r 4(r~ll f11poundVr 1Nl-53-97-03-0002023 APPLICATIONS FOR ISSUING AGENT-- amin~PJT~~jjjjjjjQp bull
f-ll-euro coNIA-lff ORIGINAL AGREEMENT ffllii TO lt81 AS Mf lBBOHIG ACliID AND APPROPRIATE CORRESPONDENCE RELATING TO THIS AGREEMENT
Authority NEW
Form No PDF 3827 Series No IA COPY Retain 6 yrs 3 mths DESTROY 6 YEARS AFTER TERMINATION OF AGENCY
Org Abbrev FRB
11N hPPLICtTHJH fO
Q-AI IE lS MIT ISSUHf6 h6ENf MfEHfieH DilSED OH Hel 53 81 BQ 01
Item No Nl-53-97-03-0002024
Description of Item CERTIFICATE OF QUALIFICATION-ISSUING AGENT QUALIFY AS AN ISSUING AGENT FOR THE SERIES
1-( 5 ~gt (USSBo6922Bl EE BONDS
TO APPLY AND Authority NEW
Form No PDF 3828 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths D6ST(IOf- 6 r I AR S ~ YI OYrH ~ AFTER TERMINATION OF ISSUING AGENT STATUS ~TION axsuogN Jif l sect481 02 ~
Request For Record Disposition Authority Page 23
Item No Nl-53-97-03-0002025
~ fgtV tNamp-5 p OtvtgtS
Description of Item R20Jlti_S T F-Oa fJOOR F-M7Pr rRrlVSAcT10N BOOK ENTRY REQUEST FOR TRANSACTION IN USSB BY TRUSTEE-60508 Wi PURP06S Cll 11H5 iN ff TO INITIATE A TRANSACTION IN A BOOK ACCOUNT
IN (S
ENTRY
Authority NEW W
Item No bullNl-53-97-03-0002026
5~~ Mf~T flamppound
Form No PDF 3879 Series No ID COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
Description of Item Authority REQU BY THE OWNER OF REISSUE OF US SAVINGS BONDSNOTES-60000 NEW 451 --TITLE ADD BENEFICIARY OR COOWNER ELIMINATE BENE IARY OR DECEDENT SHOW CHANGE O ANDOR CORRECT ERROR I TION --RETENTION (l) FILE SERIES EEE AN VINGS NOTE REISSUE ESSED IN A CALENDAR MONTH BY SERIES I 2 FULL CALENDAR MONTHS bull---=~~bull NOT RETAIN COPIES (2) FORWARD SERIES HHH TIRED BONDS MICROFILM COPIES MAY BE MADE A FREQUENCY TO WARRANT THE COSTS ASSO Form No PDF 4000 Series No Al COPY FRB
0 yr O mths DETERMINE DISPOSITION SEE MEMO FIELD
FORW
Page 23A
0002 026 Form PDF 4000 Request by the owner for reissue of US Savings BondsNotes to add beneficiary or co-owner eliminate beneficiary or decedent show change of name andor correct error in registration
Disposition a) File series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series lil-IH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 24
Item No fll-53-97-03-0002027
Description of Item 4rtNC r REPORT OF NON-RECEIPTLOSSTHEFTDESTRUCTION OF FISCALACHECKmiddotUisZIB m ~JR tl9Hretl-EODH I L0SS fHSFT ~ kiisffilLc_Tfm~ENfv6rrc1f AND APPLICATION FOR REPLACEMENT
Authority NEW
Form No PDF 5235 Series No I Retain 7 yrs O mths C-tfr oF= F1(1amp-lt Ye4RL-- os~oS-
Org Abbrev FRB
Item No Nl-53-97-03-0002028
Description of ORDER IDIRi FOR
Item SERIES
u SAVINCr-~ Authority EE BONDS 8-11111dibijEnJm~~A-H I) ~ poundt A I GP Rc~~W Ba
SERVICE )-11tnNe1uDiESPil~OLl-]l~~~lJ~QRDS
Form No PDF 5263 Series No Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2
IA COPY Org Abbrev
MONTHS AFTER CUTOFF
FRB
Request For Record Disposition Authority Page 25
Item No Description of Item lf5 Sqvv-5 Authority Nl-53-97-03-0002029 ORDER FORM FOR SERIES EEBONDS 8lfl)a te4Dl40~ NEW_
~ dJ0RW ffi~~llv-imtY 00 NbisectiASIT SlsecttlIES=gtEE B~
10 fi ~e-6-- s T pound 12pound Igt I H Y4 M euro lF-- =- DU c 1 k fl r
Form No PDF 5263-1 Series No IA COPY Org Abbrev FRB Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2 MONTHS AFTER CUT OFF
Item No Description of Item SHUTS u s6- D ro Authority ~l-53-97-03-0003001 ACCOUNTABILITY STATEMENTS AND LEDGERYldbJSii606Jkr1a2~ INDICATEa ALL NEW
ACTIVITIES IN ISSUING AGENTS CONSIGNMENT ACCOUNTS LEDGER SHEETS 0 INCLUDE PIECES ON HAND BY DENOMINATION SERIAL NUMBERS AND BALANCES ON HAND
Form No Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3MOS AFTER CUT OFF ~~ sectA~D dm ftCP--53- 78---0zt- -8Q
Request For Record Disposition Authority Page 26
Item No Description of Item Authority Nl-53-97-03-0003002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLl4 i OOt NEW
BY BUREAU OF PUBLIC DEBT OFFICE aw amltS9Sl8 ~Q-gt ~ bull
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS
Org Abbrev
AFTER CUT OFF
FRB
Item No Nl-53-97-03-0003003
Description of Item ___ GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS~~ ~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT DOCUMENTING THE US TREASURY GENERAL ACCOUNT
ENTRIES
Authority NEW ltlillS TO
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
4 Request For Record Disposition Authority Page
Item No bullNl-53-97-03-0001006
stpound Nc~r rA~t
Item No Nl-53-97-03-0001007
Description of Item Authority RE ST FOR REISSUE OF US SAVINGS BONDS-60000 UPON CHANG NEW 427
N (1) FILE SERIES EEE AND SAVINGS NOTE MONTH BY SERIES IN DAILY
SBOO DO NOT RE HH REISSUE REQUESTS WEEKLY WITH RETIRED B AND RETAINED (NOT TO EXCEED TWO YE QUENCY TO WARRANT THE COSTS ASSOCIAT ) RETAIN COPIES OF SUPPORTING EVIDE
540 Series No 1 Reta 0 yrs O mths
ONDITIONS DETERMINE DISPOSITION SEE MEMO FIELD
Description of Item ~--= Authority DISCLAIMER AND CONSENT WITH RESPECT TO US SAVINGS BONDSNOTES~ NEW laquoIamp THE PURPOSE OF THIS FORM IS TO DISCLAIM ANY RIGHT TITLE OR INTEREST IN SPECIFIC BONDS OR NOTES
Form No PDF 1849 Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YEARS AFTER CUT OFF
Page 4A
0001 006 Form PDF 1540 Request for reissue ofUS Savings Bonds upon change of name of or upon succession to corporation association or partnership
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When requests involve both accrual and current income bonds retain onginals with other accrual requests Prepare and submit photocopies with retired current income bonds
5 Request For Record Disposition Authority Page
Item No Description of Item Authority 1Nl-53-97-03-0001008 A CATIONS FOR DISPOSITION-60000 US SAVINGS BONDSNOTES ANDOR NEW 431
5euro6 NE-tr fA amp-fi LATED CHECKS (IN A COMBINED AMOUNT NOT EXCEEDING OWNED BY
CALENDAR FILE FOR 2 FUL COPIES (2) FO WEEKLY WITH RETIRED BONDS
ACCESSED WITH SUFFICIENT PAGE)
Series No I Retain yrs O mths 4 DITIONS DETERMINE DISPOSITION SEE MEMO FIELD
Item No Description of Item Authority ~l-53-97-03-0001009 APP IONS FOR DISPOSITION-60000 US SAVINGS BONDSNOTES AND0 NEW 432
--TITLE RE CHECKS OWNED BY DECEDENT WHOSE ESTATE IS B SETTLEDS~E NE~ PAamp--pound
WITHOUT ADMINISTRA (THIS FORM SHOULD BE USED WHE COMBINED FACE AMOUNT EXCEEDS $1000) E SERIES EEE ANDS PROCESSED IN A CALEND ONOLOGICAL ORDER RETAIN THE MONTHS FI E FORWARDING TO SBOO DO NOT RETAIN COPIES QUESTS WEEKLY WITH RETIRED BONDS MICROFILM NED IF ACCESSED WITH SUFFICIENT FREQUENC WARRANT THE TA CONTINUES ON NEXT PAGE)
-1 Series No
0 mths 4 ITIONS DETERMINE DISPOSITION SEE MEMO FIELD FOR
Page SA
0001 008 Form PDF 1946 Application for disposition US Savings BondsNotes andor related checks (in combined amount not exceeding $1000) owned by descendent whose estate is being settled without administration
Disposition a) File Series EEE and Savings Note reissue request processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series H1-Il-I reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When requests involve both accrual and current income bonds retain original with other accrual requests Prepare and subffilt photocopies with retired current income bonds
0001 009 Form PDF 1946-1 Application for disposition US Savings Bondsnotes andor related checks owned by descendent whose estate is being settled without administration (This form should be used when the combined face amount exceeds $1000)
Disposition a) File Series EEE and Savings Note reissued requests processed in a calendar month by senes in daily chronological order Retain the months file 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When requests involve both accrual and current mcome bonds retain original with other accrual requests Prepare and submit photocopies with retired current income bonds
6 Request For Record Disposition Authority Page
Item No Nl-53-97-03-0001010
Item No 1Nl-53-97-03-00010ll
j
Description of Item Authority APPLICATIONS BY PREFERRED CREDITO FOR DISPOSITION WITHOUT NEW 118 ADMINISTRATION WHERE DECEASED OWNERS ESTATE INCLUDES UNITED STATES REGISTERED SECURITIES ANDOR CHECKS IN AN AMOUNT NOT EXCEEDING $500 THIS FORM IS USED BY A PERSON WHO PAID BURIAL EXPENSES OF A DECEDENT WHOSE ESTATE HAS NOT BEEN AND SO FAR AS KNOWN WILL NOT BE ADMINISTERED IN COURT
Form No PDF 2216 Series No I Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF
Description of Item Authority CERTIFICATE OF ENTITLEMENT-60000 UNITED STATES SAVINGS AND NEW RETIREMENT SECURITIES AND CHECKS AFTER ADMINISTRATION OF DECEDENTS ESTATE THIS FORM IS TO CERTIFY THAT COURT RECORDS SHOW THE LISTED PERSON ENTITLED TO CERTAIN BONDS OR CHECKS AS DISTRIBUTION FROM A DECEDENTS ESTATE
Form No PDF 2458 Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 7
Item No Nl-53-97-03-0001012
Item No bullNl-53-97-03-0001013
Description of Item __ Authority CERTIFICATE BY LEGAL REPRESENTATIVE(S) OF DECEDENTS ESTATEfiriffiiltamp NEW da1 DURING ADMINISTRATION OF AUTHORITY TO ACT AND OF DISPOSITION WHERE ESTATE HOLDS NO MORE THAN $1000 (FACE AMOUNT) UNITED STATES SAVINGS AND RETIREMENT SECURITIES EXCLUDING CHECKS REPRESENTING INTEREST
Form No PDF 2488-1 Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YEARS AFTER CUT OFF
Description of Item Authority SPECIAL BOND OF INDEMNITY TO THE UNITED STATESf1N191lB NEWfliB THIS FORM IS USED BY A BOND PURCHASER TO IDEMNIFY THE DEPARTMENT AGAINST LOSS IN A TRANSACTION TO REFUND PURCHASE PRICE OF BONDS OBTAINED THROUGH A CHAIN LETTER SCHEME
Form No PDF 2966 Series No Org Abbrev FRB Retain 0 yrs 1 mths FORWARD TO SBOO MONTHLY
8 Request For Record Disposition Authority Page
Item No Description of Item AuthorityoF Nl-53-97-03-0001014 APPLICATIONS FOR DISPOSITION RETIREMENT PLAN ANDOR NEW amt
INDIVIDUAL RETIREMENT BONDS WITHOUT ADMINISTRATION OF DECEASED OWNERS ESTATE
Form No PDF 3565 Series No A COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF
Item No Description of Item Authority 1Nl-53-97-03-0001015 APPLICATIONS AGREEMENT-TO QUALIFY UNDER TD CIR888 (REV) NEW
THESE DOCUMENTS DEFINE THE TERMS OF AGREEMENT BETWEEN A FEDERAL RESERVE BANK AS ~k~ltiJL AGENT OF US FOR ISSUING ANDOR PAYING AGENT rncLUDESPD 3821 3828 3880 3881 3902 3903 u~osplusmnMiamptkf~-laquoLf= m
~ e$35idkbgt-Ji-deg
Form No MiampfJ IOI Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths DESTROY 6 YRS 3 MOS AFTER TERMINATION OF AGENT
e1 --+i 2 r)ijjt
9 Request For Record Disposition Authority Page
Item No Description of Item Authority Nl-53-97-03-0001016 NOTICE OF QUALIFICATION UNDER TREASURY DEPT CIRCULAR NO BodSbii NEW
AN AGREEMENT TO ESTABLISH THE ELIGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVING BONDS
Form No PDF 3903 Series No IB COPY Org Abbrev FRB Retain 6 yrs 3 mths HOLD FOR 6 YRS AND 3 MO AFTER TERMINATION OF PAYING AGENT STATUS Qal +NVEW iIW PYgt- A 2EidiBicr gtUW W li-6 fi 8 I 622 aft l
Item No Description of Item Authority Nl-53-97-03-0001017 APPLICATIONS FOR PAYMENT OF NEW
flllllilsectl iFTii ii A itPZ iZ kl Ji DJgt Htiv~ UNITED STATES SAVINGS BONDSNOTES ANDOR RELATED CHECKS IN AN AMOUNT NOT EXCEEDING $1000 BY THE SURVIVOR OF A DECEASED OWNER WHOSE ESTATE IS NOT BEING ADMINISTERED
Form No PDF 4881 Series No Al COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF GPrampAflA RUIS ri M aBllrQQJP tff9---dz1 M -tJ I~
Page 10
0001 018 Form PDF 5200 Overpayment history
Disposition a) Ifnot processed in 120 days forward to SBOO
b) Ifclaim disputed within 120 days forward to SBOO to settle claim
c) Ifoverpayment is settled destroy 10 years after settlement
0001 019 Form PDF 5336 Application for disposition - US Savings BondsNotes andor related checks owned by descendent whose estate is being settled without administration
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO You may retain a photocopy for 10 years but you are not required to do so
b) Forward Series HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 11
Item No Nl-53-97-03-0002001
Item No Nl-53-97-03-0002002
)
Description of Item 0 ~ o~srAoi~~orJ-~X CREDIT ADVICEefi()()QQj COVERING REPLACEMENT BONDS OF LOST STOLEN 1mft7 NEW P-S
THESE DOCUMENTS AUTHORIZE THE PROCESSING OF SUBSTITUTE OR REPLACEMENT BONDS WHERE THE ORIGINAL HAS BEEN LOST STOLEN MUTILATED OR DESTROYED AND THE EXTENSION OF CREDIT FOR UNISSUED STOCK AND LOST PAID BONDS PREPARED BY FRB THE DOCUMENTS ARE SENT TO THE PARKERSBURG OFFICE FOR AUDIT~IN LIEU OF THE ORIGINAL BONDS lftZZ 1-FWklJCbulldffii cent 0Astr- T1RMJlii3
Form No Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF llRgti4hitbii1KMifkid)f 81 i eg IJ-4 1 IEz
Description of Item RfLATlf6- ro TflG Authority CORRESPONDENCE AND FORMSA~ CORRECTIONREISSUE OF SAVINGS BONDS NEW
mm~~L~~n~~~~ To As FORWARDING ITEMS~ (msi2~ ~dcopy-~P 4-a0 NPffim-l
~-
Form No Series No Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF ~~~t52~
Request For Record Disposition Authority Page 12
Item No lNl-53-97-03-0002003
Item No Nl-53-97-03-0002004
Description of Item Authority REISSUE REQUEST FOR SAVINGS BONDS SERIES E~ NEW48 REQUESTS PROCESSED WITHIN A GIVEN CALENDAR MONTH SHOULD BE FILED BY SERIES IN A DAILY CHRONOLOGICAL ORDER WITHOUT ALPHBETIZING OR OTHER FILE ARRANGEMENT ~wp29l1hjroe $JSEit2W Nf)r 4~
Form No Series No 1 Org Abbrev FRB Retain 0 yrs 2 mths CUTOFF FILE EACH MONTH AND HOLD FOR TWO MONTHS THIN FORWARD TO SBOO
Description of Item __ _ Authority REISSUE REQUEST FOR SAVINGS BONDS SERIES HHH-wifJl NEW (19
-~ Form No Series No Org Abbrev FRB Retain 0 yrs 1 mths RETAIN FOR 1 WEEK THEN TRANSFER TO SBOO BANKS MAY WISH TO MICROFILM AND RETAIN LONGER AT THEIR EXPENSE
Request For Record Disposition Authority Page 13
Item No Nl-53-97-03-000200S
Item No ~l-53-97-03-0002006
Description of Item Authority BOOK ENTRY STATEMENT OF ACTIVITVfflsectQi FOR EACH TRUSTEE ACCOUNT NEW TRANSFER ADVICES ADJUSTMENT ADVICES PERMANENT RECEIPTS BOOK ENTRY A~C REQUESTS REISSUE REQUESTS AND RELATED CLASSIFICATION LISTINGS ~jj2111$1D US~[)
TO REFLECT ALL ADJUSTMENTS TO THE ISSUING AND PAYING AGENTS ACCOUNTS
Form No Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF JbtifllrNfROiiAAiki DfbNbkSSP Hf irit 4Ai6l
Description of It~~f4 1gt1~euroD Authority SEN - bull NEW
E T IN F S R
~~lOtlLU=bull c A F- Jgt r o _middot c o 5 1pound M r To pspos70 o~ -Nrtro srArs $ fl4L euro--~ A-f(D ~li-c-A-r~ O CU-5-cf_4 w1r1+0wT A--0tltNfS~rotv tgtF
06C-G-~ E 0 DW1f~ILbulls F-S11gtlt-1E
Form No PDF 1050 Series No Al COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY liei6X8WY~Mfdi iMTgt-fJPiPL TRANSFER TO FRC AS VOLUME WARRANTS 0Q Z 6i ifosectfkaTgt Jj 00$ampQ (8f jjp-SltPi91ti 2MA-b () (iS T fJ 0 r Cgt r 6-A42-gt A- F rF-A- cCfT o Ff-
Request For Record Disposition Authority Page 14
Item No Description of Item Authority Nl-53-97-03-0002007 EST BY FIDUCIARY-60000 FOR REISSUE OF US SAVINGS BONDSNOTES NEW 425
--RET ON (1) FILE SERIES EEE AND SAVINGS NO ISSUE REQUESTS6i-ti N i-t t f A-amppound PROCESSED CALENDAR MONTH BY SERIES IN LY CHRONOLOGICAL ORDER
MONTHS BEFORE FORWARDING TO SBOO DO NOT SERIES HHH REISSUE REQUESTS WEEKLY WITH RETIRED BE MADE AND RETAINED IF ACCESSED WITH SUFFICIE RETENTION ( DISTRUTION AND NOT AS A REQUEST
Series No I Retamiddot bull 10 yrs O mths
ONDITIONS DETERMINE DISPOSITION SEE MEMO FIELD
Item No Description of Item Authority Nl-53-97-03-0002008 SPECIAL FORM OF REQUEST FOR PAYMENTElfiPiampi OF UNITED STATES SAVINGS NEW Cill
AND RETIREMENT SECURITIES WHERE mil USE OF A DETACHED REQUEST IS AUTHORIZED tlms lillJRFJlil O THIS FOIW IS Tit JfSCBIBF BOPILJli EOR HIHCII PaiilEftl H REQUESTlrl)
Form No PDF 1522 Series No I Org Abbrev FRB Retain 0 yrs 1 mths FORWARD TO SBOO WEEKLY
Page 14A
0002 007 Form PDF 1455 Request by fiduciary for reissue ofUS Savings BondsNotes
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series llliH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) When accepted as evidence of distribution and not as a request for reissue retain PD F 1455 for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Page 15
0002 009 Form PDF 1851 Request for reissue for US Savings BondsNotes in name of trustee of a personal trust estate
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Senes HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained 1f accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retied current income bonds
0002 010 Form PDF 1938 Request for reissue ofUS Savmgs BondNotes during the lives of both co-owners
Disposition a) File Series EEE and Savings Note reissue request processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retam original with other accrual request Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 16
Item No Nl-53-97-03-00020ll
Description of Item Authority REINVESTMENT APPLICATIONfiii iiamp TO REQUEST PAYMENT NEW~ lIU s [sJRH IQ MOUfS I ea I iitf AND TO USE PROCEEDS FROM THE PAYMENT OF MATURED BONDS TO PURCHASE NEW BONDS FORWARD PROCESSED FORMS WITH RELATED STUBS TO SBOO WEEKLY IF INCOMPLETE OR OTHERWISE DEFECTIVE REQUEST A CORRECTED APPLICATION IF CORRECTED COPY NOT RECEIVED IN 30 DAYS FORWARD ORIGINAL TO SBOO
Form No PDF 1993 Series No I Org Abbrev Retain 0 yrs O mths FORWARD TO SBOO WEEKLY L9iR ffltifl-bM5EJi2fM QiampJ
FRB
Item No Nl-53-97-03-0002012
Description of Item Authority INVESTIGATION SCHEDULE OF PAID BONDS UNDER INVESTIGATIONLsectfbulllllffl NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ita zan(Bm(aclmztffilgtIeNff cf)lJQlIoIWM0 Qfiamplgtlatz~ltaa~ cblflhti1b(llxlS za~ TH Is FORM IS TO DESCRIBE BONDSNOTES AND GIVE DETAILS OF A TRANSACTION UNDER INVESTIGATION
Form No PDF 2343 Series No A COPY Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER RPfi IWI ii hi Mfilir7 o4cent tit W SR-II2-+481
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 17
Item No Description of Item Authority Nl-53-97-03-0002013 Ast RampF APPLICATIONll2ampMiil FOR RELIEF ON ACCOUNT OF THE LOSS THEFT OR NEW
DESTRUCTION OF PAID US SAVINGS BOND~tJ04PE$sfJ9FtjNEJ ijfltasJ atYlJiUJ THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS JIIMamph $1 lNGll RI 1Spound1111 IQ -HJ IWdiAF95 id Jit61Eel THE te1s1 btCJJ PilfftHCTAL BIGUT(j1ilt 181 PliiYDNampiEISITl
Form No PDF 2517 Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUTOFF aas QIN iifi4ib4s lUWW111 hilldUtiff-- in-1Ff 4ftKJ
Item No Description of Item Authority ~l-53-97-03-0002014 CERTIFICATION ATTACHMEN 1Mi6IAJta C OMtgtt- _~ 0 fr SAVlltr5 (gtOM D OWNfil-S bull NEW~
~P~~Du~wj~ ~~u Z~e= llAemmnF fll~i rn BEHi mrn FORMS w
Form No PDF 2778 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF a 1copy9111ti BtSbL iii Hl 5J U1 ~ 018
Request For Record Disposition Authority Page 18
Item No Nl-53-97-03-0002015
Item No Nl-53-97-03-0002016
Description of Item Authority CLAIM FOR RELIEF ON ACCOUNT OF LOSS THEFT OR DESTRUCTION rmcs 10eo~ NEW Gal
-~~s ~--~~IYP AfrF-fl vALtD ss-1pound 3ur 172tO(Z TO P--1zc_f=-1tdegT 3( C)(UNpoundR
Form No PDF 3062 Series No I Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Description of Item Authority CLAIM FOR RELIEF FOR LOSTSTOLEN OR DESTROYED usSBOND STOCKeampiYu NEW 4il9 DHc ampnI Wbiamp UJCWfal)rjAbiOHIEOP lZJt ibE poundECgtWfriii snoo WEPKpoundYJ COPIES MAY BE MADE AND RETAINED IF ACCESSED WITH SUFFICIENT FREQUENCY TO WARRANT THE COSTS ASSOCIATED WITH CREATION AND RETENTION
Form No PDF 3062-3 Series No Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Page 19
0002 017 Form PDF 3253 Exchange application for US Savings Bonds of series HH
Disposition a) Forward processed forms with related stubs to SBOO weekly
b) If incomplete or otherwise defective request a corrected application If corrected copy not receive in 30 days forward original to SBOO
0002 018 Form PDF 3360 Request for reissue ofUS Savings BondsNotes in the name of person or persons other than the owner (including legal guardian custodian for a minor under a statute etc )
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 20
Item No tNl-53-97-03-0002019
Item No ~1-53-97-03-0002020
Description of Item Authority CONTINUATION SHEET FOR LISTING SECURITIES0863 NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ll 4elJitGiJW aBlEiRMON-H ~clWAA~~ Qllw d5liIIINcentCfiDqltWMS ZOPbHS dSCbEMMEJRgt
Form No PDF 3500 Series No 1B COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF illgtIffl tgtlbllq~SiD ZOJIS ar-ar--91()2 -81B
Description REQUEST FOR
~ S- TftltpoundM lcN-
A 6-fl- F-cT c 1-1- A f fr-fi- OF MA Aeuro
Form No PDF 3564 Series No IA COPY Org Abbrev FRB Retain 1 yrs O mths DESTROY OBSOLETE DOCUMENTS ANNUALLY REnfffI I 5SLO mt Ne1 53 YB Ad 0 3gt
Request For Record Disposition Authority Page 21
Item No Nl-53-97-03-0002021
Description of Item SECURITIES TRANSACTION REQUESIWliiiill THlt-f
Ltif$B---Ftpound]o9 DOCUMENTbull THE WITHDRAWAL OF SECURITIES FROM THE USB VAULT
Authority NEW 280
Form No PDF 3800 Series No D COPY Retain 1 yrs O mths CUT OFF FILE YEARLY DESTROY 1 YEAR AFTER FRB MAY HOLD THIS UNDER THEIR OWN ATHORITY
Org Abbrev
CUT OFF OR amp EXPENSE
FRB
Item No ~1-53-97-03-0002022
Description of Item SECURITIES TRANSACTION REQUEST pound4JS it TkA-T f1H~ DOCUMENT THE RECEIPT ANDOR WITHDRAWAL VAULT
OF SECURITIES FROM
Authority NEW
THE
Form No PDF 3800 Series No E COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF THIS IS A CONTROLAUDIT COPY ~fEHTHm RASPS 1111 II 1 ~ e 0 7 lP(lit-
Request For Record Disposition Authority Page 22
Item No Description of Item ((L iRus r 4(r~ll f11poundVr 1Nl-53-97-03-0002023 APPLICATIONS FOR ISSUING AGENT-- amin~PJT~~jjjjjjjQp bull
f-ll-euro coNIA-lff ORIGINAL AGREEMENT ffllii TO lt81 AS Mf lBBOHIG ACliID AND APPROPRIATE CORRESPONDENCE RELATING TO THIS AGREEMENT
Authority NEW
Form No PDF 3827 Series No IA COPY Retain 6 yrs 3 mths DESTROY 6 YEARS AFTER TERMINATION OF AGENCY
Org Abbrev FRB
11N hPPLICtTHJH fO
Q-AI IE lS MIT ISSUHf6 h6ENf MfEHfieH DilSED OH Hel 53 81 BQ 01
Item No Nl-53-97-03-0002024
Description of Item CERTIFICATE OF QUALIFICATION-ISSUING AGENT QUALIFY AS AN ISSUING AGENT FOR THE SERIES
1-( 5 ~gt (USSBo6922Bl EE BONDS
TO APPLY AND Authority NEW
Form No PDF 3828 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths D6ST(IOf- 6 r I AR S ~ YI OYrH ~ AFTER TERMINATION OF ISSUING AGENT STATUS ~TION axsuogN Jif l sect481 02 ~
Request For Record Disposition Authority Page 23
Item No Nl-53-97-03-0002025
~ fgtV tNamp-5 p OtvtgtS
Description of Item R20Jlti_S T F-Oa fJOOR F-M7Pr rRrlVSAcT10N BOOK ENTRY REQUEST FOR TRANSACTION IN USSB BY TRUSTEE-60508 Wi PURP06S Cll 11H5 iN ff TO INITIATE A TRANSACTION IN A BOOK ACCOUNT
IN (S
ENTRY
Authority NEW W
Item No bullNl-53-97-03-0002026
5~~ Mf~T flamppound
Form No PDF 3879 Series No ID COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
Description of Item Authority REQU BY THE OWNER OF REISSUE OF US SAVINGS BONDSNOTES-60000 NEW 451 --TITLE ADD BENEFICIARY OR COOWNER ELIMINATE BENE IARY OR DECEDENT SHOW CHANGE O ANDOR CORRECT ERROR I TION --RETENTION (l) FILE SERIES EEE AN VINGS NOTE REISSUE ESSED IN A CALENDAR MONTH BY SERIES I 2 FULL CALENDAR MONTHS bull---=~~bull NOT RETAIN COPIES (2) FORWARD SERIES HHH TIRED BONDS MICROFILM COPIES MAY BE MADE A FREQUENCY TO WARRANT THE COSTS ASSO Form No PDF 4000 Series No Al COPY FRB
0 yr O mths DETERMINE DISPOSITION SEE MEMO FIELD
FORW
Page 23A
0002 026 Form PDF 4000 Request by the owner for reissue of US Savings BondsNotes to add beneficiary or co-owner eliminate beneficiary or decedent show change of name andor correct error in registration
Disposition a) File series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series lil-IH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 24
Item No fll-53-97-03-0002027
Description of Item 4rtNC r REPORT OF NON-RECEIPTLOSSTHEFTDESTRUCTION OF FISCALACHECKmiddotUisZIB m ~JR tl9Hretl-EODH I L0SS fHSFT ~ kiisffilLc_Tfm~ENfv6rrc1f AND APPLICATION FOR REPLACEMENT
Authority NEW
Form No PDF 5235 Series No I Retain 7 yrs O mths C-tfr oF= F1(1amp-lt Ye4RL-- os~oS-
Org Abbrev FRB
Item No Nl-53-97-03-0002028
Description of ORDER IDIRi FOR
Item SERIES
u SAVINCr-~ Authority EE BONDS 8-11111dibijEnJm~~A-H I) ~ poundt A I GP Rc~~W Ba
SERVICE )-11tnNe1uDiESPil~OLl-]l~~~lJ~QRDS
Form No PDF 5263 Series No Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2
IA COPY Org Abbrev
MONTHS AFTER CUTOFF
FRB
Request For Record Disposition Authority Page 25
Item No Description of Item lf5 Sqvv-5 Authority Nl-53-97-03-0002029 ORDER FORM FOR SERIES EEBONDS 8lfl)a te4Dl40~ NEW_
~ dJ0RW ffi~~llv-imtY 00 NbisectiASIT SlsecttlIES=gtEE B~
10 fi ~e-6-- s T pound 12pound Igt I H Y4 M euro lF-- =- DU c 1 k fl r
Form No PDF 5263-1 Series No IA COPY Org Abbrev FRB Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2 MONTHS AFTER CUT OFF
Item No Description of Item SHUTS u s6- D ro Authority ~l-53-97-03-0003001 ACCOUNTABILITY STATEMENTS AND LEDGERYldbJSii606Jkr1a2~ INDICATEa ALL NEW
ACTIVITIES IN ISSUING AGENTS CONSIGNMENT ACCOUNTS LEDGER SHEETS 0 INCLUDE PIECES ON HAND BY DENOMINATION SERIAL NUMBERS AND BALANCES ON HAND
Form No Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3MOS AFTER CUT OFF ~~ sectA~D dm ftCP--53- 78---0zt- -8Q
Request For Record Disposition Authority Page 26
Item No Description of Item Authority Nl-53-97-03-0003002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLl4 i OOt NEW
BY BUREAU OF PUBLIC DEBT OFFICE aw amltS9Sl8 ~Q-gt ~ bull
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS
Org Abbrev
AFTER CUT OFF
FRB
Item No Nl-53-97-03-0003003
Description of Item ___ GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS~~ ~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT DOCUMENTING THE US TREASURY GENERAL ACCOUNT
ENTRIES
Authority NEW ltlillS TO
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Page 4A
0001 006 Form PDF 1540 Request for reissue ofUS Savings Bonds upon change of name of or upon succession to corporation association or partnership
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When requests involve both accrual and current income bonds retain onginals with other accrual requests Prepare and submit photocopies with retired current income bonds
5 Request For Record Disposition Authority Page
Item No Description of Item Authority 1Nl-53-97-03-0001008 A CATIONS FOR DISPOSITION-60000 US SAVINGS BONDSNOTES ANDOR NEW 431
5euro6 NE-tr fA amp-fi LATED CHECKS (IN A COMBINED AMOUNT NOT EXCEEDING OWNED BY
CALENDAR FILE FOR 2 FUL COPIES (2) FO WEEKLY WITH RETIRED BONDS
ACCESSED WITH SUFFICIENT PAGE)
Series No I Retain yrs O mths 4 DITIONS DETERMINE DISPOSITION SEE MEMO FIELD
Item No Description of Item Authority ~l-53-97-03-0001009 APP IONS FOR DISPOSITION-60000 US SAVINGS BONDSNOTES AND0 NEW 432
--TITLE RE CHECKS OWNED BY DECEDENT WHOSE ESTATE IS B SETTLEDS~E NE~ PAamp--pound
WITHOUT ADMINISTRA (THIS FORM SHOULD BE USED WHE COMBINED FACE AMOUNT EXCEEDS $1000) E SERIES EEE ANDS PROCESSED IN A CALEND ONOLOGICAL ORDER RETAIN THE MONTHS FI E FORWARDING TO SBOO DO NOT RETAIN COPIES QUESTS WEEKLY WITH RETIRED BONDS MICROFILM NED IF ACCESSED WITH SUFFICIENT FREQUENC WARRANT THE TA CONTINUES ON NEXT PAGE)
-1 Series No
0 mths 4 ITIONS DETERMINE DISPOSITION SEE MEMO FIELD FOR
Page SA
0001 008 Form PDF 1946 Application for disposition US Savings BondsNotes andor related checks (in combined amount not exceeding $1000) owned by descendent whose estate is being settled without administration
Disposition a) File Series EEE and Savings Note reissue request processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series H1-Il-I reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When requests involve both accrual and current income bonds retain original with other accrual requests Prepare and subffilt photocopies with retired current income bonds
0001 009 Form PDF 1946-1 Application for disposition US Savings Bondsnotes andor related checks owned by descendent whose estate is being settled without administration (This form should be used when the combined face amount exceeds $1000)
Disposition a) File Series EEE and Savings Note reissued requests processed in a calendar month by senes in daily chronological order Retain the months file 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When requests involve both accrual and current mcome bonds retain original with other accrual requests Prepare and submit photocopies with retired current income bonds
6 Request For Record Disposition Authority Page
Item No Nl-53-97-03-0001010
Item No 1Nl-53-97-03-00010ll
j
Description of Item Authority APPLICATIONS BY PREFERRED CREDITO FOR DISPOSITION WITHOUT NEW 118 ADMINISTRATION WHERE DECEASED OWNERS ESTATE INCLUDES UNITED STATES REGISTERED SECURITIES ANDOR CHECKS IN AN AMOUNT NOT EXCEEDING $500 THIS FORM IS USED BY A PERSON WHO PAID BURIAL EXPENSES OF A DECEDENT WHOSE ESTATE HAS NOT BEEN AND SO FAR AS KNOWN WILL NOT BE ADMINISTERED IN COURT
Form No PDF 2216 Series No I Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF
Description of Item Authority CERTIFICATE OF ENTITLEMENT-60000 UNITED STATES SAVINGS AND NEW RETIREMENT SECURITIES AND CHECKS AFTER ADMINISTRATION OF DECEDENTS ESTATE THIS FORM IS TO CERTIFY THAT COURT RECORDS SHOW THE LISTED PERSON ENTITLED TO CERTAIN BONDS OR CHECKS AS DISTRIBUTION FROM A DECEDENTS ESTATE
Form No PDF 2458 Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 7
Item No Nl-53-97-03-0001012
Item No bullNl-53-97-03-0001013
Description of Item __ Authority CERTIFICATE BY LEGAL REPRESENTATIVE(S) OF DECEDENTS ESTATEfiriffiiltamp NEW da1 DURING ADMINISTRATION OF AUTHORITY TO ACT AND OF DISPOSITION WHERE ESTATE HOLDS NO MORE THAN $1000 (FACE AMOUNT) UNITED STATES SAVINGS AND RETIREMENT SECURITIES EXCLUDING CHECKS REPRESENTING INTEREST
Form No PDF 2488-1 Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YEARS AFTER CUT OFF
Description of Item Authority SPECIAL BOND OF INDEMNITY TO THE UNITED STATESf1N191lB NEWfliB THIS FORM IS USED BY A BOND PURCHASER TO IDEMNIFY THE DEPARTMENT AGAINST LOSS IN A TRANSACTION TO REFUND PURCHASE PRICE OF BONDS OBTAINED THROUGH A CHAIN LETTER SCHEME
Form No PDF 2966 Series No Org Abbrev FRB Retain 0 yrs 1 mths FORWARD TO SBOO MONTHLY
8 Request For Record Disposition Authority Page
Item No Description of Item AuthorityoF Nl-53-97-03-0001014 APPLICATIONS FOR DISPOSITION RETIREMENT PLAN ANDOR NEW amt
INDIVIDUAL RETIREMENT BONDS WITHOUT ADMINISTRATION OF DECEASED OWNERS ESTATE
Form No PDF 3565 Series No A COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF
Item No Description of Item Authority 1Nl-53-97-03-0001015 APPLICATIONS AGREEMENT-TO QUALIFY UNDER TD CIR888 (REV) NEW
THESE DOCUMENTS DEFINE THE TERMS OF AGREEMENT BETWEEN A FEDERAL RESERVE BANK AS ~k~ltiJL AGENT OF US FOR ISSUING ANDOR PAYING AGENT rncLUDESPD 3821 3828 3880 3881 3902 3903 u~osplusmnMiamptkf~-laquoLf= m
~ e$35idkbgt-Ji-deg
Form No MiampfJ IOI Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths DESTROY 6 YRS 3 MOS AFTER TERMINATION OF AGENT
e1 --+i 2 r)ijjt
9 Request For Record Disposition Authority Page
Item No Description of Item Authority Nl-53-97-03-0001016 NOTICE OF QUALIFICATION UNDER TREASURY DEPT CIRCULAR NO BodSbii NEW
AN AGREEMENT TO ESTABLISH THE ELIGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVING BONDS
Form No PDF 3903 Series No IB COPY Org Abbrev FRB Retain 6 yrs 3 mths HOLD FOR 6 YRS AND 3 MO AFTER TERMINATION OF PAYING AGENT STATUS Qal +NVEW iIW PYgt- A 2EidiBicr gtUW W li-6 fi 8 I 622 aft l
Item No Description of Item Authority Nl-53-97-03-0001017 APPLICATIONS FOR PAYMENT OF NEW
flllllilsectl iFTii ii A itPZ iZ kl Ji DJgt Htiv~ UNITED STATES SAVINGS BONDSNOTES ANDOR RELATED CHECKS IN AN AMOUNT NOT EXCEEDING $1000 BY THE SURVIVOR OF A DECEASED OWNER WHOSE ESTATE IS NOT BEING ADMINISTERED
Form No PDF 4881 Series No Al COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF GPrampAflA RUIS ri M aBllrQQJP tff9---dz1 M -tJ I~
Page 10
0001 018 Form PDF 5200 Overpayment history
Disposition a) Ifnot processed in 120 days forward to SBOO
b) Ifclaim disputed within 120 days forward to SBOO to settle claim
c) Ifoverpayment is settled destroy 10 years after settlement
0001 019 Form PDF 5336 Application for disposition - US Savings BondsNotes andor related checks owned by descendent whose estate is being settled without administration
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO You may retain a photocopy for 10 years but you are not required to do so
b) Forward Series HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 11
Item No Nl-53-97-03-0002001
Item No Nl-53-97-03-0002002
)
Description of Item 0 ~ o~srAoi~~orJ-~X CREDIT ADVICEefi()()QQj COVERING REPLACEMENT BONDS OF LOST STOLEN 1mft7 NEW P-S
THESE DOCUMENTS AUTHORIZE THE PROCESSING OF SUBSTITUTE OR REPLACEMENT BONDS WHERE THE ORIGINAL HAS BEEN LOST STOLEN MUTILATED OR DESTROYED AND THE EXTENSION OF CREDIT FOR UNISSUED STOCK AND LOST PAID BONDS PREPARED BY FRB THE DOCUMENTS ARE SENT TO THE PARKERSBURG OFFICE FOR AUDIT~IN LIEU OF THE ORIGINAL BONDS lftZZ 1-FWklJCbulldffii cent 0Astr- T1RMJlii3
Form No Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF llRgti4hitbii1KMifkid)f 81 i eg IJ-4 1 IEz
Description of Item RfLATlf6- ro TflG Authority CORRESPONDENCE AND FORMSA~ CORRECTIONREISSUE OF SAVINGS BONDS NEW
mm~~L~~n~~~~ To As FORWARDING ITEMS~ (msi2~ ~dcopy-~P 4-a0 NPffim-l
~-
Form No Series No Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF ~~~t52~
Request For Record Disposition Authority Page 12
Item No lNl-53-97-03-0002003
Item No Nl-53-97-03-0002004
Description of Item Authority REISSUE REQUEST FOR SAVINGS BONDS SERIES E~ NEW48 REQUESTS PROCESSED WITHIN A GIVEN CALENDAR MONTH SHOULD BE FILED BY SERIES IN A DAILY CHRONOLOGICAL ORDER WITHOUT ALPHBETIZING OR OTHER FILE ARRANGEMENT ~wp29l1hjroe $JSEit2W Nf)r 4~
Form No Series No 1 Org Abbrev FRB Retain 0 yrs 2 mths CUTOFF FILE EACH MONTH AND HOLD FOR TWO MONTHS THIN FORWARD TO SBOO
Description of Item __ _ Authority REISSUE REQUEST FOR SAVINGS BONDS SERIES HHH-wifJl NEW (19
-~ Form No Series No Org Abbrev FRB Retain 0 yrs 1 mths RETAIN FOR 1 WEEK THEN TRANSFER TO SBOO BANKS MAY WISH TO MICROFILM AND RETAIN LONGER AT THEIR EXPENSE
Request For Record Disposition Authority Page 13
Item No Nl-53-97-03-000200S
Item No ~l-53-97-03-0002006
Description of Item Authority BOOK ENTRY STATEMENT OF ACTIVITVfflsectQi FOR EACH TRUSTEE ACCOUNT NEW TRANSFER ADVICES ADJUSTMENT ADVICES PERMANENT RECEIPTS BOOK ENTRY A~C REQUESTS REISSUE REQUESTS AND RELATED CLASSIFICATION LISTINGS ~jj2111$1D US~[)
TO REFLECT ALL ADJUSTMENTS TO THE ISSUING AND PAYING AGENTS ACCOUNTS
Form No Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF JbtifllrNfROiiAAiki DfbNbkSSP Hf irit 4Ai6l
Description of It~~f4 1gt1~euroD Authority SEN - bull NEW
E T IN F S R
~~lOtlLU=bull c A F- Jgt r o _middot c o 5 1pound M r To pspos70 o~ -Nrtro srArs $ fl4L euro--~ A-f(D ~li-c-A-r~ O CU-5-cf_4 w1r1+0wT A--0tltNfS~rotv tgtF
06C-G-~ E 0 DW1f~ILbulls F-S11gtlt-1E
Form No PDF 1050 Series No Al COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY liei6X8WY~Mfdi iMTgt-fJPiPL TRANSFER TO FRC AS VOLUME WARRANTS 0Q Z 6i ifosectfkaTgt Jj 00$ampQ (8f jjp-SltPi91ti 2MA-b () (iS T fJ 0 r Cgt r 6-A42-gt A- F rF-A- cCfT o Ff-
Request For Record Disposition Authority Page 14
Item No Description of Item Authority Nl-53-97-03-0002007 EST BY FIDUCIARY-60000 FOR REISSUE OF US SAVINGS BONDSNOTES NEW 425
--RET ON (1) FILE SERIES EEE AND SAVINGS NO ISSUE REQUESTS6i-ti N i-t t f A-amppound PROCESSED CALENDAR MONTH BY SERIES IN LY CHRONOLOGICAL ORDER
MONTHS BEFORE FORWARDING TO SBOO DO NOT SERIES HHH REISSUE REQUESTS WEEKLY WITH RETIRED BE MADE AND RETAINED IF ACCESSED WITH SUFFICIE RETENTION ( DISTRUTION AND NOT AS A REQUEST
Series No I Retamiddot bull 10 yrs O mths
ONDITIONS DETERMINE DISPOSITION SEE MEMO FIELD
Item No Description of Item Authority Nl-53-97-03-0002008 SPECIAL FORM OF REQUEST FOR PAYMENTElfiPiampi OF UNITED STATES SAVINGS NEW Cill
AND RETIREMENT SECURITIES WHERE mil USE OF A DETACHED REQUEST IS AUTHORIZED tlms lillJRFJlil O THIS FOIW IS Tit JfSCBIBF BOPILJli EOR HIHCII PaiilEftl H REQUESTlrl)
Form No PDF 1522 Series No I Org Abbrev FRB Retain 0 yrs 1 mths FORWARD TO SBOO WEEKLY
Page 14A
0002 007 Form PDF 1455 Request by fiduciary for reissue ofUS Savings BondsNotes
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series llliH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) When accepted as evidence of distribution and not as a request for reissue retain PD F 1455 for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Page 15
0002 009 Form PDF 1851 Request for reissue for US Savings BondsNotes in name of trustee of a personal trust estate
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Senes HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained 1f accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retied current income bonds
0002 010 Form PDF 1938 Request for reissue ofUS Savmgs BondNotes during the lives of both co-owners
Disposition a) File Series EEE and Savings Note reissue request processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retam original with other accrual request Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 16
Item No Nl-53-97-03-00020ll
Description of Item Authority REINVESTMENT APPLICATIONfiii iiamp TO REQUEST PAYMENT NEW~ lIU s [sJRH IQ MOUfS I ea I iitf AND TO USE PROCEEDS FROM THE PAYMENT OF MATURED BONDS TO PURCHASE NEW BONDS FORWARD PROCESSED FORMS WITH RELATED STUBS TO SBOO WEEKLY IF INCOMPLETE OR OTHERWISE DEFECTIVE REQUEST A CORRECTED APPLICATION IF CORRECTED COPY NOT RECEIVED IN 30 DAYS FORWARD ORIGINAL TO SBOO
Form No PDF 1993 Series No I Org Abbrev Retain 0 yrs O mths FORWARD TO SBOO WEEKLY L9iR ffltifl-bM5EJi2fM QiampJ
FRB
Item No Nl-53-97-03-0002012
Description of Item Authority INVESTIGATION SCHEDULE OF PAID BONDS UNDER INVESTIGATIONLsectfbulllllffl NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ita zan(Bm(aclmztffilgtIeNff cf)lJQlIoIWM0 Qfiamplgtlatz~ltaa~ cblflhti1b(llxlS za~ TH Is FORM IS TO DESCRIBE BONDSNOTES AND GIVE DETAILS OF A TRANSACTION UNDER INVESTIGATION
Form No PDF 2343 Series No A COPY Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER RPfi IWI ii hi Mfilir7 o4cent tit W SR-II2-+481
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 17
Item No Description of Item Authority Nl-53-97-03-0002013 Ast RampF APPLICATIONll2ampMiil FOR RELIEF ON ACCOUNT OF THE LOSS THEFT OR NEW
DESTRUCTION OF PAID US SAVINGS BOND~tJ04PE$sfJ9FtjNEJ ijfltasJ atYlJiUJ THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS JIIMamph $1 lNGll RI 1Spound1111 IQ -HJ IWdiAF95 id Jit61Eel THE te1s1 btCJJ PilfftHCTAL BIGUT(j1ilt 181 PliiYDNampiEISITl
Form No PDF 2517 Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUTOFF aas QIN iifi4ib4s lUWW111 hilldUtiff-- in-1Ff 4ftKJ
Item No Description of Item Authority ~l-53-97-03-0002014 CERTIFICATION ATTACHMEN 1Mi6IAJta C OMtgtt- _~ 0 fr SAVlltr5 (gtOM D OWNfil-S bull NEW~
~P~~Du~wj~ ~~u Z~e= llAemmnF fll~i rn BEHi mrn FORMS w
Form No PDF 2778 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF a 1copy9111ti BtSbL iii Hl 5J U1 ~ 018
Request For Record Disposition Authority Page 18
Item No Nl-53-97-03-0002015
Item No Nl-53-97-03-0002016
Description of Item Authority CLAIM FOR RELIEF ON ACCOUNT OF LOSS THEFT OR DESTRUCTION rmcs 10eo~ NEW Gal
-~~s ~--~~IYP AfrF-fl vALtD ss-1pound 3ur 172tO(Z TO P--1zc_f=-1tdegT 3( C)(UNpoundR
Form No PDF 3062 Series No I Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Description of Item Authority CLAIM FOR RELIEF FOR LOSTSTOLEN OR DESTROYED usSBOND STOCKeampiYu NEW 4il9 DHc ampnI Wbiamp UJCWfal)rjAbiOHIEOP lZJt ibE poundECgtWfriii snoo WEPKpoundYJ COPIES MAY BE MADE AND RETAINED IF ACCESSED WITH SUFFICIENT FREQUENCY TO WARRANT THE COSTS ASSOCIATED WITH CREATION AND RETENTION
Form No PDF 3062-3 Series No Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Page 19
0002 017 Form PDF 3253 Exchange application for US Savings Bonds of series HH
Disposition a) Forward processed forms with related stubs to SBOO weekly
b) If incomplete or otherwise defective request a corrected application If corrected copy not receive in 30 days forward original to SBOO
0002 018 Form PDF 3360 Request for reissue ofUS Savings BondsNotes in the name of person or persons other than the owner (including legal guardian custodian for a minor under a statute etc )
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 20
Item No tNl-53-97-03-0002019
Item No ~1-53-97-03-0002020
Description of Item Authority CONTINUATION SHEET FOR LISTING SECURITIES0863 NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ll 4elJitGiJW aBlEiRMON-H ~clWAA~~ Qllw d5liIIINcentCfiDqltWMS ZOPbHS dSCbEMMEJRgt
Form No PDF 3500 Series No 1B COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF illgtIffl tgtlbllq~SiD ZOJIS ar-ar--91()2 -81B
Description REQUEST FOR
~ S- TftltpoundM lcN-
A 6-fl- F-cT c 1-1- A f fr-fi- OF MA Aeuro
Form No PDF 3564 Series No IA COPY Org Abbrev FRB Retain 1 yrs O mths DESTROY OBSOLETE DOCUMENTS ANNUALLY REnfffI I 5SLO mt Ne1 53 YB Ad 0 3gt
Request For Record Disposition Authority Page 21
Item No Nl-53-97-03-0002021
Description of Item SECURITIES TRANSACTION REQUESIWliiiill THlt-f
Ltif$B---Ftpound]o9 DOCUMENTbull THE WITHDRAWAL OF SECURITIES FROM THE USB VAULT
Authority NEW 280
Form No PDF 3800 Series No D COPY Retain 1 yrs O mths CUT OFF FILE YEARLY DESTROY 1 YEAR AFTER FRB MAY HOLD THIS UNDER THEIR OWN ATHORITY
Org Abbrev
CUT OFF OR amp EXPENSE
FRB
Item No ~1-53-97-03-0002022
Description of Item SECURITIES TRANSACTION REQUEST pound4JS it TkA-T f1H~ DOCUMENT THE RECEIPT ANDOR WITHDRAWAL VAULT
OF SECURITIES FROM
Authority NEW
THE
Form No PDF 3800 Series No E COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF THIS IS A CONTROLAUDIT COPY ~fEHTHm RASPS 1111 II 1 ~ e 0 7 lP(lit-
Request For Record Disposition Authority Page 22
Item No Description of Item ((L iRus r 4(r~ll f11poundVr 1Nl-53-97-03-0002023 APPLICATIONS FOR ISSUING AGENT-- amin~PJT~~jjjjjjjQp bull
f-ll-euro coNIA-lff ORIGINAL AGREEMENT ffllii TO lt81 AS Mf lBBOHIG ACliID AND APPROPRIATE CORRESPONDENCE RELATING TO THIS AGREEMENT
Authority NEW
Form No PDF 3827 Series No IA COPY Retain 6 yrs 3 mths DESTROY 6 YEARS AFTER TERMINATION OF AGENCY
Org Abbrev FRB
11N hPPLICtTHJH fO
Q-AI IE lS MIT ISSUHf6 h6ENf MfEHfieH DilSED OH Hel 53 81 BQ 01
Item No Nl-53-97-03-0002024
Description of Item CERTIFICATE OF QUALIFICATION-ISSUING AGENT QUALIFY AS AN ISSUING AGENT FOR THE SERIES
1-( 5 ~gt (USSBo6922Bl EE BONDS
TO APPLY AND Authority NEW
Form No PDF 3828 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths D6ST(IOf- 6 r I AR S ~ YI OYrH ~ AFTER TERMINATION OF ISSUING AGENT STATUS ~TION axsuogN Jif l sect481 02 ~
Request For Record Disposition Authority Page 23
Item No Nl-53-97-03-0002025
~ fgtV tNamp-5 p OtvtgtS
Description of Item R20Jlti_S T F-Oa fJOOR F-M7Pr rRrlVSAcT10N BOOK ENTRY REQUEST FOR TRANSACTION IN USSB BY TRUSTEE-60508 Wi PURP06S Cll 11H5 iN ff TO INITIATE A TRANSACTION IN A BOOK ACCOUNT
IN (S
ENTRY
Authority NEW W
Item No bullNl-53-97-03-0002026
5~~ Mf~T flamppound
Form No PDF 3879 Series No ID COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
Description of Item Authority REQU BY THE OWNER OF REISSUE OF US SAVINGS BONDSNOTES-60000 NEW 451 --TITLE ADD BENEFICIARY OR COOWNER ELIMINATE BENE IARY OR DECEDENT SHOW CHANGE O ANDOR CORRECT ERROR I TION --RETENTION (l) FILE SERIES EEE AN VINGS NOTE REISSUE ESSED IN A CALENDAR MONTH BY SERIES I 2 FULL CALENDAR MONTHS bull---=~~bull NOT RETAIN COPIES (2) FORWARD SERIES HHH TIRED BONDS MICROFILM COPIES MAY BE MADE A FREQUENCY TO WARRANT THE COSTS ASSO Form No PDF 4000 Series No Al COPY FRB
0 yr O mths DETERMINE DISPOSITION SEE MEMO FIELD
FORW
Page 23A
0002 026 Form PDF 4000 Request by the owner for reissue of US Savings BondsNotes to add beneficiary or co-owner eliminate beneficiary or decedent show change of name andor correct error in registration
Disposition a) File series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series lil-IH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 24
Item No fll-53-97-03-0002027
Description of Item 4rtNC r REPORT OF NON-RECEIPTLOSSTHEFTDESTRUCTION OF FISCALACHECKmiddotUisZIB m ~JR tl9Hretl-EODH I L0SS fHSFT ~ kiisffilLc_Tfm~ENfv6rrc1f AND APPLICATION FOR REPLACEMENT
Authority NEW
Form No PDF 5235 Series No I Retain 7 yrs O mths C-tfr oF= F1(1amp-lt Ye4RL-- os~oS-
Org Abbrev FRB
Item No Nl-53-97-03-0002028
Description of ORDER IDIRi FOR
Item SERIES
u SAVINCr-~ Authority EE BONDS 8-11111dibijEnJm~~A-H I) ~ poundt A I GP Rc~~W Ba
SERVICE )-11tnNe1uDiESPil~OLl-]l~~~lJ~QRDS
Form No PDF 5263 Series No Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2
IA COPY Org Abbrev
MONTHS AFTER CUTOFF
FRB
Request For Record Disposition Authority Page 25
Item No Description of Item lf5 Sqvv-5 Authority Nl-53-97-03-0002029 ORDER FORM FOR SERIES EEBONDS 8lfl)a te4Dl40~ NEW_
~ dJ0RW ffi~~llv-imtY 00 NbisectiASIT SlsecttlIES=gtEE B~
10 fi ~e-6-- s T pound 12pound Igt I H Y4 M euro lF-- =- DU c 1 k fl r
Form No PDF 5263-1 Series No IA COPY Org Abbrev FRB Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2 MONTHS AFTER CUT OFF
Item No Description of Item SHUTS u s6- D ro Authority ~l-53-97-03-0003001 ACCOUNTABILITY STATEMENTS AND LEDGERYldbJSii606Jkr1a2~ INDICATEa ALL NEW
ACTIVITIES IN ISSUING AGENTS CONSIGNMENT ACCOUNTS LEDGER SHEETS 0 INCLUDE PIECES ON HAND BY DENOMINATION SERIAL NUMBERS AND BALANCES ON HAND
Form No Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3MOS AFTER CUT OFF ~~ sectA~D dm ftCP--53- 78---0zt- -8Q
Request For Record Disposition Authority Page 26
Item No Description of Item Authority Nl-53-97-03-0003002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLl4 i OOt NEW
BY BUREAU OF PUBLIC DEBT OFFICE aw amltS9Sl8 ~Q-gt ~ bull
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS
Org Abbrev
AFTER CUT OFF
FRB
Item No Nl-53-97-03-0003003
Description of Item ___ GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS~~ ~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT DOCUMENTING THE US TREASURY GENERAL ACCOUNT
ENTRIES
Authority NEW ltlillS TO
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
5 Request For Record Disposition Authority Page
Item No Description of Item Authority 1Nl-53-97-03-0001008 A CATIONS FOR DISPOSITION-60000 US SAVINGS BONDSNOTES ANDOR NEW 431
5euro6 NE-tr fA amp-fi LATED CHECKS (IN A COMBINED AMOUNT NOT EXCEEDING OWNED BY
CALENDAR FILE FOR 2 FUL COPIES (2) FO WEEKLY WITH RETIRED BONDS
ACCESSED WITH SUFFICIENT PAGE)
Series No I Retain yrs O mths 4 DITIONS DETERMINE DISPOSITION SEE MEMO FIELD
Item No Description of Item Authority ~l-53-97-03-0001009 APP IONS FOR DISPOSITION-60000 US SAVINGS BONDSNOTES AND0 NEW 432
--TITLE RE CHECKS OWNED BY DECEDENT WHOSE ESTATE IS B SETTLEDS~E NE~ PAamp--pound
WITHOUT ADMINISTRA (THIS FORM SHOULD BE USED WHE COMBINED FACE AMOUNT EXCEEDS $1000) E SERIES EEE ANDS PROCESSED IN A CALEND ONOLOGICAL ORDER RETAIN THE MONTHS FI E FORWARDING TO SBOO DO NOT RETAIN COPIES QUESTS WEEKLY WITH RETIRED BONDS MICROFILM NED IF ACCESSED WITH SUFFICIENT FREQUENC WARRANT THE TA CONTINUES ON NEXT PAGE)
-1 Series No
0 mths 4 ITIONS DETERMINE DISPOSITION SEE MEMO FIELD FOR
Page SA
0001 008 Form PDF 1946 Application for disposition US Savings BondsNotes andor related checks (in combined amount not exceeding $1000) owned by descendent whose estate is being settled without administration
Disposition a) File Series EEE and Savings Note reissue request processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series H1-Il-I reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When requests involve both accrual and current income bonds retain original with other accrual requests Prepare and subffilt photocopies with retired current income bonds
0001 009 Form PDF 1946-1 Application for disposition US Savings Bondsnotes andor related checks owned by descendent whose estate is being settled without administration (This form should be used when the combined face amount exceeds $1000)
Disposition a) File Series EEE and Savings Note reissued requests processed in a calendar month by senes in daily chronological order Retain the months file 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When requests involve both accrual and current mcome bonds retain original with other accrual requests Prepare and submit photocopies with retired current income bonds
6 Request For Record Disposition Authority Page
Item No Nl-53-97-03-0001010
Item No 1Nl-53-97-03-00010ll
j
Description of Item Authority APPLICATIONS BY PREFERRED CREDITO FOR DISPOSITION WITHOUT NEW 118 ADMINISTRATION WHERE DECEASED OWNERS ESTATE INCLUDES UNITED STATES REGISTERED SECURITIES ANDOR CHECKS IN AN AMOUNT NOT EXCEEDING $500 THIS FORM IS USED BY A PERSON WHO PAID BURIAL EXPENSES OF A DECEDENT WHOSE ESTATE HAS NOT BEEN AND SO FAR AS KNOWN WILL NOT BE ADMINISTERED IN COURT
Form No PDF 2216 Series No I Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF
Description of Item Authority CERTIFICATE OF ENTITLEMENT-60000 UNITED STATES SAVINGS AND NEW RETIREMENT SECURITIES AND CHECKS AFTER ADMINISTRATION OF DECEDENTS ESTATE THIS FORM IS TO CERTIFY THAT COURT RECORDS SHOW THE LISTED PERSON ENTITLED TO CERTAIN BONDS OR CHECKS AS DISTRIBUTION FROM A DECEDENTS ESTATE
Form No PDF 2458 Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 7
Item No Nl-53-97-03-0001012
Item No bullNl-53-97-03-0001013
Description of Item __ Authority CERTIFICATE BY LEGAL REPRESENTATIVE(S) OF DECEDENTS ESTATEfiriffiiltamp NEW da1 DURING ADMINISTRATION OF AUTHORITY TO ACT AND OF DISPOSITION WHERE ESTATE HOLDS NO MORE THAN $1000 (FACE AMOUNT) UNITED STATES SAVINGS AND RETIREMENT SECURITIES EXCLUDING CHECKS REPRESENTING INTEREST
Form No PDF 2488-1 Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YEARS AFTER CUT OFF
Description of Item Authority SPECIAL BOND OF INDEMNITY TO THE UNITED STATESf1N191lB NEWfliB THIS FORM IS USED BY A BOND PURCHASER TO IDEMNIFY THE DEPARTMENT AGAINST LOSS IN A TRANSACTION TO REFUND PURCHASE PRICE OF BONDS OBTAINED THROUGH A CHAIN LETTER SCHEME
Form No PDF 2966 Series No Org Abbrev FRB Retain 0 yrs 1 mths FORWARD TO SBOO MONTHLY
8 Request For Record Disposition Authority Page
Item No Description of Item AuthorityoF Nl-53-97-03-0001014 APPLICATIONS FOR DISPOSITION RETIREMENT PLAN ANDOR NEW amt
INDIVIDUAL RETIREMENT BONDS WITHOUT ADMINISTRATION OF DECEASED OWNERS ESTATE
Form No PDF 3565 Series No A COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF
Item No Description of Item Authority 1Nl-53-97-03-0001015 APPLICATIONS AGREEMENT-TO QUALIFY UNDER TD CIR888 (REV) NEW
THESE DOCUMENTS DEFINE THE TERMS OF AGREEMENT BETWEEN A FEDERAL RESERVE BANK AS ~k~ltiJL AGENT OF US FOR ISSUING ANDOR PAYING AGENT rncLUDESPD 3821 3828 3880 3881 3902 3903 u~osplusmnMiamptkf~-laquoLf= m
~ e$35idkbgt-Ji-deg
Form No MiampfJ IOI Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths DESTROY 6 YRS 3 MOS AFTER TERMINATION OF AGENT
e1 --+i 2 r)ijjt
9 Request For Record Disposition Authority Page
Item No Description of Item Authority Nl-53-97-03-0001016 NOTICE OF QUALIFICATION UNDER TREASURY DEPT CIRCULAR NO BodSbii NEW
AN AGREEMENT TO ESTABLISH THE ELIGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVING BONDS
Form No PDF 3903 Series No IB COPY Org Abbrev FRB Retain 6 yrs 3 mths HOLD FOR 6 YRS AND 3 MO AFTER TERMINATION OF PAYING AGENT STATUS Qal +NVEW iIW PYgt- A 2EidiBicr gtUW W li-6 fi 8 I 622 aft l
Item No Description of Item Authority Nl-53-97-03-0001017 APPLICATIONS FOR PAYMENT OF NEW
flllllilsectl iFTii ii A itPZ iZ kl Ji DJgt Htiv~ UNITED STATES SAVINGS BONDSNOTES ANDOR RELATED CHECKS IN AN AMOUNT NOT EXCEEDING $1000 BY THE SURVIVOR OF A DECEASED OWNER WHOSE ESTATE IS NOT BEING ADMINISTERED
Form No PDF 4881 Series No Al COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF GPrampAflA RUIS ri M aBllrQQJP tff9---dz1 M -tJ I~
Page 10
0001 018 Form PDF 5200 Overpayment history
Disposition a) Ifnot processed in 120 days forward to SBOO
b) Ifclaim disputed within 120 days forward to SBOO to settle claim
c) Ifoverpayment is settled destroy 10 years after settlement
0001 019 Form PDF 5336 Application for disposition - US Savings BondsNotes andor related checks owned by descendent whose estate is being settled without administration
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO You may retain a photocopy for 10 years but you are not required to do so
b) Forward Series HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 11
Item No Nl-53-97-03-0002001
Item No Nl-53-97-03-0002002
)
Description of Item 0 ~ o~srAoi~~orJ-~X CREDIT ADVICEefi()()QQj COVERING REPLACEMENT BONDS OF LOST STOLEN 1mft7 NEW P-S
THESE DOCUMENTS AUTHORIZE THE PROCESSING OF SUBSTITUTE OR REPLACEMENT BONDS WHERE THE ORIGINAL HAS BEEN LOST STOLEN MUTILATED OR DESTROYED AND THE EXTENSION OF CREDIT FOR UNISSUED STOCK AND LOST PAID BONDS PREPARED BY FRB THE DOCUMENTS ARE SENT TO THE PARKERSBURG OFFICE FOR AUDIT~IN LIEU OF THE ORIGINAL BONDS lftZZ 1-FWklJCbulldffii cent 0Astr- T1RMJlii3
Form No Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF llRgti4hitbii1KMifkid)f 81 i eg IJ-4 1 IEz
Description of Item RfLATlf6- ro TflG Authority CORRESPONDENCE AND FORMSA~ CORRECTIONREISSUE OF SAVINGS BONDS NEW
mm~~L~~n~~~~ To As FORWARDING ITEMS~ (msi2~ ~dcopy-~P 4-a0 NPffim-l
~-
Form No Series No Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF ~~~t52~
Request For Record Disposition Authority Page 12
Item No lNl-53-97-03-0002003
Item No Nl-53-97-03-0002004
Description of Item Authority REISSUE REQUEST FOR SAVINGS BONDS SERIES E~ NEW48 REQUESTS PROCESSED WITHIN A GIVEN CALENDAR MONTH SHOULD BE FILED BY SERIES IN A DAILY CHRONOLOGICAL ORDER WITHOUT ALPHBETIZING OR OTHER FILE ARRANGEMENT ~wp29l1hjroe $JSEit2W Nf)r 4~
Form No Series No 1 Org Abbrev FRB Retain 0 yrs 2 mths CUTOFF FILE EACH MONTH AND HOLD FOR TWO MONTHS THIN FORWARD TO SBOO
Description of Item __ _ Authority REISSUE REQUEST FOR SAVINGS BONDS SERIES HHH-wifJl NEW (19
-~ Form No Series No Org Abbrev FRB Retain 0 yrs 1 mths RETAIN FOR 1 WEEK THEN TRANSFER TO SBOO BANKS MAY WISH TO MICROFILM AND RETAIN LONGER AT THEIR EXPENSE
Request For Record Disposition Authority Page 13
Item No Nl-53-97-03-000200S
Item No ~l-53-97-03-0002006
Description of Item Authority BOOK ENTRY STATEMENT OF ACTIVITVfflsectQi FOR EACH TRUSTEE ACCOUNT NEW TRANSFER ADVICES ADJUSTMENT ADVICES PERMANENT RECEIPTS BOOK ENTRY A~C REQUESTS REISSUE REQUESTS AND RELATED CLASSIFICATION LISTINGS ~jj2111$1D US~[)
TO REFLECT ALL ADJUSTMENTS TO THE ISSUING AND PAYING AGENTS ACCOUNTS
Form No Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF JbtifllrNfROiiAAiki DfbNbkSSP Hf irit 4Ai6l
Description of It~~f4 1gt1~euroD Authority SEN - bull NEW
E T IN F S R
~~lOtlLU=bull c A F- Jgt r o _middot c o 5 1pound M r To pspos70 o~ -Nrtro srArs $ fl4L euro--~ A-f(D ~li-c-A-r~ O CU-5-cf_4 w1r1+0wT A--0tltNfS~rotv tgtF
06C-G-~ E 0 DW1f~ILbulls F-S11gtlt-1E
Form No PDF 1050 Series No Al COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY liei6X8WY~Mfdi iMTgt-fJPiPL TRANSFER TO FRC AS VOLUME WARRANTS 0Q Z 6i ifosectfkaTgt Jj 00$ampQ (8f jjp-SltPi91ti 2MA-b () (iS T fJ 0 r Cgt r 6-A42-gt A- F rF-A- cCfT o Ff-
Request For Record Disposition Authority Page 14
Item No Description of Item Authority Nl-53-97-03-0002007 EST BY FIDUCIARY-60000 FOR REISSUE OF US SAVINGS BONDSNOTES NEW 425
--RET ON (1) FILE SERIES EEE AND SAVINGS NO ISSUE REQUESTS6i-ti N i-t t f A-amppound PROCESSED CALENDAR MONTH BY SERIES IN LY CHRONOLOGICAL ORDER
MONTHS BEFORE FORWARDING TO SBOO DO NOT SERIES HHH REISSUE REQUESTS WEEKLY WITH RETIRED BE MADE AND RETAINED IF ACCESSED WITH SUFFICIE RETENTION ( DISTRUTION AND NOT AS A REQUEST
Series No I Retamiddot bull 10 yrs O mths
ONDITIONS DETERMINE DISPOSITION SEE MEMO FIELD
Item No Description of Item Authority Nl-53-97-03-0002008 SPECIAL FORM OF REQUEST FOR PAYMENTElfiPiampi OF UNITED STATES SAVINGS NEW Cill
AND RETIREMENT SECURITIES WHERE mil USE OF A DETACHED REQUEST IS AUTHORIZED tlms lillJRFJlil O THIS FOIW IS Tit JfSCBIBF BOPILJli EOR HIHCII PaiilEftl H REQUESTlrl)
Form No PDF 1522 Series No I Org Abbrev FRB Retain 0 yrs 1 mths FORWARD TO SBOO WEEKLY
Page 14A
0002 007 Form PDF 1455 Request by fiduciary for reissue ofUS Savings BondsNotes
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series llliH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) When accepted as evidence of distribution and not as a request for reissue retain PD F 1455 for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Page 15
0002 009 Form PDF 1851 Request for reissue for US Savings BondsNotes in name of trustee of a personal trust estate
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Senes HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained 1f accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retied current income bonds
0002 010 Form PDF 1938 Request for reissue ofUS Savmgs BondNotes during the lives of both co-owners
Disposition a) File Series EEE and Savings Note reissue request processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retam original with other accrual request Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 16
Item No Nl-53-97-03-00020ll
Description of Item Authority REINVESTMENT APPLICATIONfiii iiamp TO REQUEST PAYMENT NEW~ lIU s [sJRH IQ MOUfS I ea I iitf AND TO USE PROCEEDS FROM THE PAYMENT OF MATURED BONDS TO PURCHASE NEW BONDS FORWARD PROCESSED FORMS WITH RELATED STUBS TO SBOO WEEKLY IF INCOMPLETE OR OTHERWISE DEFECTIVE REQUEST A CORRECTED APPLICATION IF CORRECTED COPY NOT RECEIVED IN 30 DAYS FORWARD ORIGINAL TO SBOO
Form No PDF 1993 Series No I Org Abbrev Retain 0 yrs O mths FORWARD TO SBOO WEEKLY L9iR ffltifl-bM5EJi2fM QiampJ
FRB
Item No Nl-53-97-03-0002012
Description of Item Authority INVESTIGATION SCHEDULE OF PAID BONDS UNDER INVESTIGATIONLsectfbulllllffl NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ita zan(Bm(aclmztffilgtIeNff cf)lJQlIoIWM0 Qfiamplgtlatz~ltaa~ cblflhti1b(llxlS za~ TH Is FORM IS TO DESCRIBE BONDSNOTES AND GIVE DETAILS OF A TRANSACTION UNDER INVESTIGATION
Form No PDF 2343 Series No A COPY Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER RPfi IWI ii hi Mfilir7 o4cent tit W SR-II2-+481
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 17
Item No Description of Item Authority Nl-53-97-03-0002013 Ast RampF APPLICATIONll2ampMiil FOR RELIEF ON ACCOUNT OF THE LOSS THEFT OR NEW
DESTRUCTION OF PAID US SAVINGS BOND~tJ04PE$sfJ9FtjNEJ ijfltasJ atYlJiUJ THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS JIIMamph $1 lNGll RI 1Spound1111 IQ -HJ IWdiAF95 id Jit61Eel THE te1s1 btCJJ PilfftHCTAL BIGUT(j1ilt 181 PliiYDNampiEISITl
Form No PDF 2517 Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUTOFF aas QIN iifi4ib4s lUWW111 hilldUtiff-- in-1Ff 4ftKJ
Item No Description of Item Authority ~l-53-97-03-0002014 CERTIFICATION ATTACHMEN 1Mi6IAJta C OMtgtt- _~ 0 fr SAVlltr5 (gtOM D OWNfil-S bull NEW~
~P~~Du~wj~ ~~u Z~e= llAemmnF fll~i rn BEHi mrn FORMS w
Form No PDF 2778 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF a 1copy9111ti BtSbL iii Hl 5J U1 ~ 018
Request For Record Disposition Authority Page 18
Item No Nl-53-97-03-0002015
Item No Nl-53-97-03-0002016
Description of Item Authority CLAIM FOR RELIEF ON ACCOUNT OF LOSS THEFT OR DESTRUCTION rmcs 10eo~ NEW Gal
-~~s ~--~~IYP AfrF-fl vALtD ss-1pound 3ur 172tO(Z TO P--1zc_f=-1tdegT 3( C)(UNpoundR
Form No PDF 3062 Series No I Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Description of Item Authority CLAIM FOR RELIEF FOR LOSTSTOLEN OR DESTROYED usSBOND STOCKeampiYu NEW 4il9 DHc ampnI Wbiamp UJCWfal)rjAbiOHIEOP lZJt ibE poundECgtWfriii snoo WEPKpoundYJ COPIES MAY BE MADE AND RETAINED IF ACCESSED WITH SUFFICIENT FREQUENCY TO WARRANT THE COSTS ASSOCIATED WITH CREATION AND RETENTION
Form No PDF 3062-3 Series No Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Page 19
0002 017 Form PDF 3253 Exchange application for US Savings Bonds of series HH
Disposition a) Forward processed forms with related stubs to SBOO weekly
b) If incomplete or otherwise defective request a corrected application If corrected copy not receive in 30 days forward original to SBOO
0002 018 Form PDF 3360 Request for reissue ofUS Savings BondsNotes in the name of person or persons other than the owner (including legal guardian custodian for a minor under a statute etc )
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 20
Item No tNl-53-97-03-0002019
Item No ~1-53-97-03-0002020
Description of Item Authority CONTINUATION SHEET FOR LISTING SECURITIES0863 NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ll 4elJitGiJW aBlEiRMON-H ~clWAA~~ Qllw d5liIIINcentCfiDqltWMS ZOPbHS dSCbEMMEJRgt
Form No PDF 3500 Series No 1B COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF illgtIffl tgtlbllq~SiD ZOJIS ar-ar--91()2 -81B
Description REQUEST FOR
~ S- TftltpoundM lcN-
A 6-fl- F-cT c 1-1- A f fr-fi- OF MA Aeuro
Form No PDF 3564 Series No IA COPY Org Abbrev FRB Retain 1 yrs O mths DESTROY OBSOLETE DOCUMENTS ANNUALLY REnfffI I 5SLO mt Ne1 53 YB Ad 0 3gt
Request For Record Disposition Authority Page 21
Item No Nl-53-97-03-0002021
Description of Item SECURITIES TRANSACTION REQUESIWliiiill THlt-f
Ltif$B---Ftpound]o9 DOCUMENTbull THE WITHDRAWAL OF SECURITIES FROM THE USB VAULT
Authority NEW 280
Form No PDF 3800 Series No D COPY Retain 1 yrs O mths CUT OFF FILE YEARLY DESTROY 1 YEAR AFTER FRB MAY HOLD THIS UNDER THEIR OWN ATHORITY
Org Abbrev
CUT OFF OR amp EXPENSE
FRB
Item No ~1-53-97-03-0002022
Description of Item SECURITIES TRANSACTION REQUEST pound4JS it TkA-T f1H~ DOCUMENT THE RECEIPT ANDOR WITHDRAWAL VAULT
OF SECURITIES FROM
Authority NEW
THE
Form No PDF 3800 Series No E COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF THIS IS A CONTROLAUDIT COPY ~fEHTHm RASPS 1111 II 1 ~ e 0 7 lP(lit-
Request For Record Disposition Authority Page 22
Item No Description of Item ((L iRus r 4(r~ll f11poundVr 1Nl-53-97-03-0002023 APPLICATIONS FOR ISSUING AGENT-- amin~PJT~~jjjjjjjQp bull
f-ll-euro coNIA-lff ORIGINAL AGREEMENT ffllii TO lt81 AS Mf lBBOHIG ACliID AND APPROPRIATE CORRESPONDENCE RELATING TO THIS AGREEMENT
Authority NEW
Form No PDF 3827 Series No IA COPY Retain 6 yrs 3 mths DESTROY 6 YEARS AFTER TERMINATION OF AGENCY
Org Abbrev FRB
11N hPPLICtTHJH fO
Q-AI IE lS MIT ISSUHf6 h6ENf MfEHfieH DilSED OH Hel 53 81 BQ 01
Item No Nl-53-97-03-0002024
Description of Item CERTIFICATE OF QUALIFICATION-ISSUING AGENT QUALIFY AS AN ISSUING AGENT FOR THE SERIES
1-( 5 ~gt (USSBo6922Bl EE BONDS
TO APPLY AND Authority NEW
Form No PDF 3828 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths D6ST(IOf- 6 r I AR S ~ YI OYrH ~ AFTER TERMINATION OF ISSUING AGENT STATUS ~TION axsuogN Jif l sect481 02 ~
Request For Record Disposition Authority Page 23
Item No Nl-53-97-03-0002025
~ fgtV tNamp-5 p OtvtgtS
Description of Item R20Jlti_S T F-Oa fJOOR F-M7Pr rRrlVSAcT10N BOOK ENTRY REQUEST FOR TRANSACTION IN USSB BY TRUSTEE-60508 Wi PURP06S Cll 11H5 iN ff TO INITIATE A TRANSACTION IN A BOOK ACCOUNT
IN (S
ENTRY
Authority NEW W
Item No bullNl-53-97-03-0002026
5~~ Mf~T flamppound
Form No PDF 3879 Series No ID COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
Description of Item Authority REQU BY THE OWNER OF REISSUE OF US SAVINGS BONDSNOTES-60000 NEW 451 --TITLE ADD BENEFICIARY OR COOWNER ELIMINATE BENE IARY OR DECEDENT SHOW CHANGE O ANDOR CORRECT ERROR I TION --RETENTION (l) FILE SERIES EEE AN VINGS NOTE REISSUE ESSED IN A CALENDAR MONTH BY SERIES I 2 FULL CALENDAR MONTHS bull---=~~bull NOT RETAIN COPIES (2) FORWARD SERIES HHH TIRED BONDS MICROFILM COPIES MAY BE MADE A FREQUENCY TO WARRANT THE COSTS ASSO Form No PDF 4000 Series No Al COPY FRB
0 yr O mths DETERMINE DISPOSITION SEE MEMO FIELD
FORW
Page 23A
0002 026 Form PDF 4000 Request by the owner for reissue of US Savings BondsNotes to add beneficiary or co-owner eliminate beneficiary or decedent show change of name andor correct error in registration
Disposition a) File series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series lil-IH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 24
Item No fll-53-97-03-0002027
Description of Item 4rtNC r REPORT OF NON-RECEIPTLOSSTHEFTDESTRUCTION OF FISCALACHECKmiddotUisZIB m ~JR tl9Hretl-EODH I L0SS fHSFT ~ kiisffilLc_Tfm~ENfv6rrc1f AND APPLICATION FOR REPLACEMENT
Authority NEW
Form No PDF 5235 Series No I Retain 7 yrs O mths C-tfr oF= F1(1amp-lt Ye4RL-- os~oS-
Org Abbrev FRB
Item No Nl-53-97-03-0002028
Description of ORDER IDIRi FOR
Item SERIES
u SAVINCr-~ Authority EE BONDS 8-11111dibijEnJm~~A-H I) ~ poundt A I GP Rc~~W Ba
SERVICE )-11tnNe1uDiESPil~OLl-]l~~~lJ~QRDS
Form No PDF 5263 Series No Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2
IA COPY Org Abbrev
MONTHS AFTER CUTOFF
FRB
Request For Record Disposition Authority Page 25
Item No Description of Item lf5 Sqvv-5 Authority Nl-53-97-03-0002029 ORDER FORM FOR SERIES EEBONDS 8lfl)a te4Dl40~ NEW_
~ dJ0RW ffi~~llv-imtY 00 NbisectiASIT SlsecttlIES=gtEE B~
10 fi ~e-6-- s T pound 12pound Igt I H Y4 M euro lF-- =- DU c 1 k fl r
Form No PDF 5263-1 Series No IA COPY Org Abbrev FRB Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2 MONTHS AFTER CUT OFF
Item No Description of Item SHUTS u s6- D ro Authority ~l-53-97-03-0003001 ACCOUNTABILITY STATEMENTS AND LEDGERYldbJSii606Jkr1a2~ INDICATEa ALL NEW
ACTIVITIES IN ISSUING AGENTS CONSIGNMENT ACCOUNTS LEDGER SHEETS 0 INCLUDE PIECES ON HAND BY DENOMINATION SERIAL NUMBERS AND BALANCES ON HAND
Form No Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3MOS AFTER CUT OFF ~~ sectA~D dm ftCP--53- 78---0zt- -8Q
Request For Record Disposition Authority Page 26
Item No Description of Item Authority Nl-53-97-03-0003002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLl4 i OOt NEW
BY BUREAU OF PUBLIC DEBT OFFICE aw amltS9Sl8 ~Q-gt ~ bull
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS
Org Abbrev
AFTER CUT OFF
FRB
Item No Nl-53-97-03-0003003
Description of Item ___ GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS~~ ~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT DOCUMENTING THE US TREASURY GENERAL ACCOUNT
ENTRIES
Authority NEW ltlillS TO
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Page SA
0001 008 Form PDF 1946 Application for disposition US Savings BondsNotes andor related checks (in combined amount not exceeding $1000) owned by descendent whose estate is being settled without administration
Disposition a) File Series EEE and Savings Note reissue request processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series H1-Il-I reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When requests involve both accrual and current income bonds retain original with other accrual requests Prepare and subffilt photocopies with retired current income bonds
0001 009 Form PDF 1946-1 Application for disposition US Savings Bondsnotes andor related checks owned by descendent whose estate is being settled without administration (This form should be used when the combined face amount exceeds $1000)
Disposition a) File Series EEE and Savings Note reissued requests processed in a calendar month by senes in daily chronological order Retain the months file 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When requests involve both accrual and current mcome bonds retain original with other accrual requests Prepare and submit photocopies with retired current income bonds
6 Request For Record Disposition Authority Page
Item No Nl-53-97-03-0001010
Item No 1Nl-53-97-03-00010ll
j
Description of Item Authority APPLICATIONS BY PREFERRED CREDITO FOR DISPOSITION WITHOUT NEW 118 ADMINISTRATION WHERE DECEASED OWNERS ESTATE INCLUDES UNITED STATES REGISTERED SECURITIES ANDOR CHECKS IN AN AMOUNT NOT EXCEEDING $500 THIS FORM IS USED BY A PERSON WHO PAID BURIAL EXPENSES OF A DECEDENT WHOSE ESTATE HAS NOT BEEN AND SO FAR AS KNOWN WILL NOT BE ADMINISTERED IN COURT
Form No PDF 2216 Series No I Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF
Description of Item Authority CERTIFICATE OF ENTITLEMENT-60000 UNITED STATES SAVINGS AND NEW RETIREMENT SECURITIES AND CHECKS AFTER ADMINISTRATION OF DECEDENTS ESTATE THIS FORM IS TO CERTIFY THAT COURT RECORDS SHOW THE LISTED PERSON ENTITLED TO CERTAIN BONDS OR CHECKS AS DISTRIBUTION FROM A DECEDENTS ESTATE
Form No PDF 2458 Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 7
Item No Nl-53-97-03-0001012
Item No bullNl-53-97-03-0001013
Description of Item __ Authority CERTIFICATE BY LEGAL REPRESENTATIVE(S) OF DECEDENTS ESTATEfiriffiiltamp NEW da1 DURING ADMINISTRATION OF AUTHORITY TO ACT AND OF DISPOSITION WHERE ESTATE HOLDS NO MORE THAN $1000 (FACE AMOUNT) UNITED STATES SAVINGS AND RETIREMENT SECURITIES EXCLUDING CHECKS REPRESENTING INTEREST
Form No PDF 2488-1 Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YEARS AFTER CUT OFF
Description of Item Authority SPECIAL BOND OF INDEMNITY TO THE UNITED STATESf1N191lB NEWfliB THIS FORM IS USED BY A BOND PURCHASER TO IDEMNIFY THE DEPARTMENT AGAINST LOSS IN A TRANSACTION TO REFUND PURCHASE PRICE OF BONDS OBTAINED THROUGH A CHAIN LETTER SCHEME
Form No PDF 2966 Series No Org Abbrev FRB Retain 0 yrs 1 mths FORWARD TO SBOO MONTHLY
8 Request For Record Disposition Authority Page
Item No Description of Item AuthorityoF Nl-53-97-03-0001014 APPLICATIONS FOR DISPOSITION RETIREMENT PLAN ANDOR NEW amt
INDIVIDUAL RETIREMENT BONDS WITHOUT ADMINISTRATION OF DECEASED OWNERS ESTATE
Form No PDF 3565 Series No A COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF
Item No Description of Item Authority 1Nl-53-97-03-0001015 APPLICATIONS AGREEMENT-TO QUALIFY UNDER TD CIR888 (REV) NEW
THESE DOCUMENTS DEFINE THE TERMS OF AGREEMENT BETWEEN A FEDERAL RESERVE BANK AS ~k~ltiJL AGENT OF US FOR ISSUING ANDOR PAYING AGENT rncLUDESPD 3821 3828 3880 3881 3902 3903 u~osplusmnMiamptkf~-laquoLf= m
~ e$35idkbgt-Ji-deg
Form No MiampfJ IOI Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths DESTROY 6 YRS 3 MOS AFTER TERMINATION OF AGENT
e1 --+i 2 r)ijjt
9 Request For Record Disposition Authority Page
Item No Description of Item Authority Nl-53-97-03-0001016 NOTICE OF QUALIFICATION UNDER TREASURY DEPT CIRCULAR NO BodSbii NEW
AN AGREEMENT TO ESTABLISH THE ELIGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVING BONDS
Form No PDF 3903 Series No IB COPY Org Abbrev FRB Retain 6 yrs 3 mths HOLD FOR 6 YRS AND 3 MO AFTER TERMINATION OF PAYING AGENT STATUS Qal +NVEW iIW PYgt- A 2EidiBicr gtUW W li-6 fi 8 I 622 aft l
Item No Description of Item Authority Nl-53-97-03-0001017 APPLICATIONS FOR PAYMENT OF NEW
flllllilsectl iFTii ii A itPZ iZ kl Ji DJgt Htiv~ UNITED STATES SAVINGS BONDSNOTES ANDOR RELATED CHECKS IN AN AMOUNT NOT EXCEEDING $1000 BY THE SURVIVOR OF A DECEASED OWNER WHOSE ESTATE IS NOT BEING ADMINISTERED
Form No PDF 4881 Series No Al COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF GPrampAflA RUIS ri M aBllrQQJP tff9---dz1 M -tJ I~
Page 10
0001 018 Form PDF 5200 Overpayment history
Disposition a) Ifnot processed in 120 days forward to SBOO
b) Ifclaim disputed within 120 days forward to SBOO to settle claim
c) Ifoverpayment is settled destroy 10 years after settlement
0001 019 Form PDF 5336 Application for disposition - US Savings BondsNotes andor related checks owned by descendent whose estate is being settled without administration
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO You may retain a photocopy for 10 years but you are not required to do so
b) Forward Series HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 11
Item No Nl-53-97-03-0002001
Item No Nl-53-97-03-0002002
)
Description of Item 0 ~ o~srAoi~~orJ-~X CREDIT ADVICEefi()()QQj COVERING REPLACEMENT BONDS OF LOST STOLEN 1mft7 NEW P-S
THESE DOCUMENTS AUTHORIZE THE PROCESSING OF SUBSTITUTE OR REPLACEMENT BONDS WHERE THE ORIGINAL HAS BEEN LOST STOLEN MUTILATED OR DESTROYED AND THE EXTENSION OF CREDIT FOR UNISSUED STOCK AND LOST PAID BONDS PREPARED BY FRB THE DOCUMENTS ARE SENT TO THE PARKERSBURG OFFICE FOR AUDIT~IN LIEU OF THE ORIGINAL BONDS lftZZ 1-FWklJCbulldffii cent 0Astr- T1RMJlii3
Form No Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF llRgti4hitbii1KMifkid)f 81 i eg IJ-4 1 IEz
Description of Item RfLATlf6- ro TflG Authority CORRESPONDENCE AND FORMSA~ CORRECTIONREISSUE OF SAVINGS BONDS NEW
mm~~L~~n~~~~ To As FORWARDING ITEMS~ (msi2~ ~dcopy-~P 4-a0 NPffim-l
~-
Form No Series No Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF ~~~t52~
Request For Record Disposition Authority Page 12
Item No lNl-53-97-03-0002003
Item No Nl-53-97-03-0002004
Description of Item Authority REISSUE REQUEST FOR SAVINGS BONDS SERIES E~ NEW48 REQUESTS PROCESSED WITHIN A GIVEN CALENDAR MONTH SHOULD BE FILED BY SERIES IN A DAILY CHRONOLOGICAL ORDER WITHOUT ALPHBETIZING OR OTHER FILE ARRANGEMENT ~wp29l1hjroe $JSEit2W Nf)r 4~
Form No Series No 1 Org Abbrev FRB Retain 0 yrs 2 mths CUTOFF FILE EACH MONTH AND HOLD FOR TWO MONTHS THIN FORWARD TO SBOO
Description of Item __ _ Authority REISSUE REQUEST FOR SAVINGS BONDS SERIES HHH-wifJl NEW (19
-~ Form No Series No Org Abbrev FRB Retain 0 yrs 1 mths RETAIN FOR 1 WEEK THEN TRANSFER TO SBOO BANKS MAY WISH TO MICROFILM AND RETAIN LONGER AT THEIR EXPENSE
Request For Record Disposition Authority Page 13
Item No Nl-53-97-03-000200S
Item No ~l-53-97-03-0002006
Description of Item Authority BOOK ENTRY STATEMENT OF ACTIVITVfflsectQi FOR EACH TRUSTEE ACCOUNT NEW TRANSFER ADVICES ADJUSTMENT ADVICES PERMANENT RECEIPTS BOOK ENTRY A~C REQUESTS REISSUE REQUESTS AND RELATED CLASSIFICATION LISTINGS ~jj2111$1D US~[)
TO REFLECT ALL ADJUSTMENTS TO THE ISSUING AND PAYING AGENTS ACCOUNTS
Form No Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF JbtifllrNfROiiAAiki DfbNbkSSP Hf irit 4Ai6l
Description of It~~f4 1gt1~euroD Authority SEN - bull NEW
E T IN F S R
~~lOtlLU=bull c A F- Jgt r o _middot c o 5 1pound M r To pspos70 o~ -Nrtro srArs $ fl4L euro--~ A-f(D ~li-c-A-r~ O CU-5-cf_4 w1r1+0wT A--0tltNfS~rotv tgtF
06C-G-~ E 0 DW1f~ILbulls F-S11gtlt-1E
Form No PDF 1050 Series No Al COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY liei6X8WY~Mfdi iMTgt-fJPiPL TRANSFER TO FRC AS VOLUME WARRANTS 0Q Z 6i ifosectfkaTgt Jj 00$ampQ (8f jjp-SltPi91ti 2MA-b () (iS T fJ 0 r Cgt r 6-A42-gt A- F rF-A- cCfT o Ff-
Request For Record Disposition Authority Page 14
Item No Description of Item Authority Nl-53-97-03-0002007 EST BY FIDUCIARY-60000 FOR REISSUE OF US SAVINGS BONDSNOTES NEW 425
--RET ON (1) FILE SERIES EEE AND SAVINGS NO ISSUE REQUESTS6i-ti N i-t t f A-amppound PROCESSED CALENDAR MONTH BY SERIES IN LY CHRONOLOGICAL ORDER
MONTHS BEFORE FORWARDING TO SBOO DO NOT SERIES HHH REISSUE REQUESTS WEEKLY WITH RETIRED BE MADE AND RETAINED IF ACCESSED WITH SUFFICIE RETENTION ( DISTRUTION AND NOT AS A REQUEST
Series No I Retamiddot bull 10 yrs O mths
ONDITIONS DETERMINE DISPOSITION SEE MEMO FIELD
Item No Description of Item Authority Nl-53-97-03-0002008 SPECIAL FORM OF REQUEST FOR PAYMENTElfiPiampi OF UNITED STATES SAVINGS NEW Cill
AND RETIREMENT SECURITIES WHERE mil USE OF A DETACHED REQUEST IS AUTHORIZED tlms lillJRFJlil O THIS FOIW IS Tit JfSCBIBF BOPILJli EOR HIHCII PaiilEftl H REQUESTlrl)
Form No PDF 1522 Series No I Org Abbrev FRB Retain 0 yrs 1 mths FORWARD TO SBOO WEEKLY
Page 14A
0002 007 Form PDF 1455 Request by fiduciary for reissue ofUS Savings BondsNotes
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series llliH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) When accepted as evidence of distribution and not as a request for reissue retain PD F 1455 for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Page 15
0002 009 Form PDF 1851 Request for reissue for US Savings BondsNotes in name of trustee of a personal trust estate
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Senes HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained 1f accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retied current income bonds
0002 010 Form PDF 1938 Request for reissue ofUS Savmgs BondNotes during the lives of both co-owners
Disposition a) File Series EEE and Savings Note reissue request processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retam original with other accrual request Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 16
Item No Nl-53-97-03-00020ll
Description of Item Authority REINVESTMENT APPLICATIONfiii iiamp TO REQUEST PAYMENT NEW~ lIU s [sJRH IQ MOUfS I ea I iitf AND TO USE PROCEEDS FROM THE PAYMENT OF MATURED BONDS TO PURCHASE NEW BONDS FORWARD PROCESSED FORMS WITH RELATED STUBS TO SBOO WEEKLY IF INCOMPLETE OR OTHERWISE DEFECTIVE REQUEST A CORRECTED APPLICATION IF CORRECTED COPY NOT RECEIVED IN 30 DAYS FORWARD ORIGINAL TO SBOO
Form No PDF 1993 Series No I Org Abbrev Retain 0 yrs O mths FORWARD TO SBOO WEEKLY L9iR ffltifl-bM5EJi2fM QiampJ
FRB
Item No Nl-53-97-03-0002012
Description of Item Authority INVESTIGATION SCHEDULE OF PAID BONDS UNDER INVESTIGATIONLsectfbulllllffl NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ita zan(Bm(aclmztffilgtIeNff cf)lJQlIoIWM0 Qfiamplgtlatz~ltaa~ cblflhti1b(llxlS za~ TH Is FORM IS TO DESCRIBE BONDSNOTES AND GIVE DETAILS OF A TRANSACTION UNDER INVESTIGATION
Form No PDF 2343 Series No A COPY Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER RPfi IWI ii hi Mfilir7 o4cent tit W SR-II2-+481
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 17
Item No Description of Item Authority Nl-53-97-03-0002013 Ast RampF APPLICATIONll2ampMiil FOR RELIEF ON ACCOUNT OF THE LOSS THEFT OR NEW
DESTRUCTION OF PAID US SAVINGS BOND~tJ04PE$sfJ9FtjNEJ ijfltasJ atYlJiUJ THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS JIIMamph $1 lNGll RI 1Spound1111 IQ -HJ IWdiAF95 id Jit61Eel THE te1s1 btCJJ PilfftHCTAL BIGUT(j1ilt 181 PliiYDNampiEISITl
Form No PDF 2517 Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUTOFF aas QIN iifi4ib4s lUWW111 hilldUtiff-- in-1Ff 4ftKJ
Item No Description of Item Authority ~l-53-97-03-0002014 CERTIFICATION ATTACHMEN 1Mi6IAJta C OMtgtt- _~ 0 fr SAVlltr5 (gtOM D OWNfil-S bull NEW~
~P~~Du~wj~ ~~u Z~e= llAemmnF fll~i rn BEHi mrn FORMS w
Form No PDF 2778 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF a 1copy9111ti BtSbL iii Hl 5J U1 ~ 018
Request For Record Disposition Authority Page 18
Item No Nl-53-97-03-0002015
Item No Nl-53-97-03-0002016
Description of Item Authority CLAIM FOR RELIEF ON ACCOUNT OF LOSS THEFT OR DESTRUCTION rmcs 10eo~ NEW Gal
-~~s ~--~~IYP AfrF-fl vALtD ss-1pound 3ur 172tO(Z TO P--1zc_f=-1tdegT 3( C)(UNpoundR
Form No PDF 3062 Series No I Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Description of Item Authority CLAIM FOR RELIEF FOR LOSTSTOLEN OR DESTROYED usSBOND STOCKeampiYu NEW 4il9 DHc ampnI Wbiamp UJCWfal)rjAbiOHIEOP lZJt ibE poundECgtWfriii snoo WEPKpoundYJ COPIES MAY BE MADE AND RETAINED IF ACCESSED WITH SUFFICIENT FREQUENCY TO WARRANT THE COSTS ASSOCIATED WITH CREATION AND RETENTION
Form No PDF 3062-3 Series No Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Page 19
0002 017 Form PDF 3253 Exchange application for US Savings Bonds of series HH
Disposition a) Forward processed forms with related stubs to SBOO weekly
b) If incomplete or otherwise defective request a corrected application If corrected copy not receive in 30 days forward original to SBOO
0002 018 Form PDF 3360 Request for reissue ofUS Savings BondsNotes in the name of person or persons other than the owner (including legal guardian custodian for a minor under a statute etc )
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 20
Item No tNl-53-97-03-0002019
Item No ~1-53-97-03-0002020
Description of Item Authority CONTINUATION SHEET FOR LISTING SECURITIES0863 NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ll 4elJitGiJW aBlEiRMON-H ~clWAA~~ Qllw d5liIIINcentCfiDqltWMS ZOPbHS dSCbEMMEJRgt
Form No PDF 3500 Series No 1B COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF illgtIffl tgtlbllq~SiD ZOJIS ar-ar--91()2 -81B
Description REQUEST FOR
~ S- TftltpoundM lcN-
A 6-fl- F-cT c 1-1- A f fr-fi- OF MA Aeuro
Form No PDF 3564 Series No IA COPY Org Abbrev FRB Retain 1 yrs O mths DESTROY OBSOLETE DOCUMENTS ANNUALLY REnfffI I 5SLO mt Ne1 53 YB Ad 0 3gt
Request For Record Disposition Authority Page 21
Item No Nl-53-97-03-0002021
Description of Item SECURITIES TRANSACTION REQUESIWliiiill THlt-f
Ltif$B---Ftpound]o9 DOCUMENTbull THE WITHDRAWAL OF SECURITIES FROM THE USB VAULT
Authority NEW 280
Form No PDF 3800 Series No D COPY Retain 1 yrs O mths CUT OFF FILE YEARLY DESTROY 1 YEAR AFTER FRB MAY HOLD THIS UNDER THEIR OWN ATHORITY
Org Abbrev
CUT OFF OR amp EXPENSE
FRB
Item No ~1-53-97-03-0002022
Description of Item SECURITIES TRANSACTION REQUEST pound4JS it TkA-T f1H~ DOCUMENT THE RECEIPT ANDOR WITHDRAWAL VAULT
OF SECURITIES FROM
Authority NEW
THE
Form No PDF 3800 Series No E COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF THIS IS A CONTROLAUDIT COPY ~fEHTHm RASPS 1111 II 1 ~ e 0 7 lP(lit-
Request For Record Disposition Authority Page 22
Item No Description of Item ((L iRus r 4(r~ll f11poundVr 1Nl-53-97-03-0002023 APPLICATIONS FOR ISSUING AGENT-- amin~PJT~~jjjjjjjQp bull
f-ll-euro coNIA-lff ORIGINAL AGREEMENT ffllii TO lt81 AS Mf lBBOHIG ACliID AND APPROPRIATE CORRESPONDENCE RELATING TO THIS AGREEMENT
Authority NEW
Form No PDF 3827 Series No IA COPY Retain 6 yrs 3 mths DESTROY 6 YEARS AFTER TERMINATION OF AGENCY
Org Abbrev FRB
11N hPPLICtTHJH fO
Q-AI IE lS MIT ISSUHf6 h6ENf MfEHfieH DilSED OH Hel 53 81 BQ 01
Item No Nl-53-97-03-0002024
Description of Item CERTIFICATE OF QUALIFICATION-ISSUING AGENT QUALIFY AS AN ISSUING AGENT FOR THE SERIES
1-( 5 ~gt (USSBo6922Bl EE BONDS
TO APPLY AND Authority NEW
Form No PDF 3828 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths D6ST(IOf- 6 r I AR S ~ YI OYrH ~ AFTER TERMINATION OF ISSUING AGENT STATUS ~TION axsuogN Jif l sect481 02 ~
Request For Record Disposition Authority Page 23
Item No Nl-53-97-03-0002025
~ fgtV tNamp-5 p OtvtgtS
Description of Item R20Jlti_S T F-Oa fJOOR F-M7Pr rRrlVSAcT10N BOOK ENTRY REQUEST FOR TRANSACTION IN USSB BY TRUSTEE-60508 Wi PURP06S Cll 11H5 iN ff TO INITIATE A TRANSACTION IN A BOOK ACCOUNT
IN (S
ENTRY
Authority NEW W
Item No bullNl-53-97-03-0002026
5~~ Mf~T flamppound
Form No PDF 3879 Series No ID COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
Description of Item Authority REQU BY THE OWNER OF REISSUE OF US SAVINGS BONDSNOTES-60000 NEW 451 --TITLE ADD BENEFICIARY OR COOWNER ELIMINATE BENE IARY OR DECEDENT SHOW CHANGE O ANDOR CORRECT ERROR I TION --RETENTION (l) FILE SERIES EEE AN VINGS NOTE REISSUE ESSED IN A CALENDAR MONTH BY SERIES I 2 FULL CALENDAR MONTHS bull---=~~bull NOT RETAIN COPIES (2) FORWARD SERIES HHH TIRED BONDS MICROFILM COPIES MAY BE MADE A FREQUENCY TO WARRANT THE COSTS ASSO Form No PDF 4000 Series No Al COPY FRB
0 yr O mths DETERMINE DISPOSITION SEE MEMO FIELD
FORW
Page 23A
0002 026 Form PDF 4000 Request by the owner for reissue of US Savings BondsNotes to add beneficiary or co-owner eliminate beneficiary or decedent show change of name andor correct error in registration
Disposition a) File series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series lil-IH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 24
Item No fll-53-97-03-0002027
Description of Item 4rtNC r REPORT OF NON-RECEIPTLOSSTHEFTDESTRUCTION OF FISCALACHECKmiddotUisZIB m ~JR tl9Hretl-EODH I L0SS fHSFT ~ kiisffilLc_Tfm~ENfv6rrc1f AND APPLICATION FOR REPLACEMENT
Authority NEW
Form No PDF 5235 Series No I Retain 7 yrs O mths C-tfr oF= F1(1amp-lt Ye4RL-- os~oS-
Org Abbrev FRB
Item No Nl-53-97-03-0002028
Description of ORDER IDIRi FOR
Item SERIES
u SAVINCr-~ Authority EE BONDS 8-11111dibijEnJm~~A-H I) ~ poundt A I GP Rc~~W Ba
SERVICE )-11tnNe1uDiESPil~OLl-]l~~~lJ~QRDS
Form No PDF 5263 Series No Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2
IA COPY Org Abbrev
MONTHS AFTER CUTOFF
FRB
Request For Record Disposition Authority Page 25
Item No Description of Item lf5 Sqvv-5 Authority Nl-53-97-03-0002029 ORDER FORM FOR SERIES EEBONDS 8lfl)a te4Dl40~ NEW_
~ dJ0RW ffi~~llv-imtY 00 NbisectiASIT SlsecttlIES=gtEE B~
10 fi ~e-6-- s T pound 12pound Igt I H Y4 M euro lF-- =- DU c 1 k fl r
Form No PDF 5263-1 Series No IA COPY Org Abbrev FRB Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2 MONTHS AFTER CUT OFF
Item No Description of Item SHUTS u s6- D ro Authority ~l-53-97-03-0003001 ACCOUNTABILITY STATEMENTS AND LEDGERYldbJSii606Jkr1a2~ INDICATEa ALL NEW
ACTIVITIES IN ISSUING AGENTS CONSIGNMENT ACCOUNTS LEDGER SHEETS 0 INCLUDE PIECES ON HAND BY DENOMINATION SERIAL NUMBERS AND BALANCES ON HAND
Form No Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3MOS AFTER CUT OFF ~~ sectA~D dm ftCP--53- 78---0zt- -8Q
Request For Record Disposition Authority Page 26
Item No Description of Item Authority Nl-53-97-03-0003002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLl4 i OOt NEW
BY BUREAU OF PUBLIC DEBT OFFICE aw amltS9Sl8 ~Q-gt ~ bull
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS
Org Abbrev
AFTER CUT OFF
FRB
Item No Nl-53-97-03-0003003
Description of Item ___ GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS~~ ~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT DOCUMENTING THE US TREASURY GENERAL ACCOUNT
ENTRIES
Authority NEW ltlillS TO
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
6 Request For Record Disposition Authority Page
Item No Nl-53-97-03-0001010
Item No 1Nl-53-97-03-00010ll
j
Description of Item Authority APPLICATIONS BY PREFERRED CREDITO FOR DISPOSITION WITHOUT NEW 118 ADMINISTRATION WHERE DECEASED OWNERS ESTATE INCLUDES UNITED STATES REGISTERED SECURITIES ANDOR CHECKS IN AN AMOUNT NOT EXCEEDING $500 THIS FORM IS USED BY A PERSON WHO PAID BURIAL EXPENSES OF A DECEDENT WHOSE ESTATE HAS NOT BEEN AND SO FAR AS KNOWN WILL NOT BE ADMINISTERED IN COURT
Form No PDF 2216 Series No I Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF
Description of Item Authority CERTIFICATE OF ENTITLEMENT-60000 UNITED STATES SAVINGS AND NEW RETIREMENT SECURITIES AND CHECKS AFTER ADMINISTRATION OF DECEDENTS ESTATE THIS FORM IS TO CERTIFY THAT COURT RECORDS SHOW THE LISTED PERSON ENTITLED TO CERTAIN BONDS OR CHECKS AS DISTRIBUTION FROM A DECEDENTS ESTATE
Form No PDF 2458 Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 7
Item No Nl-53-97-03-0001012
Item No bullNl-53-97-03-0001013
Description of Item __ Authority CERTIFICATE BY LEGAL REPRESENTATIVE(S) OF DECEDENTS ESTATEfiriffiiltamp NEW da1 DURING ADMINISTRATION OF AUTHORITY TO ACT AND OF DISPOSITION WHERE ESTATE HOLDS NO MORE THAN $1000 (FACE AMOUNT) UNITED STATES SAVINGS AND RETIREMENT SECURITIES EXCLUDING CHECKS REPRESENTING INTEREST
Form No PDF 2488-1 Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YEARS AFTER CUT OFF
Description of Item Authority SPECIAL BOND OF INDEMNITY TO THE UNITED STATESf1N191lB NEWfliB THIS FORM IS USED BY A BOND PURCHASER TO IDEMNIFY THE DEPARTMENT AGAINST LOSS IN A TRANSACTION TO REFUND PURCHASE PRICE OF BONDS OBTAINED THROUGH A CHAIN LETTER SCHEME
Form No PDF 2966 Series No Org Abbrev FRB Retain 0 yrs 1 mths FORWARD TO SBOO MONTHLY
8 Request For Record Disposition Authority Page
Item No Description of Item AuthorityoF Nl-53-97-03-0001014 APPLICATIONS FOR DISPOSITION RETIREMENT PLAN ANDOR NEW amt
INDIVIDUAL RETIREMENT BONDS WITHOUT ADMINISTRATION OF DECEASED OWNERS ESTATE
Form No PDF 3565 Series No A COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF
Item No Description of Item Authority 1Nl-53-97-03-0001015 APPLICATIONS AGREEMENT-TO QUALIFY UNDER TD CIR888 (REV) NEW
THESE DOCUMENTS DEFINE THE TERMS OF AGREEMENT BETWEEN A FEDERAL RESERVE BANK AS ~k~ltiJL AGENT OF US FOR ISSUING ANDOR PAYING AGENT rncLUDESPD 3821 3828 3880 3881 3902 3903 u~osplusmnMiamptkf~-laquoLf= m
~ e$35idkbgt-Ji-deg
Form No MiampfJ IOI Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths DESTROY 6 YRS 3 MOS AFTER TERMINATION OF AGENT
e1 --+i 2 r)ijjt
9 Request For Record Disposition Authority Page
Item No Description of Item Authority Nl-53-97-03-0001016 NOTICE OF QUALIFICATION UNDER TREASURY DEPT CIRCULAR NO BodSbii NEW
AN AGREEMENT TO ESTABLISH THE ELIGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVING BONDS
Form No PDF 3903 Series No IB COPY Org Abbrev FRB Retain 6 yrs 3 mths HOLD FOR 6 YRS AND 3 MO AFTER TERMINATION OF PAYING AGENT STATUS Qal +NVEW iIW PYgt- A 2EidiBicr gtUW W li-6 fi 8 I 622 aft l
Item No Description of Item Authority Nl-53-97-03-0001017 APPLICATIONS FOR PAYMENT OF NEW
flllllilsectl iFTii ii A itPZ iZ kl Ji DJgt Htiv~ UNITED STATES SAVINGS BONDSNOTES ANDOR RELATED CHECKS IN AN AMOUNT NOT EXCEEDING $1000 BY THE SURVIVOR OF A DECEASED OWNER WHOSE ESTATE IS NOT BEING ADMINISTERED
Form No PDF 4881 Series No Al COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF GPrampAflA RUIS ri M aBllrQQJP tff9---dz1 M -tJ I~
Page 10
0001 018 Form PDF 5200 Overpayment history
Disposition a) Ifnot processed in 120 days forward to SBOO
b) Ifclaim disputed within 120 days forward to SBOO to settle claim
c) Ifoverpayment is settled destroy 10 years after settlement
0001 019 Form PDF 5336 Application for disposition - US Savings BondsNotes andor related checks owned by descendent whose estate is being settled without administration
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO You may retain a photocopy for 10 years but you are not required to do so
b) Forward Series HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 11
Item No Nl-53-97-03-0002001
Item No Nl-53-97-03-0002002
)
Description of Item 0 ~ o~srAoi~~orJ-~X CREDIT ADVICEefi()()QQj COVERING REPLACEMENT BONDS OF LOST STOLEN 1mft7 NEW P-S
THESE DOCUMENTS AUTHORIZE THE PROCESSING OF SUBSTITUTE OR REPLACEMENT BONDS WHERE THE ORIGINAL HAS BEEN LOST STOLEN MUTILATED OR DESTROYED AND THE EXTENSION OF CREDIT FOR UNISSUED STOCK AND LOST PAID BONDS PREPARED BY FRB THE DOCUMENTS ARE SENT TO THE PARKERSBURG OFFICE FOR AUDIT~IN LIEU OF THE ORIGINAL BONDS lftZZ 1-FWklJCbulldffii cent 0Astr- T1RMJlii3
Form No Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF llRgti4hitbii1KMifkid)f 81 i eg IJ-4 1 IEz
Description of Item RfLATlf6- ro TflG Authority CORRESPONDENCE AND FORMSA~ CORRECTIONREISSUE OF SAVINGS BONDS NEW
mm~~L~~n~~~~ To As FORWARDING ITEMS~ (msi2~ ~dcopy-~P 4-a0 NPffim-l
~-
Form No Series No Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF ~~~t52~
Request For Record Disposition Authority Page 12
Item No lNl-53-97-03-0002003
Item No Nl-53-97-03-0002004
Description of Item Authority REISSUE REQUEST FOR SAVINGS BONDS SERIES E~ NEW48 REQUESTS PROCESSED WITHIN A GIVEN CALENDAR MONTH SHOULD BE FILED BY SERIES IN A DAILY CHRONOLOGICAL ORDER WITHOUT ALPHBETIZING OR OTHER FILE ARRANGEMENT ~wp29l1hjroe $JSEit2W Nf)r 4~
Form No Series No 1 Org Abbrev FRB Retain 0 yrs 2 mths CUTOFF FILE EACH MONTH AND HOLD FOR TWO MONTHS THIN FORWARD TO SBOO
Description of Item __ _ Authority REISSUE REQUEST FOR SAVINGS BONDS SERIES HHH-wifJl NEW (19
-~ Form No Series No Org Abbrev FRB Retain 0 yrs 1 mths RETAIN FOR 1 WEEK THEN TRANSFER TO SBOO BANKS MAY WISH TO MICROFILM AND RETAIN LONGER AT THEIR EXPENSE
Request For Record Disposition Authority Page 13
Item No Nl-53-97-03-000200S
Item No ~l-53-97-03-0002006
Description of Item Authority BOOK ENTRY STATEMENT OF ACTIVITVfflsectQi FOR EACH TRUSTEE ACCOUNT NEW TRANSFER ADVICES ADJUSTMENT ADVICES PERMANENT RECEIPTS BOOK ENTRY A~C REQUESTS REISSUE REQUESTS AND RELATED CLASSIFICATION LISTINGS ~jj2111$1D US~[)
TO REFLECT ALL ADJUSTMENTS TO THE ISSUING AND PAYING AGENTS ACCOUNTS
Form No Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF JbtifllrNfROiiAAiki DfbNbkSSP Hf irit 4Ai6l
Description of It~~f4 1gt1~euroD Authority SEN - bull NEW
E T IN F S R
~~lOtlLU=bull c A F- Jgt r o _middot c o 5 1pound M r To pspos70 o~ -Nrtro srArs $ fl4L euro--~ A-f(D ~li-c-A-r~ O CU-5-cf_4 w1r1+0wT A--0tltNfS~rotv tgtF
06C-G-~ E 0 DW1f~ILbulls F-S11gtlt-1E
Form No PDF 1050 Series No Al COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY liei6X8WY~Mfdi iMTgt-fJPiPL TRANSFER TO FRC AS VOLUME WARRANTS 0Q Z 6i ifosectfkaTgt Jj 00$ampQ (8f jjp-SltPi91ti 2MA-b () (iS T fJ 0 r Cgt r 6-A42-gt A- F rF-A- cCfT o Ff-
Request For Record Disposition Authority Page 14
Item No Description of Item Authority Nl-53-97-03-0002007 EST BY FIDUCIARY-60000 FOR REISSUE OF US SAVINGS BONDSNOTES NEW 425
--RET ON (1) FILE SERIES EEE AND SAVINGS NO ISSUE REQUESTS6i-ti N i-t t f A-amppound PROCESSED CALENDAR MONTH BY SERIES IN LY CHRONOLOGICAL ORDER
MONTHS BEFORE FORWARDING TO SBOO DO NOT SERIES HHH REISSUE REQUESTS WEEKLY WITH RETIRED BE MADE AND RETAINED IF ACCESSED WITH SUFFICIE RETENTION ( DISTRUTION AND NOT AS A REQUEST
Series No I Retamiddot bull 10 yrs O mths
ONDITIONS DETERMINE DISPOSITION SEE MEMO FIELD
Item No Description of Item Authority Nl-53-97-03-0002008 SPECIAL FORM OF REQUEST FOR PAYMENTElfiPiampi OF UNITED STATES SAVINGS NEW Cill
AND RETIREMENT SECURITIES WHERE mil USE OF A DETACHED REQUEST IS AUTHORIZED tlms lillJRFJlil O THIS FOIW IS Tit JfSCBIBF BOPILJli EOR HIHCII PaiilEftl H REQUESTlrl)
Form No PDF 1522 Series No I Org Abbrev FRB Retain 0 yrs 1 mths FORWARD TO SBOO WEEKLY
Page 14A
0002 007 Form PDF 1455 Request by fiduciary for reissue ofUS Savings BondsNotes
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series llliH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) When accepted as evidence of distribution and not as a request for reissue retain PD F 1455 for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Page 15
0002 009 Form PDF 1851 Request for reissue for US Savings BondsNotes in name of trustee of a personal trust estate
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Senes HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained 1f accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retied current income bonds
0002 010 Form PDF 1938 Request for reissue ofUS Savmgs BondNotes during the lives of both co-owners
Disposition a) File Series EEE and Savings Note reissue request processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retam original with other accrual request Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 16
Item No Nl-53-97-03-00020ll
Description of Item Authority REINVESTMENT APPLICATIONfiii iiamp TO REQUEST PAYMENT NEW~ lIU s [sJRH IQ MOUfS I ea I iitf AND TO USE PROCEEDS FROM THE PAYMENT OF MATURED BONDS TO PURCHASE NEW BONDS FORWARD PROCESSED FORMS WITH RELATED STUBS TO SBOO WEEKLY IF INCOMPLETE OR OTHERWISE DEFECTIVE REQUEST A CORRECTED APPLICATION IF CORRECTED COPY NOT RECEIVED IN 30 DAYS FORWARD ORIGINAL TO SBOO
Form No PDF 1993 Series No I Org Abbrev Retain 0 yrs O mths FORWARD TO SBOO WEEKLY L9iR ffltifl-bM5EJi2fM QiampJ
FRB
Item No Nl-53-97-03-0002012
Description of Item Authority INVESTIGATION SCHEDULE OF PAID BONDS UNDER INVESTIGATIONLsectfbulllllffl NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ita zan(Bm(aclmztffilgtIeNff cf)lJQlIoIWM0 Qfiamplgtlatz~ltaa~ cblflhti1b(llxlS za~ TH Is FORM IS TO DESCRIBE BONDSNOTES AND GIVE DETAILS OF A TRANSACTION UNDER INVESTIGATION
Form No PDF 2343 Series No A COPY Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER RPfi IWI ii hi Mfilir7 o4cent tit W SR-II2-+481
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 17
Item No Description of Item Authority Nl-53-97-03-0002013 Ast RampF APPLICATIONll2ampMiil FOR RELIEF ON ACCOUNT OF THE LOSS THEFT OR NEW
DESTRUCTION OF PAID US SAVINGS BOND~tJ04PE$sfJ9FtjNEJ ijfltasJ atYlJiUJ THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS JIIMamph $1 lNGll RI 1Spound1111 IQ -HJ IWdiAF95 id Jit61Eel THE te1s1 btCJJ PilfftHCTAL BIGUT(j1ilt 181 PliiYDNampiEISITl
Form No PDF 2517 Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUTOFF aas QIN iifi4ib4s lUWW111 hilldUtiff-- in-1Ff 4ftKJ
Item No Description of Item Authority ~l-53-97-03-0002014 CERTIFICATION ATTACHMEN 1Mi6IAJta C OMtgtt- _~ 0 fr SAVlltr5 (gtOM D OWNfil-S bull NEW~
~P~~Du~wj~ ~~u Z~e= llAemmnF fll~i rn BEHi mrn FORMS w
Form No PDF 2778 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF a 1copy9111ti BtSbL iii Hl 5J U1 ~ 018
Request For Record Disposition Authority Page 18
Item No Nl-53-97-03-0002015
Item No Nl-53-97-03-0002016
Description of Item Authority CLAIM FOR RELIEF ON ACCOUNT OF LOSS THEFT OR DESTRUCTION rmcs 10eo~ NEW Gal
-~~s ~--~~IYP AfrF-fl vALtD ss-1pound 3ur 172tO(Z TO P--1zc_f=-1tdegT 3( C)(UNpoundR
Form No PDF 3062 Series No I Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Description of Item Authority CLAIM FOR RELIEF FOR LOSTSTOLEN OR DESTROYED usSBOND STOCKeampiYu NEW 4il9 DHc ampnI Wbiamp UJCWfal)rjAbiOHIEOP lZJt ibE poundECgtWfriii snoo WEPKpoundYJ COPIES MAY BE MADE AND RETAINED IF ACCESSED WITH SUFFICIENT FREQUENCY TO WARRANT THE COSTS ASSOCIATED WITH CREATION AND RETENTION
Form No PDF 3062-3 Series No Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Page 19
0002 017 Form PDF 3253 Exchange application for US Savings Bonds of series HH
Disposition a) Forward processed forms with related stubs to SBOO weekly
b) If incomplete or otherwise defective request a corrected application If corrected copy not receive in 30 days forward original to SBOO
0002 018 Form PDF 3360 Request for reissue ofUS Savings BondsNotes in the name of person or persons other than the owner (including legal guardian custodian for a minor under a statute etc )
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 20
Item No tNl-53-97-03-0002019
Item No ~1-53-97-03-0002020
Description of Item Authority CONTINUATION SHEET FOR LISTING SECURITIES0863 NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ll 4elJitGiJW aBlEiRMON-H ~clWAA~~ Qllw d5liIIINcentCfiDqltWMS ZOPbHS dSCbEMMEJRgt
Form No PDF 3500 Series No 1B COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF illgtIffl tgtlbllq~SiD ZOJIS ar-ar--91()2 -81B
Description REQUEST FOR
~ S- TftltpoundM lcN-
A 6-fl- F-cT c 1-1- A f fr-fi- OF MA Aeuro
Form No PDF 3564 Series No IA COPY Org Abbrev FRB Retain 1 yrs O mths DESTROY OBSOLETE DOCUMENTS ANNUALLY REnfffI I 5SLO mt Ne1 53 YB Ad 0 3gt
Request For Record Disposition Authority Page 21
Item No Nl-53-97-03-0002021
Description of Item SECURITIES TRANSACTION REQUESIWliiiill THlt-f
Ltif$B---Ftpound]o9 DOCUMENTbull THE WITHDRAWAL OF SECURITIES FROM THE USB VAULT
Authority NEW 280
Form No PDF 3800 Series No D COPY Retain 1 yrs O mths CUT OFF FILE YEARLY DESTROY 1 YEAR AFTER FRB MAY HOLD THIS UNDER THEIR OWN ATHORITY
Org Abbrev
CUT OFF OR amp EXPENSE
FRB
Item No ~1-53-97-03-0002022
Description of Item SECURITIES TRANSACTION REQUEST pound4JS it TkA-T f1H~ DOCUMENT THE RECEIPT ANDOR WITHDRAWAL VAULT
OF SECURITIES FROM
Authority NEW
THE
Form No PDF 3800 Series No E COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF THIS IS A CONTROLAUDIT COPY ~fEHTHm RASPS 1111 II 1 ~ e 0 7 lP(lit-
Request For Record Disposition Authority Page 22
Item No Description of Item ((L iRus r 4(r~ll f11poundVr 1Nl-53-97-03-0002023 APPLICATIONS FOR ISSUING AGENT-- amin~PJT~~jjjjjjjQp bull
f-ll-euro coNIA-lff ORIGINAL AGREEMENT ffllii TO lt81 AS Mf lBBOHIG ACliID AND APPROPRIATE CORRESPONDENCE RELATING TO THIS AGREEMENT
Authority NEW
Form No PDF 3827 Series No IA COPY Retain 6 yrs 3 mths DESTROY 6 YEARS AFTER TERMINATION OF AGENCY
Org Abbrev FRB
11N hPPLICtTHJH fO
Q-AI IE lS MIT ISSUHf6 h6ENf MfEHfieH DilSED OH Hel 53 81 BQ 01
Item No Nl-53-97-03-0002024
Description of Item CERTIFICATE OF QUALIFICATION-ISSUING AGENT QUALIFY AS AN ISSUING AGENT FOR THE SERIES
1-( 5 ~gt (USSBo6922Bl EE BONDS
TO APPLY AND Authority NEW
Form No PDF 3828 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths D6ST(IOf- 6 r I AR S ~ YI OYrH ~ AFTER TERMINATION OF ISSUING AGENT STATUS ~TION axsuogN Jif l sect481 02 ~
Request For Record Disposition Authority Page 23
Item No Nl-53-97-03-0002025
~ fgtV tNamp-5 p OtvtgtS
Description of Item R20Jlti_S T F-Oa fJOOR F-M7Pr rRrlVSAcT10N BOOK ENTRY REQUEST FOR TRANSACTION IN USSB BY TRUSTEE-60508 Wi PURP06S Cll 11H5 iN ff TO INITIATE A TRANSACTION IN A BOOK ACCOUNT
IN (S
ENTRY
Authority NEW W
Item No bullNl-53-97-03-0002026
5~~ Mf~T flamppound
Form No PDF 3879 Series No ID COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
Description of Item Authority REQU BY THE OWNER OF REISSUE OF US SAVINGS BONDSNOTES-60000 NEW 451 --TITLE ADD BENEFICIARY OR COOWNER ELIMINATE BENE IARY OR DECEDENT SHOW CHANGE O ANDOR CORRECT ERROR I TION --RETENTION (l) FILE SERIES EEE AN VINGS NOTE REISSUE ESSED IN A CALENDAR MONTH BY SERIES I 2 FULL CALENDAR MONTHS bull---=~~bull NOT RETAIN COPIES (2) FORWARD SERIES HHH TIRED BONDS MICROFILM COPIES MAY BE MADE A FREQUENCY TO WARRANT THE COSTS ASSO Form No PDF 4000 Series No Al COPY FRB
0 yr O mths DETERMINE DISPOSITION SEE MEMO FIELD
FORW
Page 23A
0002 026 Form PDF 4000 Request by the owner for reissue of US Savings BondsNotes to add beneficiary or co-owner eliminate beneficiary or decedent show change of name andor correct error in registration
Disposition a) File series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series lil-IH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 24
Item No fll-53-97-03-0002027
Description of Item 4rtNC r REPORT OF NON-RECEIPTLOSSTHEFTDESTRUCTION OF FISCALACHECKmiddotUisZIB m ~JR tl9Hretl-EODH I L0SS fHSFT ~ kiisffilLc_Tfm~ENfv6rrc1f AND APPLICATION FOR REPLACEMENT
Authority NEW
Form No PDF 5235 Series No I Retain 7 yrs O mths C-tfr oF= F1(1amp-lt Ye4RL-- os~oS-
Org Abbrev FRB
Item No Nl-53-97-03-0002028
Description of ORDER IDIRi FOR
Item SERIES
u SAVINCr-~ Authority EE BONDS 8-11111dibijEnJm~~A-H I) ~ poundt A I GP Rc~~W Ba
SERVICE )-11tnNe1uDiESPil~OLl-]l~~~lJ~QRDS
Form No PDF 5263 Series No Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2
IA COPY Org Abbrev
MONTHS AFTER CUTOFF
FRB
Request For Record Disposition Authority Page 25
Item No Description of Item lf5 Sqvv-5 Authority Nl-53-97-03-0002029 ORDER FORM FOR SERIES EEBONDS 8lfl)a te4Dl40~ NEW_
~ dJ0RW ffi~~llv-imtY 00 NbisectiASIT SlsecttlIES=gtEE B~
10 fi ~e-6-- s T pound 12pound Igt I H Y4 M euro lF-- =- DU c 1 k fl r
Form No PDF 5263-1 Series No IA COPY Org Abbrev FRB Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2 MONTHS AFTER CUT OFF
Item No Description of Item SHUTS u s6- D ro Authority ~l-53-97-03-0003001 ACCOUNTABILITY STATEMENTS AND LEDGERYldbJSii606Jkr1a2~ INDICATEa ALL NEW
ACTIVITIES IN ISSUING AGENTS CONSIGNMENT ACCOUNTS LEDGER SHEETS 0 INCLUDE PIECES ON HAND BY DENOMINATION SERIAL NUMBERS AND BALANCES ON HAND
Form No Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3MOS AFTER CUT OFF ~~ sectA~D dm ftCP--53- 78---0zt- -8Q
Request For Record Disposition Authority Page 26
Item No Description of Item Authority Nl-53-97-03-0003002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLl4 i OOt NEW
BY BUREAU OF PUBLIC DEBT OFFICE aw amltS9Sl8 ~Q-gt ~ bull
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS
Org Abbrev
AFTER CUT OFF
FRB
Item No Nl-53-97-03-0003003
Description of Item ___ GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS~~ ~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT DOCUMENTING THE US TREASURY GENERAL ACCOUNT
ENTRIES
Authority NEW ltlillS TO
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 7
Item No Nl-53-97-03-0001012
Item No bullNl-53-97-03-0001013
Description of Item __ Authority CERTIFICATE BY LEGAL REPRESENTATIVE(S) OF DECEDENTS ESTATEfiriffiiltamp NEW da1 DURING ADMINISTRATION OF AUTHORITY TO ACT AND OF DISPOSITION WHERE ESTATE HOLDS NO MORE THAN $1000 (FACE AMOUNT) UNITED STATES SAVINGS AND RETIREMENT SECURITIES EXCLUDING CHECKS REPRESENTING INTEREST
Form No PDF 2488-1 Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YEARS AFTER CUT OFF
Description of Item Authority SPECIAL BOND OF INDEMNITY TO THE UNITED STATESf1N191lB NEWfliB THIS FORM IS USED BY A BOND PURCHASER TO IDEMNIFY THE DEPARTMENT AGAINST LOSS IN A TRANSACTION TO REFUND PURCHASE PRICE OF BONDS OBTAINED THROUGH A CHAIN LETTER SCHEME
Form No PDF 2966 Series No Org Abbrev FRB Retain 0 yrs 1 mths FORWARD TO SBOO MONTHLY
8 Request For Record Disposition Authority Page
Item No Description of Item AuthorityoF Nl-53-97-03-0001014 APPLICATIONS FOR DISPOSITION RETIREMENT PLAN ANDOR NEW amt
INDIVIDUAL RETIREMENT BONDS WITHOUT ADMINISTRATION OF DECEASED OWNERS ESTATE
Form No PDF 3565 Series No A COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF
Item No Description of Item Authority 1Nl-53-97-03-0001015 APPLICATIONS AGREEMENT-TO QUALIFY UNDER TD CIR888 (REV) NEW
THESE DOCUMENTS DEFINE THE TERMS OF AGREEMENT BETWEEN A FEDERAL RESERVE BANK AS ~k~ltiJL AGENT OF US FOR ISSUING ANDOR PAYING AGENT rncLUDESPD 3821 3828 3880 3881 3902 3903 u~osplusmnMiamptkf~-laquoLf= m
~ e$35idkbgt-Ji-deg
Form No MiampfJ IOI Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths DESTROY 6 YRS 3 MOS AFTER TERMINATION OF AGENT
e1 --+i 2 r)ijjt
9 Request For Record Disposition Authority Page
Item No Description of Item Authority Nl-53-97-03-0001016 NOTICE OF QUALIFICATION UNDER TREASURY DEPT CIRCULAR NO BodSbii NEW
AN AGREEMENT TO ESTABLISH THE ELIGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVING BONDS
Form No PDF 3903 Series No IB COPY Org Abbrev FRB Retain 6 yrs 3 mths HOLD FOR 6 YRS AND 3 MO AFTER TERMINATION OF PAYING AGENT STATUS Qal +NVEW iIW PYgt- A 2EidiBicr gtUW W li-6 fi 8 I 622 aft l
Item No Description of Item Authority Nl-53-97-03-0001017 APPLICATIONS FOR PAYMENT OF NEW
flllllilsectl iFTii ii A itPZ iZ kl Ji DJgt Htiv~ UNITED STATES SAVINGS BONDSNOTES ANDOR RELATED CHECKS IN AN AMOUNT NOT EXCEEDING $1000 BY THE SURVIVOR OF A DECEASED OWNER WHOSE ESTATE IS NOT BEING ADMINISTERED
Form No PDF 4881 Series No Al COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF GPrampAflA RUIS ri M aBllrQQJP tff9---dz1 M -tJ I~
Page 10
0001 018 Form PDF 5200 Overpayment history
Disposition a) Ifnot processed in 120 days forward to SBOO
b) Ifclaim disputed within 120 days forward to SBOO to settle claim
c) Ifoverpayment is settled destroy 10 years after settlement
0001 019 Form PDF 5336 Application for disposition - US Savings BondsNotes andor related checks owned by descendent whose estate is being settled without administration
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO You may retain a photocopy for 10 years but you are not required to do so
b) Forward Series HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 11
Item No Nl-53-97-03-0002001
Item No Nl-53-97-03-0002002
)
Description of Item 0 ~ o~srAoi~~orJ-~X CREDIT ADVICEefi()()QQj COVERING REPLACEMENT BONDS OF LOST STOLEN 1mft7 NEW P-S
THESE DOCUMENTS AUTHORIZE THE PROCESSING OF SUBSTITUTE OR REPLACEMENT BONDS WHERE THE ORIGINAL HAS BEEN LOST STOLEN MUTILATED OR DESTROYED AND THE EXTENSION OF CREDIT FOR UNISSUED STOCK AND LOST PAID BONDS PREPARED BY FRB THE DOCUMENTS ARE SENT TO THE PARKERSBURG OFFICE FOR AUDIT~IN LIEU OF THE ORIGINAL BONDS lftZZ 1-FWklJCbulldffii cent 0Astr- T1RMJlii3
Form No Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF llRgti4hitbii1KMifkid)f 81 i eg IJ-4 1 IEz
Description of Item RfLATlf6- ro TflG Authority CORRESPONDENCE AND FORMSA~ CORRECTIONREISSUE OF SAVINGS BONDS NEW
mm~~L~~n~~~~ To As FORWARDING ITEMS~ (msi2~ ~dcopy-~P 4-a0 NPffim-l
~-
Form No Series No Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF ~~~t52~
Request For Record Disposition Authority Page 12
Item No lNl-53-97-03-0002003
Item No Nl-53-97-03-0002004
Description of Item Authority REISSUE REQUEST FOR SAVINGS BONDS SERIES E~ NEW48 REQUESTS PROCESSED WITHIN A GIVEN CALENDAR MONTH SHOULD BE FILED BY SERIES IN A DAILY CHRONOLOGICAL ORDER WITHOUT ALPHBETIZING OR OTHER FILE ARRANGEMENT ~wp29l1hjroe $JSEit2W Nf)r 4~
Form No Series No 1 Org Abbrev FRB Retain 0 yrs 2 mths CUTOFF FILE EACH MONTH AND HOLD FOR TWO MONTHS THIN FORWARD TO SBOO
Description of Item __ _ Authority REISSUE REQUEST FOR SAVINGS BONDS SERIES HHH-wifJl NEW (19
-~ Form No Series No Org Abbrev FRB Retain 0 yrs 1 mths RETAIN FOR 1 WEEK THEN TRANSFER TO SBOO BANKS MAY WISH TO MICROFILM AND RETAIN LONGER AT THEIR EXPENSE
Request For Record Disposition Authority Page 13
Item No Nl-53-97-03-000200S
Item No ~l-53-97-03-0002006
Description of Item Authority BOOK ENTRY STATEMENT OF ACTIVITVfflsectQi FOR EACH TRUSTEE ACCOUNT NEW TRANSFER ADVICES ADJUSTMENT ADVICES PERMANENT RECEIPTS BOOK ENTRY A~C REQUESTS REISSUE REQUESTS AND RELATED CLASSIFICATION LISTINGS ~jj2111$1D US~[)
TO REFLECT ALL ADJUSTMENTS TO THE ISSUING AND PAYING AGENTS ACCOUNTS
Form No Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF JbtifllrNfROiiAAiki DfbNbkSSP Hf irit 4Ai6l
Description of It~~f4 1gt1~euroD Authority SEN - bull NEW
E T IN F S R
~~lOtlLU=bull c A F- Jgt r o _middot c o 5 1pound M r To pspos70 o~ -Nrtro srArs $ fl4L euro--~ A-f(D ~li-c-A-r~ O CU-5-cf_4 w1r1+0wT A--0tltNfS~rotv tgtF
06C-G-~ E 0 DW1f~ILbulls F-S11gtlt-1E
Form No PDF 1050 Series No Al COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY liei6X8WY~Mfdi iMTgt-fJPiPL TRANSFER TO FRC AS VOLUME WARRANTS 0Q Z 6i ifosectfkaTgt Jj 00$ampQ (8f jjp-SltPi91ti 2MA-b () (iS T fJ 0 r Cgt r 6-A42-gt A- F rF-A- cCfT o Ff-
Request For Record Disposition Authority Page 14
Item No Description of Item Authority Nl-53-97-03-0002007 EST BY FIDUCIARY-60000 FOR REISSUE OF US SAVINGS BONDSNOTES NEW 425
--RET ON (1) FILE SERIES EEE AND SAVINGS NO ISSUE REQUESTS6i-ti N i-t t f A-amppound PROCESSED CALENDAR MONTH BY SERIES IN LY CHRONOLOGICAL ORDER
MONTHS BEFORE FORWARDING TO SBOO DO NOT SERIES HHH REISSUE REQUESTS WEEKLY WITH RETIRED BE MADE AND RETAINED IF ACCESSED WITH SUFFICIE RETENTION ( DISTRUTION AND NOT AS A REQUEST
Series No I Retamiddot bull 10 yrs O mths
ONDITIONS DETERMINE DISPOSITION SEE MEMO FIELD
Item No Description of Item Authority Nl-53-97-03-0002008 SPECIAL FORM OF REQUEST FOR PAYMENTElfiPiampi OF UNITED STATES SAVINGS NEW Cill
AND RETIREMENT SECURITIES WHERE mil USE OF A DETACHED REQUEST IS AUTHORIZED tlms lillJRFJlil O THIS FOIW IS Tit JfSCBIBF BOPILJli EOR HIHCII PaiilEftl H REQUESTlrl)
Form No PDF 1522 Series No I Org Abbrev FRB Retain 0 yrs 1 mths FORWARD TO SBOO WEEKLY
Page 14A
0002 007 Form PDF 1455 Request by fiduciary for reissue ofUS Savings BondsNotes
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series llliH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) When accepted as evidence of distribution and not as a request for reissue retain PD F 1455 for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Page 15
0002 009 Form PDF 1851 Request for reissue for US Savings BondsNotes in name of trustee of a personal trust estate
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Senes HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained 1f accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retied current income bonds
0002 010 Form PDF 1938 Request for reissue ofUS Savmgs BondNotes during the lives of both co-owners
Disposition a) File Series EEE and Savings Note reissue request processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retam original with other accrual request Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 16
Item No Nl-53-97-03-00020ll
Description of Item Authority REINVESTMENT APPLICATIONfiii iiamp TO REQUEST PAYMENT NEW~ lIU s [sJRH IQ MOUfS I ea I iitf AND TO USE PROCEEDS FROM THE PAYMENT OF MATURED BONDS TO PURCHASE NEW BONDS FORWARD PROCESSED FORMS WITH RELATED STUBS TO SBOO WEEKLY IF INCOMPLETE OR OTHERWISE DEFECTIVE REQUEST A CORRECTED APPLICATION IF CORRECTED COPY NOT RECEIVED IN 30 DAYS FORWARD ORIGINAL TO SBOO
Form No PDF 1993 Series No I Org Abbrev Retain 0 yrs O mths FORWARD TO SBOO WEEKLY L9iR ffltifl-bM5EJi2fM QiampJ
FRB
Item No Nl-53-97-03-0002012
Description of Item Authority INVESTIGATION SCHEDULE OF PAID BONDS UNDER INVESTIGATIONLsectfbulllllffl NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ita zan(Bm(aclmztffilgtIeNff cf)lJQlIoIWM0 Qfiamplgtlatz~ltaa~ cblflhti1b(llxlS za~ TH Is FORM IS TO DESCRIBE BONDSNOTES AND GIVE DETAILS OF A TRANSACTION UNDER INVESTIGATION
Form No PDF 2343 Series No A COPY Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER RPfi IWI ii hi Mfilir7 o4cent tit W SR-II2-+481
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 17
Item No Description of Item Authority Nl-53-97-03-0002013 Ast RampF APPLICATIONll2ampMiil FOR RELIEF ON ACCOUNT OF THE LOSS THEFT OR NEW
DESTRUCTION OF PAID US SAVINGS BOND~tJ04PE$sfJ9FtjNEJ ijfltasJ atYlJiUJ THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS JIIMamph $1 lNGll RI 1Spound1111 IQ -HJ IWdiAF95 id Jit61Eel THE te1s1 btCJJ PilfftHCTAL BIGUT(j1ilt 181 PliiYDNampiEISITl
Form No PDF 2517 Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUTOFF aas QIN iifi4ib4s lUWW111 hilldUtiff-- in-1Ff 4ftKJ
Item No Description of Item Authority ~l-53-97-03-0002014 CERTIFICATION ATTACHMEN 1Mi6IAJta C OMtgtt- _~ 0 fr SAVlltr5 (gtOM D OWNfil-S bull NEW~
~P~~Du~wj~ ~~u Z~e= llAemmnF fll~i rn BEHi mrn FORMS w
Form No PDF 2778 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF a 1copy9111ti BtSbL iii Hl 5J U1 ~ 018
Request For Record Disposition Authority Page 18
Item No Nl-53-97-03-0002015
Item No Nl-53-97-03-0002016
Description of Item Authority CLAIM FOR RELIEF ON ACCOUNT OF LOSS THEFT OR DESTRUCTION rmcs 10eo~ NEW Gal
-~~s ~--~~IYP AfrF-fl vALtD ss-1pound 3ur 172tO(Z TO P--1zc_f=-1tdegT 3( C)(UNpoundR
Form No PDF 3062 Series No I Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Description of Item Authority CLAIM FOR RELIEF FOR LOSTSTOLEN OR DESTROYED usSBOND STOCKeampiYu NEW 4il9 DHc ampnI Wbiamp UJCWfal)rjAbiOHIEOP lZJt ibE poundECgtWfriii snoo WEPKpoundYJ COPIES MAY BE MADE AND RETAINED IF ACCESSED WITH SUFFICIENT FREQUENCY TO WARRANT THE COSTS ASSOCIATED WITH CREATION AND RETENTION
Form No PDF 3062-3 Series No Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Page 19
0002 017 Form PDF 3253 Exchange application for US Savings Bonds of series HH
Disposition a) Forward processed forms with related stubs to SBOO weekly
b) If incomplete or otherwise defective request a corrected application If corrected copy not receive in 30 days forward original to SBOO
0002 018 Form PDF 3360 Request for reissue ofUS Savings BondsNotes in the name of person or persons other than the owner (including legal guardian custodian for a minor under a statute etc )
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 20
Item No tNl-53-97-03-0002019
Item No ~1-53-97-03-0002020
Description of Item Authority CONTINUATION SHEET FOR LISTING SECURITIES0863 NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ll 4elJitGiJW aBlEiRMON-H ~clWAA~~ Qllw d5liIIINcentCfiDqltWMS ZOPbHS dSCbEMMEJRgt
Form No PDF 3500 Series No 1B COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF illgtIffl tgtlbllq~SiD ZOJIS ar-ar--91()2 -81B
Description REQUEST FOR
~ S- TftltpoundM lcN-
A 6-fl- F-cT c 1-1- A f fr-fi- OF MA Aeuro
Form No PDF 3564 Series No IA COPY Org Abbrev FRB Retain 1 yrs O mths DESTROY OBSOLETE DOCUMENTS ANNUALLY REnfffI I 5SLO mt Ne1 53 YB Ad 0 3gt
Request For Record Disposition Authority Page 21
Item No Nl-53-97-03-0002021
Description of Item SECURITIES TRANSACTION REQUESIWliiiill THlt-f
Ltif$B---Ftpound]o9 DOCUMENTbull THE WITHDRAWAL OF SECURITIES FROM THE USB VAULT
Authority NEW 280
Form No PDF 3800 Series No D COPY Retain 1 yrs O mths CUT OFF FILE YEARLY DESTROY 1 YEAR AFTER FRB MAY HOLD THIS UNDER THEIR OWN ATHORITY
Org Abbrev
CUT OFF OR amp EXPENSE
FRB
Item No ~1-53-97-03-0002022
Description of Item SECURITIES TRANSACTION REQUEST pound4JS it TkA-T f1H~ DOCUMENT THE RECEIPT ANDOR WITHDRAWAL VAULT
OF SECURITIES FROM
Authority NEW
THE
Form No PDF 3800 Series No E COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF THIS IS A CONTROLAUDIT COPY ~fEHTHm RASPS 1111 II 1 ~ e 0 7 lP(lit-
Request For Record Disposition Authority Page 22
Item No Description of Item ((L iRus r 4(r~ll f11poundVr 1Nl-53-97-03-0002023 APPLICATIONS FOR ISSUING AGENT-- amin~PJT~~jjjjjjjQp bull
f-ll-euro coNIA-lff ORIGINAL AGREEMENT ffllii TO lt81 AS Mf lBBOHIG ACliID AND APPROPRIATE CORRESPONDENCE RELATING TO THIS AGREEMENT
Authority NEW
Form No PDF 3827 Series No IA COPY Retain 6 yrs 3 mths DESTROY 6 YEARS AFTER TERMINATION OF AGENCY
Org Abbrev FRB
11N hPPLICtTHJH fO
Q-AI IE lS MIT ISSUHf6 h6ENf MfEHfieH DilSED OH Hel 53 81 BQ 01
Item No Nl-53-97-03-0002024
Description of Item CERTIFICATE OF QUALIFICATION-ISSUING AGENT QUALIFY AS AN ISSUING AGENT FOR THE SERIES
1-( 5 ~gt (USSBo6922Bl EE BONDS
TO APPLY AND Authority NEW
Form No PDF 3828 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths D6ST(IOf- 6 r I AR S ~ YI OYrH ~ AFTER TERMINATION OF ISSUING AGENT STATUS ~TION axsuogN Jif l sect481 02 ~
Request For Record Disposition Authority Page 23
Item No Nl-53-97-03-0002025
~ fgtV tNamp-5 p OtvtgtS
Description of Item R20Jlti_S T F-Oa fJOOR F-M7Pr rRrlVSAcT10N BOOK ENTRY REQUEST FOR TRANSACTION IN USSB BY TRUSTEE-60508 Wi PURP06S Cll 11H5 iN ff TO INITIATE A TRANSACTION IN A BOOK ACCOUNT
IN (S
ENTRY
Authority NEW W
Item No bullNl-53-97-03-0002026
5~~ Mf~T flamppound
Form No PDF 3879 Series No ID COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
Description of Item Authority REQU BY THE OWNER OF REISSUE OF US SAVINGS BONDSNOTES-60000 NEW 451 --TITLE ADD BENEFICIARY OR COOWNER ELIMINATE BENE IARY OR DECEDENT SHOW CHANGE O ANDOR CORRECT ERROR I TION --RETENTION (l) FILE SERIES EEE AN VINGS NOTE REISSUE ESSED IN A CALENDAR MONTH BY SERIES I 2 FULL CALENDAR MONTHS bull---=~~bull NOT RETAIN COPIES (2) FORWARD SERIES HHH TIRED BONDS MICROFILM COPIES MAY BE MADE A FREQUENCY TO WARRANT THE COSTS ASSO Form No PDF 4000 Series No Al COPY FRB
0 yr O mths DETERMINE DISPOSITION SEE MEMO FIELD
FORW
Page 23A
0002 026 Form PDF 4000 Request by the owner for reissue of US Savings BondsNotes to add beneficiary or co-owner eliminate beneficiary or decedent show change of name andor correct error in registration
Disposition a) File series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series lil-IH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 24
Item No fll-53-97-03-0002027
Description of Item 4rtNC r REPORT OF NON-RECEIPTLOSSTHEFTDESTRUCTION OF FISCALACHECKmiddotUisZIB m ~JR tl9Hretl-EODH I L0SS fHSFT ~ kiisffilLc_Tfm~ENfv6rrc1f AND APPLICATION FOR REPLACEMENT
Authority NEW
Form No PDF 5235 Series No I Retain 7 yrs O mths C-tfr oF= F1(1amp-lt Ye4RL-- os~oS-
Org Abbrev FRB
Item No Nl-53-97-03-0002028
Description of ORDER IDIRi FOR
Item SERIES
u SAVINCr-~ Authority EE BONDS 8-11111dibijEnJm~~A-H I) ~ poundt A I GP Rc~~W Ba
SERVICE )-11tnNe1uDiESPil~OLl-]l~~~lJ~QRDS
Form No PDF 5263 Series No Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2
IA COPY Org Abbrev
MONTHS AFTER CUTOFF
FRB
Request For Record Disposition Authority Page 25
Item No Description of Item lf5 Sqvv-5 Authority Nl-53-97-03-0002029 ORDER FORM FOR SERIES EEBONDS 8lfl)a te4Dl40~ NEW_
~ dJ0RW ffi~~llv-imtY 00 NbisectiASIT SlsecttlIES=gtEE B~
10 fi ~e-6-- s T pound 12pound Igt I H Y4 M euro lF-- =- DU c 1 k fl r
Form No PDF 5263-1 Series No IA COPY Org Abbrev FRB Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2 MONTHS AFTER CUT OFF
Item No Description of Item SHUTS u s6- D ro Authority ~l-53-97-03-0003001 ACCOUNTABILITY STATEMENTS AND LEDGERYldbJSii606Jkr1a2~ INDICATEa ALL NEW
ACTIVITIES IN ISSUING AGENTS CONSIGNMENT ACCOUNTS LEDGER SHEETS 0 INCLUDE PIECES ON HAND BY DENOMINATION SERIAL NUMBERS AND BALANCES ON HAND
Form No Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3MOS AFTER CUT OFF ~~ sectA~D dm ftCP--53- 78---0zt- -8Q
Request For Record Disposition Authority Page 26
Item No Description of Item Authority Nl-53-97-03-0003002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLl4 i OOt NEW
BY BUREAU OF PUBLIC DEBT OFFICE aw amltS9Sl8 ~Q-gt ~ bull
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS
Org Abbrev
AFTER CUT OFF
FRB
Item No Nl-53-97-03-0003003
Description of Item ___ GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS~~ ~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT DOCUMENTING THE US TREASURY GENERAL ACCOUNT
ENTRIES
Authority NEW ltlillS TO
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
8 Request For Record Disposition Authority Page
Item No Description of Item AuthorityoF Nl-53-97-03-0001014 APPLICATIONS FOR DISPOSITION RETIREMENT PLAN ANDOR NEW amt
INDIVIDUAL RETIREMENT BONDS WITHOUT ADMINISTRATION OF DECEASED OWNERS ESTATE
Form No PDF 3565 Series No A COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF
Item No Description of Item Authority 1Nl-53-97-03-0001015 APPLICATIONS AGREEMENT-TO QUALIFY UNDER TD CIR888 (REV) NEW
THESE DOCUMENTS DEFINE THE TERMS OF AGREEMENT BETWEEN A FEDERAL RESERVE BANK AS ~k~ltiJL AGENT OF US FOR ISSUING ANDOR PAYING AGENT rncLUDESPD 3821 3828 3880 3881 3902 3903 u~osplusmnMiamptkf~-laquoLf= m
~ e$35idkbgt-Ji-deg
Form No MiampfJ IOI Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths DESTROY 6 YRS 3 MOS AFTER TERMINATION OF AGENT
e1 --+i 2 r)ijjt
9 Request For Record Disposition Authority Page
Item No Description of Item Authority Nl-53-97-03-0001016 NOTICE OF QUALIFICATION UNDER TREASURY DEPT CIRCULAR NO BodSbii NEW
AN AGREEMENT TO ESTABLISH THE ELIGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVING BONDS
Form No PDF 3903 Series No IB COPY Org Abbrev FRB Retain 6 yrs 3 mths HOLD FOR 6 YRS AND 3 MO AFTER TERMINATION OF PAYING AGENT STATUS Qal +NVEW iIW PYgt- A 2EidiBicr gtUW W li-6 fi 8 I 622 aft l
Item No Description of Item Authority Nl-53-97-03-0001017 APPLICATIONS FOR PAYMENT OF NEW
flllllilsectl iFTii ii A itPZ iZ kl Ji DJgt Htiv~ UNITED STATES SAVINGS BONDSNOTES ANDOR RELATED CHECKS IN AN AMOUNT NOT EXCEEDING $1000 BY THE SURVIVOR OF A DECEASED OWNER WHOSE ESTATE IS NOT BEING ADMINISTERED
Form No PDF 4881 Series No Al COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF GPrampAflA RUIS ri M aBllrQQJP tff9---dz1 M -tJ I~
Page 10
0001 018 Form PDF 5200 Overpayment history
Disposition a) Ifnot processed in 120 days forward to SBOO
b) Ifclaim disputed within 120 days forward to SBOO to settle claim
c) Ifoverpayment is settled destroy 10 years after settlement
0001 019 Form PDF 5336 Application for disposition - US Savings BondsNotes andor related checks owned by descendent whose estate is being settled without administration
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO You may retain a photocopy for 10 years but you are not required to do so
b) Forward Series HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 11
Item No Nl-53-97-03-0002001
Item No Nl-53-97-03-0002002
)
Description of Item 0 ~ o~srAoi~~orJ-~X CREDIT ADVICEefi()()QQj COVERING REPLACEMENT BONDS OF LOST STOLEN 1mft7 NEW P-S
THESE DOCUMENTS AUTHORIZE THE PROCESSING OF SUBSTITUTE OR REPLACEMENT BONDS WHERE THE ORIGINAL HAS BEEN LOST STOLEN MUTILATED OR DESTROYED AND THE EXTENSION OF CREDIT FOR UNISSUED STOCK AND LOST PAID BONDS PREPARED BY FRB THE DOCUMENTS ARE SENT TO THE PARKERSBURG OFFICE FOR AUDIT~IN LIEU OF THE ORIGINAL BONDS lftZZ 1-FWklJCbulldffii cent 0Astr- T1RMJlii3
Form No Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF llRgti4hitbii1KMifkid)f 81 i eg IJ-4 1 IEz
Description of Item RfLATlf6- ro TflG Authority CORRESPONDENCE AND FORMSA~ CORRECTIONREISSUE OF SAVINGS BONDS NEW
mm~~L~~n~~~~ To As FORWARDING ITEMS~ (msi2~ ~dcopy-~P 4-a0 NPffim-l
~-
Form No Series No Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF ~~~t52~
Request For Record Disposition Authority Page 12
Item No lNl-53-97-03-0002003
Item No Nl-53-97-03-0002004
Description of Item Authority REISSUE REQUEST FOR SAVINGS BONDS SERIES E~ NEW48 REQUESTS PROCESSED WITHIN A GIVEN CALENDAR MONTH SHOULD BE FILED BY SERIES IN A DAILY CHRONOLOGICAL ORDER WITHOUT ALPHBETIZING OR OTHER FILE ARRANGEMENT ~wp29l1hjroe $JSEit2W Nf)r 4~
Form No Series No 1 Org Abbrev FRB Retain 0 yrs 2 mths CUTOFF FILE EACH MONTH AND HOLD FOR TWO MONTHS THIN FORWARD TO SBOO
Description of Item __ _ Authority REISSUE REQUEST FOR SAVINGS BONDS SERIES HHH-wifJl NEW (19
-~ Form No Series No Org Abbrev FRB Retain 0 yrs 1 mths RETAIN FOR 1 WEEK THEN TRANSFER TO SBOO BANKS MAY WISH TO MICROFILM AND RETAIN LONGER AT THEIR EXPENSE
Request For Record Disposition Authority Page 13
Item No Nl-53-97-03-000200S
Item No ~l-53-97-03-0002006
Description of Item Authority BOOK ENTRY STATEMENT OF ACTIVITVfflsectQi FOR EACH TRUSTEE ACCOUNT NEW TRANSFER ADVICES ADJUSTMENT ADVICES PERMANENT RECEIPTS BOOK ENTRY A~C REQUESTS REISSUE REQUESTS AND RELATED CLASSIFICATION LISTINGS ~jj2111$1D US~[)
TO REFLECT ALL ADJUSTMENTS TO THE ISSUING AND PAYING AGENTS ACCOUNTS
Form No Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF JbtifllrNfROiiAAiki DfbNbkSSP Hf irit 4Ai6l
Description of It~~f4 1gt1~euroD Authority SEN - bull NEW
E T IN F S R
~~lOtlLU=bull c A F- Jgt r o _middot c o 5 1pound M r To pspos70 o~ -Nrtro srArs $ fl4L euro--~ A-f(D ~li-c-A-r~ O CU-5-cf_4 w1r1+0wT A--0tltNfS~rotv tgtF
06C-G-~ E 0 DW1f~ILbulls F-S11gtlt-1E
Form No PDF 1050 Series No Al COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY liei6X8WY~Mfdi iMTgt-fJPiPL TRANSFER TO FRC AS VOLUME WARRANTS 0Q Z 6i ifosectfkaTgt Jj 00$ampQ (8f jjp-SltPi91ti 2MA-b () (iS T fJ 0 r Cgt r 6-A42-gt A- F rF-A- cCfT o Ff-
Request For Record Disposition Authority Page 14
Item No Description of Item Authority Nl-53-97-03-0002007 EST BY FIDUCIARY-60000 FOR REISSUE OF US SAVINGS BONDSNOTES NEW 425
--RET ON (1) FILE SERIES EEE AND SAVINGS NO ISSUE REQUESTS6i-ti N i-t t f A-amppound PROCESSED CALENDAR MONTH BY SERIES IN LY CHRONOLOGICAL ORDER
MONTHS BEFORE FORWARDING TO SBOO DO NOT SERIES HHH REISSUE REQUESTS WEEKLY WITH RETIRED BE MADE AND RETAINED IF ACCESSED WITH SUFFICIE RETENTION ( DISTRUTION AND NOT AS A REQUEST
Series No I Retamiddot bull 10 yrs O mths
ONDITIONS DETERMINE DISPOSITION SEE MEMO FIELD
Item No Description of Item Authority Nl-53-97-03-0002008 SPECIAL FORM OF REQUEST FOR PAYMENTElfiPiampi OF UNITED STATES SAVINGS NEW Cill
AND RETIREMENT SECURITIES WHERE mil USE OF A DETACHED REQUEST IS AUTHORIZED tlms lillJRFJlil O THIS FOIW IS Tit JfSCBIBF BOPILJli EOR HIHCII PaiilEftl H REQUESTlrl)
Form No PDF 1522 Series No I Org Abbrev FRB Retain 0 yrs 1 mths FORWARD TO SBOO WEEKLY
Page 14A
0002 007 Form PDF 1455 Request by fiduciary for reissue ofUS Savings BondsNotes
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series llliH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) When accepted as evidence of distribution and not as a request for reissue retain PD F 1455 for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Page 15
0002 009 Form PDF 1851 Request for reissue for US Savings BondsNotes in name of trustee of a personal trust estate
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Senes HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained 1f accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retied current income bonds
0002 010 Form PDF 1938 Request for reissue ofUS Savmgs BondNotes during the lives of both co-owners
Disposition a) File Series EEE and Savings Note reissue request processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retam original with other accrual request Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 16
Item No Nl-53-97-03-00020ll
Description of Item Authority REINVESTMENT APPLICATIONfiii iiamp TO REQUEST PAYMENT NEW~ lIU s [sJRH IQ MOUfS I ea I iitf AND TO USE PROCEEDS FROM THE PAYMENT OF MATURED BONDS TO PURCHASE NEW BONDS FORWARD PROCESSED FORMS WITH RELATED STUBS TO SBOO WEEKLY IF INCOMPLETE OR OTHERWISE DEFECTIVE REQUEST A CORRECTED APPLICATION IF CORRECTED COPY NOT RECEIVED IN 30 DAYS FORWARD ORIGINAL TO SBOO
Form No PDF 1993 Series No I Org Abbrev Retain 0 yrs O mths FORWARD TO SBOO WEEKLY L9iR ffltifl-bM5EJi2fM QiampJ
FRB
Item No Nl-53-97-03-0002012
Description of Item Authority INVESTIGATION SCHEDULE OF PAID BONDS UNDER INVESTIGATIONLsectfbulllllffl NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ita zan(Bm(aclmztffilgtIeNff cf)lJQlIoIWM0 Qfiamplgtlatz~ltaa~ cblflhti1b(llxlS za~ TH Is FORM IS TO DESCRIBE BONDSNOTES AND GIVE DETAILS OF A TRANSACTION UNDER INVESTIGATION
Form No PDF 2343 Series No A COPY Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER RPfi IWI ii hi Mfilir7 o4cent tit W SR-II2-+481
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 17
Item No Description of Item Authority Nl-53-97-03-0002013 Ast RampF APPLICATIONll2ampMiil FOR RELIEF ON ACCOUNT OF THE LOSS THEFT OR NEW
DESTRUCTION OF PAID US SAVINGS BOND~tJ04PE$sfJ9FtjNEJ ijfltasJ atYlJiUJ THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS JIIMamph $1 lNGll RI 1Spound1111 IQ -HJ IWdiAF95 id Jit61Eel THE te1s1 btCJJ PilfftHCTAL BIGUT(j1ilt 181 PliiYDNampiEISITl
Form No PDF 2517 Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUTOFF aas QIN iifi4ib4s lUWW111 hilldUtiff-- in-1Ff 4ftKJ
Item No Description of Item Authority ~l-53-97-03-0002014 CERTIFICATION ATTACHMEN 1Mi6IAJta C OMtgtt- _~ 0 fr SAVlltr5 (gtOM D OWNfil-S bull NEW~
~P~~Du~wj~ ~~u Z~e= llAemmnF fll~i rn BEHi mrn FORMS w
Form No PDF 2778 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF a 1copy9111ti BtSbL iii Hl 5J U1 ~ 018
Request For Record Disposition Authority Page 18
Item No Nl-53-97-03-0002015
Item No Nl-53-97-03-0002016
Description of Item Authority CLAIM FOR RELIEF ON ACCOUNT OF LOSS THEFT OR DESTRUCTION rmcs 10eo~ NEW Gal
-~~s ~--~~IYP AfrF-fl vALtD ss-1pound 3ur 172tO(Z TO P--1zc_f=-1tdegT 3( C)(UNpoundR
Form No PDF 3062 Series No I Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Description of Item Authority CLAIM FOR RELIEF FOR LOSTSTOLEN OR DESTROYED usSBOND STOCKeampiYu NEW 4il9 DHc ampnI Wbiamp UJCWfal)rjAbiOHIEOP lZJt ibE poundECgtWfriii snoo WEPKpoundYJ COPIES MAY BE MADE AND RETAINED IF ACCESSED WITH SUFFICIENT FREQUENCY TO WARRANT THE COSTS ASSOCIATED WITH CREATION AND RETENTION
Form No PDF 3062-3 Series No Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Page 19
0002 017 Form PDF 3253 Exchange application for US Savings Bonds of series HH
Disposition a) Forward processed forms with related stubs to SBOO weekly
b) If incomplete or otherwise defective request a corrected application If corrected copy not receive in 30 days forward original to SBOO
0002 018 Form PDF 3360 Request for reissue ofUS Savings BondsNotes in the name of person or persons other than the owner (including legal guardian custodian for a minor under a statute etc )
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 20
Item No tNl-53-97-03-0002019
Item No ~1-53-97-03-0002020
Description of Item Authority CONTINUATION SHEET FOR LISTING SECURITIES0863 NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ll 4elJitGiJW aBlEiRMON-H ~clWAA~~ Qllw d5liIIINcentCfiDqltWMS ZOPbHS dSCbEMMEJRgt
Form No PDF 3500 Series No 1B COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF illgtIffl tgtlbllq~SiD ZOJIS ar-ar--91()2 -81B
Description REQUEST FOR
~ S- TftltpoundM lcN-
A 6-fl- F-cT c 1-1- A f fr-fi- OF MA Aeuro
Form No PDF 3564 Series No IA COPY Org Abbrev FRB Retain 1 yrs O mths DESTROY OBSOLETE DOCUMENTS ANNUALLY REnfffI I 5SLO mt Ne1 53 YB Ad 0 3gt
Request For Record Disposition Authority Page 21
Item No Nl-53-97-03-0002021
Description of Item SECURITIES TRANSACTION REQUESIWliiiill THlt-f
Ltif$B---Ftpound]o9 DOCUMENTbull THE WITHDRAWAL OF SECURITIES FROM THE USB VAULT
Authority NEW 280
Form No PDF 3800 Series No D COPY Retain 1 yrs O mths CUT OFF FILE YEARLY DESTROY 1 YEAR AFTER FRB MAY HOLD THIS UNDER THEIR OWN ATHORITY
Org Abbrev
CUT OFF OR amp EXPENSE
FRB
Item No ~1-53-97-03-0002022
Description of Item SECURITIES TRANSACTION REQUEST pound4JS it TkA-T f1H~ DOCUMENT THE RECEIPT ANDOR WITHDRAWAL VAULT
OF SECURITIES FROM
Authority NEW
THE
Form No PDF 3800 Series No E COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF THIS IS A CONTROLAUDIT COPY ~fEHTHm RASPS 1111 II 1 ~ e 0 7 lP(lit-
Request For Record Disposition Authority Page 22
Item No Description of Item ((L iRus r 4(r~ll f11poundVr 1Nl-53-97-03-0002023 APPLICATIONS FOR ISSUING AGENT-- amin~PJT~~jjjjjjjQp bull
f-ll-euro coNIA-lff ORIGINAL AGREEMENT ffllii TO lt81 AS Mf lBBOHIG ACliID AND APPROPRIATE CORRESPONDENCE RELATING TO THIS AGREEMENT
Authority NEW
Form No PDF 3827 Series No IA COPY Retain 6 yrs 3 mths DESTROY 6 YEARS AFTER TERMINATION OF AGENCY
Org Abbrev FRB
11N hPPLICtTHJH fO
Q-AI IE lS MIT ISSUHf6 h6ENf MfEHfieH DilSED OH Hel 53 81 BQ 01
Item No Nl-53-97-03-0002024
Description of Item CERTIFICATE OF QUALIFICATION-ISSUING AGENT QUALIFY AS AN ISSUING AGENT FOR THE SERIES
1-( 5 ~gt (USSBo6922Bl EE BONDS
TO APPLY AND Authority NEW
Form No PDF 3828 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths D6ST(IOf- 6 r I AR S ~ YI OYrH ~ AFTER TERMINATION OF ISSUING AGENT STATUS ~TION axsuogN Jif l sect481 02 ~
Request For Record Disposition Authority Page 23
Item No Nl-53-97-03-0002025
~ fgtV tNamp-5 p OtvtgtS
Description of Item R20Jlti_S T F-Oa fJOOR F-M7Pr rRrlVSAcT10N BOOK ENTRY REQUEST FOR TRANSACTION IN USSB BY TRUSTEE-60508 Wi PURP06S Cll 11H5 iN ff TO INITIATE A TRANSACTION IN A BOOK ACCOUNT
IN (S
ENTRY
Authority NEW W
Item No bullNl-53-97-03-0002026
5~~ Mf~T flamppound
Form No PDF 3879 Series No ID COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
Description of Item Authority REQU BY THE OWNER OF REISSUE OF US SAVINGS BONDSNOTES-60000 NEW 451 --TITLE ADD BENEFICIARY OR COOWNER ELIMINATE BENE IARY OR DECEDENT SHOW CHANGE O ANDOR CORRECT ERROR I TION --RETENTION (l) FILE SERIES EEE AN VINGS NOTE REISSUE ESSED IN A CALENDAR MONTH BY SERIES I 2 FULL CALENDAR MONTHS bull---=~~bull NOT RETAIN COPIES (2) FORWARD SERIES HHH TIRED BONDS MICROFILM COPIES MAY BE MADE A FREQUENCY TO WARRANT THE COSTS ASSO Form No PDF 4000 Series No Al COPY FRB
0 yr O mths DETERMINE DISPOSITION SEE MEMO FIELD
FORW
Page 23A
0002 026 Form PDF 4000 Request by the owner for reissue of US Savings BondsNotes to add beneficiary or co-owner eliminate beneficiary or decedent show change of name andor correct error in registration
Disposition a) File series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series lil-IH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 24
Item No fll-53-97-03-0002027
Description of Item 4rtNC r REPORT OF NON-RECEIPTLOSSTHEFTDESTRUCTION OF FISCALACHECKmiddotUisZIB m ~JR tl9Hretl-EODH I L0SS fHSFT ~ kiisffilLc_Tfm~ENfv6rrc1f AND APPLICATION FOR REPLACEMENT
Authority NEW
Form No PDF 5235 Series No I Retain 7 yrs O mths C-tfr oF= F1(1amp-lt Ye4RL-- os~oS-
Org Abbrev FRB
Item No Nl-53-97-03-0002028
Description of ORDER IDIRi FOR
Item SERIES
u SAVINCr-~ Authority EE BONDS 8-11111dibijEnJm~~A-H I) ~ poundt A I GP Rc~~W Ba
SERVICE )-11tnNe1uDiESPil~OLl-]l~~~lJ~QRDS
Form No PDF 5263 Series No Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2
IA COPY Org Abbrev
MONTHS AFTER CUTOFF
FRB
Request For Record Disposition Authority Page 25
Item No Description of Item lf5 Sqvv-5 Authority Nl-53-97-03-0002029 ORDER FORM FOR SERIES EEBONDS 8lfl)a te4Dl40~ NEW_
~ dJ0RW ffi~~llv-imtY 00 NbisectiASIT SlsecttlIES=gtEE B~
10 fi ~e-6-- s T pound 12pound Igt I H Y4 M euro lF-- =- DU c 1 k fl r
Form No PDF 5263-1 Series No IA COPY Org Abbrev FRB Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2 MONTHS AFTER CUT OFF
Item No Description of Item SHUTS u s6- D ro Authority ~l-53-97-03-0003001 ACCOUNTABILITY STATEMENTS AND LEDGERYldbJSii606Jkr1a2~ INDICATEa ALL NEW
ACTIVITIES IN ISSUING AGENTS CONSIGNMENT ACCOUNTS LEDGER SHEETS 0 INCLUDE PIECES ON HAND BY DENOMINATION SERIAL NUMBERS AND BALANCES ON HAND
Form No Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3MOS AFTER CUT OFF ~~ sectA~D dm ftCP--53- 78---0zt- -8Q
Request For Record Disposition Authority Page 26
Item No Description of Item Authority Nl-53-97-03-0003002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLl4 i OOt NEW
BY BUREAU OF PUBLIC DEBT OFFICE aw amltS9Sl8 ~Q-gt ~ bull
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS
Org Abbrev
AFTER CUT OFF
FRB
Item No Nl-53-97-03-0003003
Description of Item ___ GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS~~ ~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT DOCUMENTING THE US TREASURY GENERAL ACCOUNT
ENTRIES
Authority NEW ltlillS TO
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
9 Request For Record Disposition Authority Page
Item No Description of Item Authority Nl-53-97-03-0001016 NOTICE OF QUALIFICATION UNDER TREASURY DEPT CIRCULAR NO BodSbii NEW
AN AGREEMENT TO ESTABLISH THE ELIGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVING BONDS
Form No PDF 3903 Series No IB COPY Org Abbrev FRB Retain 6 yrs 3 mths HOLD FOR 6 YRS AND 3 MO AFTER TERMINATION OF PAYING AGENT STATUS Qal +NVEW iIW PYgt- A 2EidiBicr gtUW W li-6 fi 8 I 622 aft l
Item No Description of Item Authority Nl-53-97-03-0001017 APPLICATIONS FOR PAYMENT OF NEW
flllllilsectl iFTii ii A itPZ iZ kl Ji DJgt Htiv~ UNITED STATES SAVINGS BONDSNOTES ANDOR RELATED CHECKS IN AN AMOUNT NOT EXCEEDING $1000 BY THE SURVIVOR OF A DECEASED OWNER WHOSE ESTATE IS NOT BEING ADMINISTERED
Form No PDF 4881 Series No Al COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF GPrampAflA RUIS ri M aBllrQQJP tff9---dz1 M -tJ I~
Page 10
0001 018 Form PDF 5200 Overpayment history
Disposition a) Ifnot processed in 120 days forward to SBOO
b) Ifclaim disputed within 120 days forward to SBOO to settle claim
c) Ifoverpayment is settled destroy 10 years after settlement
0001 019 Form PDF 5336 Application for disposition - US Savings BondsNotes andor related checks owned by descendent whose estate is being settled without administration
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO You may retain a photocopy for 10 years but you are not required to do so
b) Forward Series HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 11
Item No Nl-53-97-03-0002001
Item No Nl-53-97-03-0002002
)
Description of Item 0 ~ o~srAoi~~orJ-~X CREDIT ADVICEefi()()QQj COVERING REPLACEMENT BONDS OF LOST STOLEN 1mft7 NEW P-S
THESE DOCUMENTS AUTHORIZE THE PROCESSING OF SUBSTITUTE OR REPLACEMENT BONDS WHERE THE ORIGINAL HAS BEEN LOST STOLEN MUTILATED OR DESTROYED AND THE EXTENSION OF CREDIT FOR UNISSUED STOCK AND LOST PAID BONDS PREPARED BY FRB THE DOCUMENTS ARE SENT TO THE PARKERSBURG OFFICE FOR AUDIT~IN LIEU OF THE ORIGINAL BONDS lftZZ 1-FWklJCbulldffii cent 0Astr- T1RMJlii3
Form No Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF llRgti4hitbii1KMifkid)f 81 i eg IJ-4 1 IEz
Description of Item RfLATlf6- ro TflG Authority CORRESPONDENCE AND FORMSA~ CORRECTIONREISSUE OF SAVINGS BONDS NEW
mm~~L~~n~~~~ To As FORWARDING ITEMS~ (msi2~ ~dcopy-~P 4-a0 NPffim-l
~-
Form No Series No Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF ~~~t52~
Request For Record Disposition Authority Page 12
Item No lNl-53-97-03-0002003
Item No Nl-53-97-03-0002004
Description of Item Authority REISSUE REQUEST FOR SAVINGS BONDS SERIES E~ NEW48 REQUESTS PROCESSED WITHIN A GIVEN CALENDAR MONTH SHOULD BE FILED BY SERIES IN A DAILY CHRONOLOGICAL ORDER WITHOUT ALPHBETIZING OR OTHER FILE ARRANGEMENT ~wp29l1hjroe $JSEit2W Nf)r 4~
Form No Series No 1 Org Abbrev FRB Retain 0 yrs 2 mths CUTOFF FILE EACH MONTH AND HOLD FOR TWO MONTHS THIN FORWARD TO SBOO
Description of Item __ _ Authority REISSUE REQUEST FOR SAVINGS BONDS SERIES HHH-wifJl NEW (19
-~ Form No Series No Org Abbrev FRB Retain 0 yrs 1 mths RETAIN FOR 1 WEEK THEN TRANSFER TO SBOO BANKS MAY WISH TO MICROFILM AND RETAIN LONGER AT THEIR EXPENSE
Request For Record Disposition Authority Page 13
Item No Nl-53-97-03-000200S
Item No ~l-53-97-03-0002006
Description of Item Authority BOOK ENTRY STATEMENT OF ACTIVITVfflsectQi FOR EACH TRUSTEE ACCOUNT NEW TRANSFER ADVICES ADJUSTMENT ADVICES PERMANENT RECEIPTS BOOK ENTRY A~C REQUESTS REISSUE REQUESTS AND RELATED CLASSIFICATION LISTINGS ~jj2111$1D US~[)
TO REFLECT ALL ADJUSTMENTS TO THE ISSUING AND PAYING AGENTS ACCOUNTS
Form No Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF JbtifllrNfROiiAAiki DfbNbkSSP Hf irit 4Ai6l
Description of It~~f4 1gt1~euroD Authority SEN - bull NEW
E T IN F S R
~~lOtlLU=bull c A F- Jgt r o _middot c o 5 1pound M r To pspos70 o~ -Nrtro srArs $ fl4L euro--~ A-f(D ~li-c-A-r~ O CU-5-cf_4 w1r1+0wT A--0tltNfS~rotv tgtF
06C-G-~ E 0 DW1f~ILbulls F-S11gtlt-1E
Form No PDF 1050 Series No Al COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY liei6X8WY~Mfdi iMTgt-fJPiPL TRANSFER TO FRC AS VOLUME WARRANTS 0Q Z 6i ifosectfkaTgt Jj 00$ampQ (8f jjp-SltPi91ti 2MA-b () (iS T fJ 0 r Cgt r 6-A42-gt A- F rF-A- cCfT o Ff-
Request For Record Disposition Authority Page 14
Item No Description of Item Authority Nl-53-97-03-0002007 EST BY FIDUCIARY-60000 FOR REISSUE OF US SAVINGS BONDSNOTES NEW 425
--RET ON (1) FILE SERIES EEE AND SAVINGS NO ISSUE REQUESTS6i-ti N i-t t f A-amppound PROCESSED CALENDAR MONTH BY SERIES IN LY CHRONOLOGICAL ORDER
MONTHS BEFORE FORWARDING TO SBOO DO NOT SERIES HHH REISSUE REQUESTS WEEKLY WITH RETIRED BE MADE AND RETAINED IF ACCESSED WITH SUFFICIE RETENTION ( DISTRUTION AND NOT AS A REQUEST
Series No I Retamiddot bull 10 yrs O mths
ONDITIONS DETERMINE DISPOSITION SEE MEMO FIELD
Item No Description of Item Authority Nl-53-97-03-0002008 SPECIAL FORM OF REQUEST FOR PAYMENTElfiPiampi OF UNITED STATES SAVINGS NEW Cill
AND RETIREMENT SECURITIES WHERE mil USE OF A DETACHED REQUEST IS AUTHORIZED tlms lillJRFJlil O THIS FOIW IS Tit JfSCBIBF BOPILJli EOR HIHCII PaiilEftl H REQUESTlrl)
Form No PDF 1522 Series No I Org Abbrev FRB Retain 0 yrs 1 mths FORWARD TO SBOO WEEKLY
Page 14A
0002 007 Form PDF 1455 Request by fiduciary for reissue ofUS Savings BondsNotes
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series llliH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) When accepted as evidence of distribution and not as a request for reissue retain PD F 1455 for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Page 15
0002 009 Form PDF 1851 Request for reissue for US Savings BondsNotes in name of trustee of a personal trust estate
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Senes HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained 1f accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retied current income bonds
0002 010 Form PDF 1938 Request for reissue ofUS Savmgs BondNotes during the lives of both co-owners
Disposition a) File Series EEE and Savings Note reissue request processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retam original with other accrual request Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 16
Item No Nl-53-97-03-00020ll
Description of Item Authority REINVESTMENT APPLICATIONfiii iiamp TO REQUEST PAYMENT NEW~ lIU s [sJRH IQ MOUfS I ea I iitf AND TO USE PROCEEDS FROM THE PAYMENT OF MATURED BONDS TO PURCHASE NEW BONDS FORWARD PROCESSED FORMS WITH RELATED STUBS TO SBOO WEEKLY IF INCOMPLETE OR OTHERWISE DEFECTIVE REQUEST A CORRECTED APPLICATION IF CORRECTED COPY NOT RECEIVED IN 30 DAYS FORWARD ORIGINAL TO SBOO
Form No PDF 1993 Series No I Org Abbrev Retain 0 yrs O mths FORWARD TO SBOO WEEKLY L9iR ffltifl-bM5EJi2fM QiampJ
FRB
Item No Nl-53-97-03-0002012
Description of Item Authority INVESTIGATION SCHEDULE OF PAID BONDS UNDER INVESTIGATIONLsectfbulllllffl NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ita zan(Bm(aclmztffilgtIeNff cf)lJQlIoIWM0 Qfiamplgtlatz~ltaa~ cblflhti1b(llxlS za~ TH Is FORM IS TO DESCRIBE BONDSNOTES AND GIVE DETAILS OF A TRANSACTION UNDER INVESTIGATION
Form No PDF 2343 Series No A COPY Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER RPfi IWI ii hi Mfilir7 o4cent tit W SR-II2-+481
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 17
Item No Description of Item Authority Nl-53-97-03-0002013 Ast RampF APPLICATIONll2ampMiil FOR RELIEF ON ACCOUNT OF THE LOSS THEFT OR NEW
DESTRUCTION OF PAID US SAVINGS BOND~tJ04PE$sfJ9FtjNEJ ijfltasJ atYlJiUJ THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS JIIMamph $1 lNGll RI 1Spound1111 IQ -HJ IWdiAF95 id Jit61Eel THE te1s1 btCJJ PilfftHCTAL BIGUT(j1ilt 181 PliiYDNampiEISITl
Form No PDF 2517 Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUTOFF aas QIN iifi4ib4s lUWW111 hilldUtiff-- in-1Ff 4ftKJ
Item No Description of Item Authority ~l-53-97-03-0002014 CERTIFICATION ATTACHMEN 1Mi6IAJta C OMtgtt- _~ 0 fr SAVlltr5 (gtOM D OWNfil-S bull NEW~
~P~~Du~wj~ ~~u Z~e= llAemmnF fll~i rn BEHi mrn FORMS w
Form No PDF 2778 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF a 1copy9111ti BtSbL iii Hl 5J U1 ~ 018
Request For Record Disposition Authority Page 18
Item No Nl-53-97-03-0002015
Item No Nl-53-97-03-0002016
Description of Item Authority CLAIM FOR RELIEF ON ACCOUNT OF LOSS THEFT OR DESTRUCTION rmcs 10eo~ NEW Gal
-~~s ~--~~IYP AfrF-fl vALtD ss-1pound 3ur 172tO(Z TO P--1zc_f=-1tdegT 3( C)(UNpoundR
Form No PDF 3062 Series No I Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Description of Item Authority CLAIM FOR RELIEF FOR LOSTSTOLEN OR DESTROYED usSBOND STOCKeampiYu NEW 4il9 DHc ampnI Wbiamp UJCWfal)rjAbiOHIEOP lZJt ibE poundECgtWfriii snoo WEPKpoundYJ COPIES MAY BE MADE AND RETAINED IF ACCESSED WITH SUFFICIENT FREQUENCY TO WARRANT THE COSTS ASSOCIATED WITH CREATION AND RETENTION
Form No PDF 3062-3 Series No Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Page 19
0002 017 Form PDF 3253 Exchange application for US Savings Bonds of series HH
Disposition a) Forward processed forms with related stubs to SBOO weekly
b) If incomplete or otherwise defective request a corrected application If corrected copy not receive in 30 days forward original to SBOO
0002 018 Form PDF 3360 Request for reissue ofUS Savings BondsNotes in the name of person or persons other than the owner (including legal guardian custodian for a minor under a statute etc )
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 20
Item No tNl-53-97-03-0002019
Item No ~1-53-97-03-0002020
Description of Item Authority CONTINUATION SHEET FOR LISTING SECURITIES0863 NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ll 4elJitGiJW aBlEiRMON-H ~clWAA~~ Qllw d5liIIINcentCfiDqltWMS ZOPbHS dSCbEMMEJRgt
Form No PDF 3500 Series No 1B COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF illgtIffl tgtlbllq~SiD ZOJIS ar-ar--91()2 -81B
Description REQUEST FOR
~ S- TftltpoundM lcN-
A 6-fl- F-cT c 1-1- A f fr-fi- OF MA Aeuro
Form No PDF 3564 Series No IA COPY Org Abbrev FRB Retain 1 yrs O mths DESTROY OBSOLETE DOCUMENTS ANNUALLY REnfffI I 5SLO mt Ne1 53 YB Ad 0 3gt
Request For Record Disposition Authority Page 21
Item No Nl-53-97-03-0002021
Description of Item SECURITIES TRANSACTION REQUESIWliiiill THlt-f
Ltif$B---Ftpound]o9 DOCUMENTbull THE WITHDRAWAL OF SECURITIES FROM THE USB VAULT
Authority NEW 280
Form No PDF 3800 Series No D COPY Retain 1 yrs O mths CUT OFF FILE YEARLY DESTROY 1 YEAR AFTER FRB MAY HOLD THIS UNDER THEIR OWN ATHORITY
Org Abbrev
CUT OFF OR amp EXPENSE
FRB
Item No ~1-53-97-03-0002022
Description of Item SECURITIES TRANSACTION REQUEST pound4JS it TkA-T f1H~ DOCUMENT THE RECEIPT ANDOR WITHDRAWAL VAULT
OF SECURITIES FROM
Authority NEW
THE
Form No PDF 3800 Series No E COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF THIS IS A CONTROLAUDIT COPY ~fEHTHm RASPS 1111 II 1 ~ e 0 7 lP(lit-
Request For Record Disposition Authority Page 22
Item No Description of Item ((L iRus r 4(r~ll f11poundVr 1Nl-53-97-03-0002023 APPLICATIONS FOR ISSUING AGENT-- amin~PJT~~jjjjjjjQp bull
f-ll-euro coNIA-lff ORIGINAL AGREEMENT ffllii TO lt81 AS Mf lBBOHIG ACliID AND APPROPRIATE CORRESPONDENCE RELATING TO THIS AGREEMENT
Authority NEW
Form No PDF 3827 Series No IA COPY Retain 6 yrs 3 mths DESTROY 6 YEARS AFTER TERMINATION OF AGENCY
Org Abbrev FRB
11N hPPLICtTHJH fO
Q-AI IE lS MIT ISSUHf6 h6ENf MfEHfieH DilSED OH Hel 53 81 BQ 01
Item No Nl-53-97-03-0002024
Description of Item CERTIFICATE OF QUALIFICATION-ISSUING AGENT QUALIFY AS AN ISSUING AGENT FOR THE SERIES
1-( 5 ~gt (USSBo6922Bl EE BONDS
TO APPLY AND Authority NEW
Form No PDF 3828 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths D6ST(IOf- 6 r I AR S ~ YI OYrH ~ AFTER TERMINATION OF ISSUING AGENT STATUS ~TION axsuogN Jif l sect481 02 ~
Request For Record Disposition Authority Page 23
Item No Nl-53-97-03-0002025
~ fgtV tNamp-5 p OtvtgtS
Description of Item R20Jlti_S T F-Oa fJOOR F-M7Pr rRrlVSAcT10N BOOK ENTRY REQUEST FOR TRANSACTION IN USSB BY TRUSTEE-60508 Wi PURP06S Cll 11H5 iN ff TO INITIATE A TRANSACTION IN A BOOK ACCOUNT
IN (S
ENTRY
Authority NEW W
Item No bullNl-53-97-03-0002026
5~~ Mf~T flamppound
Form No PDF 3879 Series No ID COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
Description of Item Authority REQU BY THE OWNER OF REISSUE OF US SAVINGS BONDSNOTES-60000 NEW 451 --TITLE ADD BENEFICIARY OR COOWNER ELIMINATE BENE IARY OR DECEDENT SHOW CHANGE O ANDOR CORRECT ERROR I TION --RETENTION (l) FILE SERIES EEE AN VINGS NOTE REISSUE ESSED IN A CALENDAR MONTH BY SERIES I 2 FULL CALENDAR MONTHS bull---=~~bull NOT RETAIN COPIES (2) FORWARD SERIES HHH TIRED BONDS MICROFILM COPIES MAY BE MADE A FREQUENCY TO WARRANT THE COSTS ASSO Form No PDF 4000 Series No Al COPY FRB
0 yr O mths DETERMINE DISPOSITION SEE MEMO FIELD
FORW
Page 23A
0002 026 Form PDF 4000 Request by the owner for reissue of US Savings BondsNotes to add beneficiary or co-owner eliminate beneficiary or decedent show change of name andor correct error in registration
Disposition a) File series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series lil-IH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 24
Item No fll-53-97-03-0002027
Description of Item 4rtNC r REPORT OF NON-RECEIPTLOSSTHEFTDESTRUCTION OF FISCALACHECKmiddotUisZIB m ~JR tl9Hretl-EODH I L0SS fHSFT ~ kiisffilLc_Tfm~ENfv6rrc1f AND APPLICATION FOR REPLACEMENT
Authority NEW
Form No PDF 5235 Series No I Retain 7 yrs O mths C-tfr oF= F1(1amp-lt Ye4RL-- os~oS-
Org Abbrev FRB
Item No Nl-53-97-03-0002028
Description of ORDER IDIRi FOR
Item SERIES
u SAVINCr-~ Authority EE BONDS 8-11111dibijEnJm~~A-H I) ~ poundt A I GP Rc~~W Ba
SERVICE )-11tnNe1uDiESPil~OLl-]l~~~lJ~QRDS
Form No PDF 5263 Series No Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2
IA COPY Org Abbrev
MONTHS AFTER CUTOFF
FRB
Request For Record Disposition Authority Page 25
Item No Description of Item lf5 Sqvv-5 Authority Nl-53-97-03-0002029 ORDER FORM FOR SERIES EEBONDS 8lfl)a te4Dl40~ NEW_
~ dJ0RW ffi~~llv-imtY 00 NbisectiASIT SlsecttlIES=gtEE B~
10 fi ~e-6-- s T pound 12pound Igt I H Y4 M euro lF-- =- DU c 1 k fl r
Form No PDF 5263-1 Series No IA COPY Org Abbrev FRB Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2 MONTHS AFTER CUT OFF
Item No Description of Item SHUTS u s6- D ro Authority ~l-53-97-03-0003001 ACCOUNTABILITY STATEMENTS AND LEDGERYldbJSii606Jkr1a2~ INDICATEa ALL NEW
ACTIVITIES IN ISSUING AGENTS CONSIGNMENT ACCOUNTS LEDGER SHEETS 0 INCLUDE PIECES ON HAND BY DENOMINATION SERIAL NUMBERS AND BALANCES ON HAND
Form No Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3MOS AFTER CUT OFF ~~ sectA~D dm ftCP--53- 78---0zt- -8Q
Request For Record Disposition Authority Page 26
Item No Description of Item Authority Nl-53-97-03-0003002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLl4 i OOt NEW
BY BUREAU OF PUBLIC DEBT OFFICE aw amltS9Sl8 ~Q-gt ~ bull
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS
Org Abbrev
AFTER CUT OFF
FRB
Item No Nl-53-97-03-0003003
Description of Item ___ GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS~~ ~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT DOCUMENTING THE US TREASURY GENERAL ACCOUNT
ENTRIES
Authority NEW ltlillS TO
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Page 10
0001 018 Form PDF 5200 Overpayment history
Disposition a) Ifnot processed in 120 days forward to SBOO
b) Ifclaim disputed within 120 days forward to SBOO to settle claim
c) Ifoverpayment is settled destroy 10 years after settlement
0001 019 Form PDF 5336 Application for disposition - US Savings BondsNotes andor related checks owned by descendent whose estate is being settled without administration
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO You may retain a photocopy for 10 years but you are not required to do so
b) Forward Series HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) Retain copies of supporting evidence for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 11
Item No Nl-53-97-03-0002001
Item No Nl-53-97-03-0002002
)
Description of Item 0 ~ o~srAoi~~orJ-~X CREDIT ADVICEefi()()QQj COVERING REPLACEMENT BONDS OF LOST STOLEN 1mft7 NEW P-S
THESE DOCUMENTS AUTHORIZE THE PROCESSING OF SUBSTITUTE OR REPLACEMENT BONDS WHERE THE ORIGINAL HAS BEEN LOST STOLEN MUTILATED OR DESTROYED AND THE EXTENSION OF CREDIT FOR UNISSUED STOCK AND LOST PAID BONDS PREPARED BY FRB THE DOCUMENTS ARE SENT TO THE PARKERSBURG OFFICE FOR AUDIT~IN LIEU OF THE ORIGINAL BONDS lftZZ 1-FWklJCbulldffii cent 0Astr- T1RMJlii3
Form No Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF llRgti4hitbii1KMifkid)f 81 i eg IJ-4 1 IEz
Description of Item RfLATlf6- ro TflG Authority CORRESPONDENCE AND FORMSA~ CORRECTIONREISSUE OF SAVINGS BONDS NEW
mm~~L~~n~~~~ To As FORWARDING ITEMS~ (msi2~ ~dcopy-~P 4-a0 NPffim-l
~-
Form No Series No Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF ~~~t52~
Request For Record Disposition Authority Page 12
Item No lNl-53-97-03-0002003
Item No Nl-53-97-03-0002004
Description of Item Authority REISSUE REQUEST FOR SAVINGS BONDS SERIES E~ NEW48 REQUESTS PROCESSED WITHIN A GIVEN CALENDAR MONTH SHOULD BE FILED BY SERIES IN A DAILY CHRONOLOGICAL ORDER WITHOUT ALPHBETIZING OR OTHER FILE ARRANGEMENT ~wp29l1hjroe $JSEit2W Nf)r 4~
Form No Series No 1 Org Abbrev FRB Retain 0 yrs 2 mths CUTOFF FILE EACH MONTH AND HOLD FOR TWO MONTHS THIN FORWARD TO SBOO
Description of Item __ _ Authority REISSUE REQUEST FOR SAVINGS BONDS SERIES HHH-wifJl NEW (19
-~ Form No Series No Org Abbrev FRB Retain 0 yrs 1 mths RETAIN FOR 1 WEEK THEN TRANSFER TO SBOO BANKS MAY WISH TO MICROFILM AND RETAIN LONGER AT THEIR EXPENSE
Request For Record Disposition Authority Page 13
Item No Nl-53-97-03-000200S
Item No ~l-53-97-03-0002006
Description of Item Authority BOOK ENTRY STATEMENT OF ACTIVITVfflsectQi FOR EACH TRUSTEE ACCOUNT NEW TRANSFER ADVICES ADJUSTMENT ADVICES PERMANENT RECEIPTS BOOK ENTRY A~C REQUESTS REISSUE REQUESTS AND RELATED CLASSIFICATION LISTINGS ~jj2111$1D US~[)
TO REFLECT ALL ADJUSTMENTS TO THE ISSUING AND PAYING AGENTS ACCOUNTS
Form No Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF JbtifllrNfROiiAAiki DfbNbkSSP Hf irit 4Ai6l
Description of It~~f4 1gt1~euroD Authority SEN - bull NEW
E T IN F S R
~~lOtlLU=bull c A F- Jgt r o _middot c o 5 1pound M r To pspos70 o~ -Nrtro srArs $ fl4L euro--~ A-f(D ~li-c-A-r~ O CU-5-cf_4 w1r1+0wT A--0tltNfS~rotv tgtF
06C-G-~ E 0 DW1f~ILbulls F-S11gtlt-1E
Form No PDF 1050 Series No Al COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY liei6X8WY~Mfdi iMTgt-fJPiPL TRANSFER TO FRC AS VOLUME WARRANTS 0Q Z 6i ifosectfkaTgt Jj 00$ampQ (8f jjp-SltPi91ti 2MA-b () (iS T fJ 0 r Cgt r 6-A42-gt A- F rF-A- cCfT o Ff-
Request For Record Disposition Authority Page 14
Item No Description of Item Authority Nl-53-97-03-0002007 EST BY FIDUCIARY-60000 FOR REISSUE OF US SAVINGS BONDSNOTES NEW 425
--RET ON (1) FILE SERIES EEE AND SAVINGS NO ISSUE REQUESTS6i-ti N i-t t f A-amppound PROCESSED CALENDAR MONTH BY SERIES IN LY CHRONOLOGICAL ORDER
MONTHS BEFORE FORWARDING TO SBOO DO NOT SERIES HHH REISSUE REQUESTS WEEKLY WITH RETIRED BE MADE AND RETAINED IF ACCESSED WITH SUFFICIE RETENTION ( DISTRUTION AND NOT AS A REQUEST
Series No I Retamiddot bull 10 yrs O mths
ONDITIONS DETERMINE DISPOSITION SEE MEMO FIELD
Item No Description of Item Authority Nl-53-97-03-0002008 SPECIAL FORM OF REQUEST FOR PAYMENTElfiPiampi OF UNITED STATES SAVINGS NEW Cill
AND RETIREMENT SECURITIES WHERE mil USE OF A DETACHED REQUEST IS AUTHORIZED tlms lillJRFJlil O THIS FOIW IS Tit JfSCBIBF BOPILJli EOR HIHCII PaiilEftl H REQUESTlrl)
Form No PDF 1522 Series No I Org Abbrev FRB Retain 0 yrs 1 mths FORWARD TO SBOO WEEKLY
Page 14A
0002 007 Form PDF 1455 Request by fiduciary for reissue ofUS Savings BondsNotes
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series llliH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) When accepted as evidence of distribution and not as a request for reissue retain PD F 1455 for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Page 15
0002 009 Form PDF 1851 Request for reissue for US Savings BondsNotes in name of trustee of a personal trust estate
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Senes HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained 1f accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retied current income bonds
0002 010 Form PDF 1938 Request for reissue ofUS Savmgs BondNotes during the lives of both co-owners
Disposition a) File Series EEE and Savings Note reissue request processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retam original with other accrual request Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 16
Item No Nl-53-97-03-00020ll
Description of Item Authority REINVESTMENT APPLICATIONfiii iiamp TO REQUEST PAYMENT NEW~ lIU s [sJRH IQ MOUfS I ea I iitf AND TO USE PROCEEDS FROM THE PAYMENT OF MATURED BONDS TO PURCHASE NEW BONDS FORWARD PROCESSED FORMS WITH RELATED STUBS TO SBOO WEEKLY IF INCOMPLETE OR OTHERWISE DEFECTIVE REQUEST A CORRECTED APPLICATION IF CORRECTED COPY NOT RECEIVED IN 30 DAYS FORWARD ORIGINAL TO SBOO
Form No PDF 1993 Series No I Org Abbrev Retain 0 yrs O mths FORWARD TO SBOO WEEKLY L9iR ffltifl-bM5EJi2fM QiampJ
FRB
Item No Nl-53-97-03-0002012
Description of Item Authority INVESTIGATION SCHEDULE OF PAID BONDS UNDER INVESTIGATIONLsectfbulllllffl NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ita zan(Bm(aclmztffilgtIeNff cf)lJQlIoIWM0 Qfiamplgtlatz~ltaa~ cblflhti1b(llxlS za~ TH Is FORM IS TO DESCRIBE BONDSNOTES AND GIVE DETAILS OF A TRANSACTION UNDER INVESTIGATION
Form No PDF 2343 Series No A COPY Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER RPfi IWI ii hi Mfilir7 o4cent tit W SR-II2-+481
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 17
Item No Description of Item Authority Nl-53-97-03-0002013 Ast RampF APPLICATIONll2ampMiil FOR RELIEF ON ACCOUNT OF THE LOSS THEFT OR NEW
DESTRUCTION OF PAID US SAVINGS BOND~tJ04PE$sfJ9FtjNEJ ijfltasJ atYlJiUJ THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS JIIMamph $1 lNGll RI 1Spound1111 IQ -HJ IWdiAF95 id Jit61Eel THE te1s1 btCJJ PilfftHCTAL BIGUT(j1ilt 181 PliiYDNampiEISITl
Form No PDF 2517 Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUTOFF aas QIN iifi4ib4s lUWW111 hilldUtiff-- in-1Ff 4ftKJ
Item No Description of Item Authority ~l-53-97-03-0002014 CERTIFICATION ATTACHMEN 1Mi6IAJta C OMtgtt- _~ 0 fr SAVlltr5 (gtOM D OWNfil-S bull NEW~
~P~~Du~wj~ ~~u Z~e= llAemmnF fll~i rn BEHi mrn FORMS w
Form No PDF 2778 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF a 1copy9111ti BtSbL iii Hl 5J U1 ~ 018
Request For Record Disposition Authority Page 18
Item No Nl-53-97-03-0002015
Item No Nl-53-97-03-0002016
Description of Item Authority CLAIM FOR RELIEF ON ACCOUNT OF LOSS THEFT OR DESTRUCTION rmcs 10eo~ NEW Gal
-~~s ~--~~IYP AfrF-fl vALtD ss-1pound 3ur 172tO(Z TO P--1zc_f=-1tdegT 3( C)(UNpoundR
Form No PDF 3062 Series No I Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Description of Item Authority CLAIM FOR RELIEF FOR LOSTSTOLEN OR DESTROYED usSBOND STOCKeampiYu NEW 4il9 DHc ampnI Wbiamp UJCWfal)rjAbiOHIEOP lZJt ibE poundECgtWfriii snoo WEPKpoundYJ COPIES MAY BE MADE AND RETAINED IF ACCESSED WITH SUFFICIENT FREQUENCY TO WARRANT THE COSTS ASSOCIATED WITH CREATION AND RETENTION
Form No PDF 3062-3 Series No Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Page 19
0002 017 Form PDF 3253 Exchange application for US Savings Bonds of series HH
Disposition a) Forward processed forms with related stubs to SBOO weekly
b) If incomplete or otherwise defective request a corrected application If corrected copy not receive in 30 days forward original to SBOO
0002 018 Form PDF 3360 Request for reissue ofUS Savings BondsNotes in the name of person or persons other than the owner (including legal guardian custodian for a minor under a statute etc )
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 20
Item No tNl-53-97-03-0002019
Item No ~1-53-97-03-0002020
Description of Item Authority CONTINUATION SHEET FOR LISTING SECURITIES0863 NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ll 4elJitGiJW aBlEiRMON-H ~clWAA~~ Qllw d5liIIINcentCfiDqltWMS ZOPbHS dSCbEMMEJRgt
Form No PDF 3500 Series No 1B COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF illgtIffl tgtlbllq~SiD ZOJIS ar-ar--91()2 -81B
Description REQUEST FOR
~ S- TftltpoundM lcN-
A 6-fl- F-cT c 1-1- A f fr-fi- OF MA Aeuro
Form No PDF 3564 Series No IA COPY Org Abbrev FRB Retain 1 yrs O mths DESTROY OBSOLETE DOCUMENTS ANNUALLY REnfffI I 5SLO mt Ne1 53 YB Ad 0 3gt
Request For Record Disposition Authority Page 21
Item No Nl-53-97-03-0002021
Description of Item SECURITIES TRANSACTION REQUESIWliiiill THlt-f
Ltif$B---Ftpound]o9 DOCUMENTbull THE WITHDRAWAL OF SECURITIES FROM THE USB VAULT
Authority NEW 280
Form No PDF 3800 Series No D COPY Retain 1 yrs O mths CUT OFF FILE YEARLY DESTROY 1 YEAR AFTER FRB MAY HOLD THIS UNDER THEIR OWN ATHORITY
Org Abbrev
CUT OFF OR amp EXPENSE
FRB
Item No ~1-53-97-03-0002022
Description of Item SECURITIES TRANSACTION REQUEST pound4JS it TkA-T f1H~ DOCUMENT THE RECEIPT ANDOR WITHDRAWAL VAULT
OF SECURITIES FROM
Authority NEW
THE
Form No PDF 3800 Series No E COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF THIS IS A CONTROLAUDIT COPY ~fEHTHm RASPS 1111 II 1 ~ e 0 7 lP(lit-
Request For Record Disposition Authority Page 22
Item No Description of Item ((L iRus r 4(r~ll f11poundVr 1Nl-53-97-03-0002023 APPLICATIONS FOR ISSUING AGENT-- amin~PJT~~jjjjjjjQp bull
f-ll-euro coNIA-lff ORIGINAL AGREEMENT ffllii TO lt81 AS Mf lBBOHIG ACliID AND APPROPRIATE CORRESPONDENCE RELATING TO THIS AGREEMENT
Authority NEW
Form No PDF 3827 Series No IA COPY Retain 6 yrs 3 mths DESTROY 6 YEARS AFTER TERMINATION OF AGENCY
Org Abbrev FRB
11N hPPLICtTHJH fO
Q-AI IE lS MIT ISSUHf6 h6ENf MfEHfieH DilSED OH Hel 53 81 BQ 01
Item No Nl-53-97-03-0002024
Description of Item CERTIFICATE OF QUALIFICATION-ISSUING AGENT QUALIFY AS AN ISSUING AGENT FOR THE SERIES
1-( 5 ~gt (USSBo6922Bl EE BONDS
TO APPLY AND Authority NEW
Form No PDF 3828 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths D6ST(IOf- 6 r I AR S ~ YI OYrH ~ AFTER TERMINATION OF ISSUING AGENT STATUS ~TION axsuogN Jif l sect481 02 ~
Request For Record Disposition Authority Page 23
Item No Nl-53-97-03-0002025
~ fgtV tNamp-5 p OtvtgtS
Description of Item R20Jlti_S T F-Oa fJOOR F-M7Pr rRrlVSAcT10N BOOK ENTRY REQUEST FOR TRANSACTION IN USSB BY TRUSTEE-60508 Wi PURP06S Cll 11H5 iN ff TO INITIATE A TRANSACTION IN A BOOK ACCOUNT
IN (S
ENTRY
Authority NEW W
Item No bullNl-53-97-03-0002026
5~~ Mf~T flamppound
Form No PDF 3879 Series No ID COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
Description of Item Authority REQU BY THE OWNER OF REISSUE OF US SAVINGS BONDSNOTES-60000 NEW 451 --TITLE ADD BENEFICIARY OR COOWNER ELIMINATE BENE IARY OR DECEDENT SHOW CHANGE O ANDOR CORRECT ERROR I TION --RETENTION (l) FILE SERIES EEE AN VINGS NOTE REISSUE ESSED IN A CALENDAR MONTH BY SERIES I 2 FULL CALENDAR MONTHS bull---=~~bull NOT RETAIN COPIES (2) FORWARD SERIES HHH TIRED BONDS MICROFILM COPIES MAY BE MADE A FREQUENCY TO WARRANT THE COSTS ASSO Form No PDF 4000 Series No Al COPY FRB
0 yr O mths DETERMINE DISPOSITION SEE MEMO FIELD
FORW
Page 23A
0002 026 Form PDF 4000 Request by the owner for reissue of US Savings BondsNotes to add beneficiary or co-owner eliminate beneficiary or decedent show change of name andor correct error in registration
Disposition a) File series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series lil-IH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 24
Item No fll-53-97-03-0002027
Description of Item 4rtNC r REPORT OF NON-RECEIPTLOSSTHEFTDESTRUCTION OF FISCALACHECKmiddotUisZIB m ~JR tl9Hretl-EODH I L0SS fHSFT ~ kiisffilLc_Tfm~ENfv6rrc1f AND APPLICATION FOR REPLACEMENT
Authority NEW
Form No PDF 5235 Series No I Retain 7 yrs O mths C-tfr oF= F1(1amp-lt Ye4RL-- os~oS-
Org Abbrev FRB
Item No Nl-53-97-03-0002028
Description of ORDER IDIRi FOR
Item SERIES
u SAVINCr-~ Authority EE BONDS 8-11111dibijEnJm~~A-H I) ~ poundt A I GP Rc~~W Ba
SERVICE )-11tnNe1uDiESPil~OLl-]l~~~lJ~QRDS
Form No PDF 5263 Series No Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2
IA COPY Org Abbrev
MONTHS AFTER CUTOFF
FRB
Request For Record Disposition Authority Page 25
Item No Description of Item lf5 Sqvv-5 Authority Nl-53-97-03-0002029 ORDER FORM FOR SERIES EEBONDS 8lfl)a te4Dl40~ NEW_
~ dJ0RW ffi~~llv-imtY 00 NbisectiASIT SlsecttlIES=gtEE B~
10 fi ~e-6-- s T pound 12pound Igt I H Y4 M euro lF-- =- DU c 1 k fl r
Form No PDF 5263-1 Series No IA COPY Org Abbrev FRB Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2 MONTHS AFTER CUT OFF
Item No Description of Item SHUTS u s6- D ro Authority ~l-53-97-03-0003001 ACCOUNTABILITY STATEMENTS AND LEDGERYldbJSii606Jkr1a2~ INDICATEa ALL NEW
ACTIVITIES IN ISSUING AGENTS CONSIGNMENT ACCOUNTS LEDGER SHEETS 0 INCLUDE PIECES ON HAND BY DENOMINATION SERIAL NUMBERS AND BALANCES ON HAND
Form No Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3MOS AFTER CUT OFF ~~ sectA~D dm ftCP--53- 78---0zt- -8Q
Request For Record Disposition Authority Page 26
Item No Description of Item Authority Nl-53-97-03-0003002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLl4 i OOt NEW
BY BUREAU OF PUBLIC DEBT OFFICE aw amltS9Sl8 ~Q-gt ~ bull
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS
Org Abbrev
AFTER CUT OFF
FRB
Item No Nl-53-97-03-0003003
Description of Item ___ GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS~~ ~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT DOCUMENTING THE US TREASURY GENERAL ACCOUNT
ENTRIES
Authority NEW ltlillS TO
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 11
Item No Nl-53-97-03-0002001
Item No Nl-53-97-03-0002002
)
Description of Item 0 ~ o~srAoi~~orJ-~X CREDIT ADVICEefi()()QQj COVERING REPLACEMENT BONDS OF LOST STOLEN 1mft7 NEW P-S
THESE DOCUMENTS AUTHORIZE THE PROCESSING OF SUBSTITUTE OR REPLACEMENT BONDS WHERE THE ORIGINAL HAS BEEN LOST STOLEN MUTILATED OR DESTROYED AND THE EXTENSION OF CREDIT FOR UNISSUED STOCK AND LOST PAID BONDS PREPARED BY FRB THE DOCUMENTS ARE SENT TO THE PARKERSBURG OFFICE FOR AUDIT~IN LIEU OF THE ORIGINAL BONDS lftZZ 1-FWklJCbulldffii cent 0Astr- T1RMJlii3
Form No Series No Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY DESTROY 10 YRS AFTER CUT OFF llRgti4hitbii1KMifkid)f 81 i eg IJ-4 1 IEz
Description of Item RfLATlf6- ro TflG Authority CORRESPONDENCE AND FORMSA~ CORRECTIONREISSUE OF SAVINGS BONDS NEW
mm~~L~~n~~~~ To As FORWARDING ITEMS~ (msi2~ ~dcopy-~P 4-a0 NPffim-l
~-
Form No Series No Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF ~~~t52~
Request For Record Disposition Authority Page 12
Item No lNl-53-97-03-0002003
Item No Nl-53-97-03-0002004
Description of Item Authority REISSUE REQUEST FOR SAVINGS BONDS SERIES E~ NEW48 REQUESTS PROCESSED WITHIN A GIVEN CALENDAR MONTH SHOULD BE FILED BY SERIES IN A DAILY CHRONOLOGICAL ORDER WITHOUT ALPHBETIZING OR OTHER FILE ARRANGEMENT ~wp29l1hjroe $JSEit2W Nf)r 4~
Form No Series No 1 Org Abbrev FRB Retain 0 yrs 2 mths CUTOFF FILE EACH MONTH AND HOLD FOR TWO MONTHS THIN FORWARD TO SBOO
Description of Item __ _ Authority REISSUE REQUEST FOR SAVINGS BONDS SERIES HHH-wifJl NEW (19
-~ Form No Series No Org Abbrev FRB Retain 0 yrs 1 mths RETAIN FOR 1 WEEK THEN TRANSFER TO SBOO BANKS MAY WISH TO MICROFILM AND RETAIN LONGER AT THEIR EXPENSE
Request For Record Disposition Authority Page 13
Item No Nl-53-97-03-000200S
Item No ~l-53-97-03-0002006
Description of Item Authority BOOK ENTRY STATEMENT OF ACTIVITVfflsectQi FOR EACH TRUSTEE ACCOUNT NEW TRANSFER ADVICES ADJUSTMENT ADVICES PERMANENT RECEIPTS BOOK ENTRY A~C REQUESTS REISSUE REQUESTS AND RELATED CLASSIFICATION LISTINGS ~jj2111$1D US~[)
TO REFLECT ALL ADJUSTMENTS TO THE ISSUING AND PAYING AGENTS ACCOUNTS
Form No Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF JbtifllrNfROiiAAiki DfbNbkSSP Hf irit 4Ai6l
Description of It~~f4 1gt1~euroD Authority SEN - bull NEW
E T IN F S R
~~lOtlLU=bull c A F- Jgt r o _middot c o 5 1pound M r To pspos70 o~ -Nrtro srArs $ fl4L euro--~ A-f(D ~li-c-A-r~ O CU-5-cf_4 w1r1+0wT A--0tltNfS~rotv tgtF
06C-G-~ E 0 DW1f~ILbulls F-S11gtlt-1E
Form No PDF 1050 Series No Al COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY liei6X8WY~Mfdi iMTgt-fJPiPL TRANSFER TO FRC AS VOLUME WARRANTS 0Q Z 6i ifosectfkaTgt Jj 00$ampQ (8f jjp-SltPi91ti 2MA-b () (iS T fJ 0 r Cgt r 6-A42-gt A- F rF-A- cCfT o Ff-
Request For Record Disposition Authority Page 14
Item No Description of Item Authority Nl-53-97-03-0002007 EST BY FIDUCIARY-60000 FOR REISSUE OF US SAVINGS BONDSNOTES NEW 425
--RET ON (1) FILE SERIES EEE AND SAVINGS NO ISSUE REQUESTS6i-ti N i-t t f A-amppound PROCESSED CALENDAR MONTH BY SERIES IN LY CHRONOLOGICAL ORDER
MONTHS BEFORE FORWARDING TO SBOO DO NOT SERIES HHH REISSUE REQUESTS WEEKLY WITH RETIRED BE MADE AND RETAINED IF ACCESSED WITH SUFFICIE RETENTION ( DISTRUTION AND NOT AS A REQUEST
Series No I Retamiddot bull 10 yrs O mths
ONDITIONS DETERMINE DISPOSITION SEE MEMO FIELD
Item No Description of Item Authority Nl-53-97-03-0002008 SPECIAL FORM OF REQUEST FOR PAYMENTElfiPiampi OF UNITED STATES SAVINGS NEW Cill
AND RETIREMENT SECURITIES WHERE mil USE OF A DETACHED REQUEST IS AUTHORIZED tlms lillJRFJlil O THIS FOIW IS Tit JfSCBIBF BOPILJli EOR HIHCII PaiilEftl H REQUESTlrl)
Form No PDF 1522 Series No I Org Abbrev FRB Retain 0 yrs 1 mths FORWARD TO SBOO WEEKLY
Page 14A
0002 007 Form PDF 1455 Request by fiduciary for reissue ofUS Savings BondsNotes
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series llliH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) When accepted as evidence of distribution and not as a request for reissue retain PD F 1455 for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Page 15
0002 009 Form PDF 1851 Request for reissue for US Savings BondsNotes in name of trustee of a personal trust estate
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Senes HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained 1f accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retied current income bonds
0002 010 Form PDF 1938 Request for reissue ofUS Savmgs BondNotes during the lives of both co-owners
Disposition a) File Series EEE and Savings Note reissue request processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retam original with other accrual request Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 16
Item No Nl-53-97-03-00020ll
Description of Item Authority REINVESTMENT APPLICATIONfiii iiamp TO REQUEST PAYMENT NEW~ lIU s [sJRH IQ MOUfS I ea I iitf AND TO USE PROCEEDS FROM THE PAYMENT OF MATURED BONDS TO PURCHASE NEW BONDS FORWARD PROCESSED FORMS WITH RELATED STUBS TO SBOO WEEKLY IF INCOMPLETE OR OTHERWISE DEFECTIVE REQUEST A CORRECTED APPLICATION IF CORRECTED COPY NOT RECEIVED IN 30 DAYS FORWARD ORIGINAL TO SBOO
Form No PDF 1993 Series No I Org Abbrev Retain 0 yrs O mths FORWARD TO SBOO WEEKLY L9iR ffltifl-bM5EJi2fM QiampJ
FRB
Item No Nl-53-97-03-0002012
Description of Item Authority INVESTIGATION SCHEDULE OF PAID BONDS UNDER INVESTIGATIONLsectfbulllllffl NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ita zan(Bm(aclmztffilgtIeNff cf)lJQlIoIWM0 Qfiamplgtlatz~ltaa~ cblflhti1b(llxlS za~ TH Is FORM IS TO DESCRIBE BONDSNOTES AND GIVE DETAILS OF A TRANSACTION UNDER INVESTIGATION
Form No PDF 2343 Series No A COPY Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER RPfi IWI ii hi Mfilir7 o4cent tit W SR-II2-+481
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 17
Item No Description of Item Authority Nl-53-97-03-0002013 Ast RampF APPLICATIONll2ampMiil FOR RELIEF ON ACCOUNT OF THE LOSS THEFT OR NEW
DESTRUCTION OF PAID US SAVINGS BOND~tJ04PE$sfJ9FtjNEJ ijfltasJ atYlJiUJ THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS JIIMamph $1 lNGll RI 1Spound1111 IQ -HJ IWdiAF95 id Jit61Eel THE te1s1 btCJJ PilfftHCTAL BIGUT(j1ilt 181 PliiYDNampiEISITl
Form No PDF 2517 Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUTOFF aas QIN iifi4ib4s lUWW111 hilldUtiff-- in-1Ff 4ftKJ
Item No Description of Item Authority ~l-53-97-03-0002014 CERTIFICATION ATTACHMEN 1Mi6IAJta C OMtgtt- _~ 0 fr SAVlltr5 (gtOM D OWNfil-S bull NEW~
~P~~Du~wj~ ~~u Z~e= llAemmnF fll~i rn BEHi mrn FORMS w
Form No PDF 2778 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF a 1copy9111ti BtSbL iii Hl 5J U1 ~ 018
Request For Record Disposition Authority Page 18
Item No Nl-53-97-03-0002015
Item No Nl-53-97-03-0002016
Description of Item Authority CLAIM FOR RELIEF ON ACCOUNT OF LOSS THEFT OR DESTRUCTION rmcs 10eo~ NEW Gal
-~~s ~--~~IYP AfrF-fl vALtD ss-1pound 3ur 172tO(Z TO P--1zc_f=-1tdegT 3( C)(UNpoundR
Form No PDF 3062 Series No I Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Description of Item Authority CLAIM FOR RELIEF FOR LOSTSTOLEN OR DESTROYED usSBOND STOCKeampiYu NEW 4il9 DHc ampnI Wbiamp UJCWfal)rjAbiOHIEOP lZJt ibE poundECgtWfriii snoo WEPKpoundYJ COPIES MAY BE MADE AND RETAINED IF ACCESSED WITH SUFFICIENT FREQUENCY TO WARRANT THE COSTS ASSOCIATED WITH CREATION AND RETENTION
Form No PDF 3062-3 Series No Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Page 19
0002 017 Form PDF 3253 Exchange application for US Savings Bonds of series HH
Disposition a) Forward processed forms with related stubs to SBOO weekly
b) If incomplete or otherwise defective request a corrected application If corrected copy not receive in 30 days forward original to SBOO
0002 018 Form PDF 3360 Request for reissue ofUS Savings BondsNotes in the name of person or persons other than the owner (including legal guardian custodian for a minor under a statute etc )
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 20
Item No tNl-53-97-03-0002019
Item No ~1-53-97-03-0002020
Description of Item Authority CONTINUATION SHEET FOR LISTING SECURITIES0863 NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ll 4elJitGiJW aBlEiRMON-H ~clWAA~~ Qllw d5liIIINcentCfiDqltWMS ZOPbHS dSCbEMMEJRgt
Form No PDF 3500 Series No 1B COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF illgtIffl tgtlbllq~SiD ZOJIS ar-ar--91()2 -81B
Description REQUEST FOR
~ S- TftltpoundM lcN-
A 6-fl- F-cT c 1-1- A f fr-fi- OF MA Aeuro
Form No PDF 3564 Series No IA COPY Org Abbrev FRB Retain 1 yrs O mths DESTROY OBSOLETE DOCUMENTS ANNUALLY REnfffI I 5SLO mt Ne1 53 YB Ad 0 3gt
Request For Record Disposition Authority Page 21
Item No Nl-53-97-03-0002021
Description of Item SECURITIES TRANSACTION REQUESIWliiiill THlt-f
Ltif$B---Ftpound]o9 DOCUMENTbull THE WITHDRAWAL OF SECURITIES FROM THE USB VAULT
Authority NEW 280
Form No PDF 3800 Series No D COPY Retain 1 yrs O mths CUT OFF FILE YEARLY DESTROY 1 YEAR AFTER FRB MAY HOLD THIS UNDER THEIR OWN ATHORITY
Org Abbrev
CUT OFF OR amp EXPENSE
FRB
Item No ~1-53-97-03-0002022
Description of Item SECURITIES TRANSACTION REQUEST pound4JS it TkA-T f1H~ DOCUMENT THE RECEIPT ANDOR WITHDRAWAL VAULT
OF SECURITIES FROM
Authority NEW
THE
Form No PDF 3800 Series No E COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF THIS IS A CONTROLAUDIT COPY ~fEHTHm RASPS 1111 II 1 ~ e 0 7 lP(lit-
Request For Record Disposition Authority Page 22
Item No Description of Item ((L iRus r 4(r~ll f11poundVr 1Nl-53-97-03-0002023 APPLICATIONS FOR ISSUING AGENT-- amin~PJT~~jjjjjjjQp bull
f-ll-euro coNIA-lff ORIGINAL AGREEMENT ffllii TO lt81 AS Mf lBBOHIG ACliID AND APPROPRIATE CORRESPONDENCE RELATING TO THIS AGREEMENT
Authority NEW
Form No PDF 3827 Series No IA COPY Retain 6 yrs 3 mths DESTROY 6 YEARS AFTER TERMINATION OF AGENCY
Org Abbrev FRB
11N hPPLICtTHJH fO
Q-AI IE lS MIT ISSUHf6 h6ENf MfEHfieH DilSED OH Hel 53 81 BQ 01
Item No Nl-53-97-03-0002024
Description of Item CERTIFICATE OF QUALIFICATION-ISSUING AGENT QUALIFY AS AN ISSUING AGENT FOR THE SERIES
1-( 5 ~gt (USSBo6922Bl EE BONDS
TO APPLY AND Authority NEW
Form No PDF 3828 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths D6ST(IOf- 6 r I AR S ~ YI OYrH ~ AFTER TERMINATION OF ISSUING AGENT STATUS ~TION axsuogN Jif l sect481 02 ~
Request For Record Disposition Authority Page 23
Item No Nl-53-97-03-0002025
~ fgtV tNamp-5 p OtvtgtS
Description of Item R20Jlti_S T F-Oa fJOOR F-M7Pr rRrlVSAcT10N BOOK ENTRY REQUEST FOR TRANSACTION IN USSB BY TRUSTEE-60508 Wi PURP06S Cll 11H5 iN ff TO INITIATE A TRANSACTION IN A BOOK ACCOUNT
IN (S
ENTRY
Authority NEW W
Item No bullNl-53-97-03-0002026
5~~ Mf~T flamppound
Form No PDF 3879 Series No ID COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
Description of Item Authority REQU BY THE OWNER OF REISSUE OF US SAVINGS BONDSNOTES-60000 NEW 451 --TITLE ADD BENEFICIARY OR COOWNER ELIMINATE BENE IARY OR DECEDENT SHOW CHANGE O ANDOR CORRECT ERROR I TION --RETENTION (l) FILE SERIES EEE AN VINGS NOTE REISSUE ESSED IN A CALENDAR MONTH BY SERIES I 2 FULL CALENDAR MONTHS bull---=~~bull NOT RETAIN COPIES (2) FORWARD SERIES HHH TIRED BONDS MICROFILM COPIES MAY BE MADE A FREQUENCY TO WARRANT THE COSTS ASSO Form No PDF 4000 Series No Al COPY FRB
0 yr O mths DETERMINE DISPOSITION SEE MEMO FIELD
FORW
Page 23A
0002 026 Form PDF 4000 Request by the owner for reissue of US Savings BondsNotes to add beneficiary or co-owner eliminate beneficiary or decedent show change of name andor correct error in registration
Disposition a) File series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series lil-IH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 24
Item No fll-53-97-03-0002027
Description of Item 4rtNC r REPORT OF NON-RECEIPTLOSSTHEFTDESTRUCTION OF FISCALACHECKmiddotUisZIB m ~JR tl9Hretl-EODH I L0SS fHSFT ~ kiisffilLc_Tfm~ENfv6rrc1f AND APPLICATION FOR REPLACEMENT
Authority NEW
Form No PDF 5235 Series No I Retain 7 yrs O mths C-tfr oF= F1(1amp-lt Ye4RL-- os~oS-
Org Abbrev FRB
Item No Nl-53-97-03-0002028
Description of ORDER IDIRi FOR
Item SERIES
u SAVINCr-~ Authority EE BONDS 8-11111dibijEnJm~~A-H I) ~ poundt A I GP Rc~~W Ba
SERVICE )-11tnNe1uDiESPil~OLl-]l~~~lJ~QRDS
Form No PDF 5263 Series No Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2
IA COPY Org Abbrev
MONTHS AFTER CUTOFF
FRB
Request For Record Disposition Authority Page 25
Item No Description of Item lf5 Sqvv-5 Authority Nl-53-97-03-0002029 ORDER FORM FOR SERIES EEBONDS 8lfl)a te4Dl40~ NEW_
~ dJ0RW ffi~~llv-imtY 00 NbisectiASIT SlsecttlIES=gtEE B~
10 fi ~e-6-- s T pound 12pound Igt I H Y4 M euro lF-- =- DU c 1 k fl r
Form No PDF 5263-1 Series No IA COPY Org Abbrev FRB Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2 MONTHS AFTER CUT OFF
Item No Description of Item SHUTS u s6- D ro Authority ~l-53-97-03-0003001 ACCOUNTABILITY STATEMENTS AND LEDGERYldbJSii606Jkr1a2~ INDICATEa ALL NEW
ACTIVITIES IN ISSUING AGENTS CONSIGNMENT ACCOUNTS LEDGER SHEETS 0 INCLUDE PIECES ON HAND BY DENOMINATION SERIAL NUMBERS AND BALANCES ON HAND
Form No Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3MOS AFTER CUT OFF ~~ sectA~D dm ftCP--53- 78---0zt- -8Q
Request For Record Disposition Authority Page 26
Item No Description of Item Authority Nl-53-97-03-0003002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLl4 i OOt NEW
BY BUREAU OF PUBLIC DEBT OFFICE aw amltS9Sl8 ~Q-gt ~ bull
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS
Org Abbrev
AFTER CUT OFF
FRB
Item No Nl-53-97-03-0003003
Description of Item ___ GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS~~ ~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT DOCUMENTING THE US TREASURY GENERAL ACCOUNT
ENTRIES
Authority NEW ltlillS TO
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 12
Item No lNl-53-97-03-0002003
Item No Nl-53-97-03-0002004
Description of Item Authority REISSUE REQUEST FOR SAVINGS BONDS SERIES E~ NEW48 REQUESTS PROCESSED WITHIN A GIVEN CALENDAR MONTH SHOULD BE FILED BY SERIES IN A DAILY CHRONOLOGICAL ORDER WITHOUT ALPHBETIZING OR OTHER FILE ARRANGEMENT ~wp29l1hjroe $JSEit2W Nf)r 4~
Form No Series No 1 Org Abbrev FRB Retain 0 yrs 2 mths CUTOFF FILE EACH MONTH AND HOLD FOR TWO MONTHS THIN FORWARD TO SBOO
Description of Item __ _ Authority REISSUE REQUEST FOR SAVINGS BONDS SERIES HHH-wifJl NEW (19
-~ Form No Series No Org Abbrev FRB Retain 0 yrs 1 mths RETAIN FOR 1 WEEK THEN TRANSFER TO SBOO BANKS MAY WISH TO MICROFILM AND RETAIN LONGER AT THEIR EXPENSE
Request For Record Disposition Authority Page 13
Item No Nl-53-97-03-000200S
Item No ~l-53-97-03-0002006
Description of Item Authority BOOK ENTRY STATEMENT OF ACTIVITVfflsectQi FOR EACH TRUSTEE ACCOUNT NEW TRANSFER ADVICES ADJUSTMENT ADVICES PERMANENT RECEIPTS BOOK ENTRY A~C REQUESTS REISSUE REQUESTS AND RELATED CLASSIFICATION LISTINGS ~jj2111$1D US~[)
TO REFLECT ALL ADJUSTMENTS TO THE ISSUING AND PAYING AGENTS ACCOUNTS
Form No Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF JbtifllrNfROiiAAiki DfbNbkSSP Hf irit 4Ai6l
Description of It~~f4 1gt1~euroD Authority SEN - bull NEW
E T IN F S R
~~lOtlLU=bull c A F- Jgt r o _middot c o 5 1pound M r To pspos70 o~ -Nrtro srArs $ fl4L euro--~ A-f(D ~li-c-A-r~ O CU-5-cf_4 w1r1+0wT A--0tltNfS~rotv tgtF
06C-G-~ E 0 DW1f~ILbulls F-S11gtlt-1E
Form No PDF 1050 Series No Al COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY liei6X8WY~Mfdi iMTgt-fJPiPL TRANSFER TO FRC AS VOLUME WARRANTS 0Q Z 6i ifosectfkaTgt Jj 00$ampQ (8f jjp-SltPi91ti 2MA-b () (iS T fJ 0 r Cgt r 6-A42-gt A- F rF-A- cCfT o Ff-
Request For Record Disposition Authority Page 14
Item No Description of Item Authority Nl-53-97-03-0002007 EST BY FIDUCIARY-60000 FOR REISSUE OF US SAVINGS BONDSNOTES NEW 425
--RET ON (1) FILE SERIES EEE AND SAVINGS NO ISSUE REQUESTS6i-ti N i-t t f A-amppound PROCESSED CALENDAR MONTH BY SERIES IN LY CHRONOLOGICAL ORDER
MONTHS BEFORE FORWARDING TO SBOO DO NOT SERIES HHH REISSUE REQUESTS WEEKLY WITH RETIRED BE MADE AND RETAINED IF ACCESSED WITH SUFFICIE RETENTION ( DISTRUTION AND NOT AS A REQUEST
Series No I Retamiddot bull 10 yrs O mths
ONDITIONS DETERMINE DISPOSITION SEE MEMO FIELD
Item No Description of Item Authority Nl-53-97-03-0002008 SPECIAL FORM OF REQUEST FOR PAYMENTElfiPiampi OF UNITED STATES SAVINGS NEW Cill
AND RETIREMENT SECURITIES WHERE mil USE OF A DETACHED REQUEST IS AUTHORIZED tlms lillJRFJlil O THIS FOIW IS Tit JfSCBIBF BOPILJli EOR HIHCII PaiilEftl H REQUESTlrl)
Form No PDF 1522 Series No I Org Abbrev FRB Retain 0 yrs 1 mths FORWARD TO SBOO WEEKLY
Page 14A
0002 007 Form PDF 1455 Request by fiduciary for reissue ofUS Savings BondsNotes
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series llliH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) When accepted as evidence of distribution and not as a request for reissue retain PD F 1455 for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Page 15
0002 009 Form PDF 1851 Request for reissue for US Savings BondsNotes in name of trustee of a personal trust estate
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Senes HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained 1f accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retied current income bonds
0002 010 Form PDF 1938 Request for reissue ofUS Savmgs BondNotes during the lives of both co-owners
Disposition a) File Series EEE and Savings Note reissue request processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retam original with other accrual request Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 16
Item No Nl-53-97-03-00020ll
Description of Item Authority REINVESTMENT APPLICATIONfiii iiamp TO REQUEST PAYMENT NEW~ lIU s [sJRH IQ MOUfS I ea I iitf AND TO USE PROCEEDS FROM THE PAYMENT OF MATURED BONDS TO PURCHASE NEW BONDS FORWARD PROCESSED FORMS WITH RELATED STUBS TO SBOO WEEKLY IF INCOMPLETE OR OTHERWISE DEFECTIVE REQUEST A CORRECTED APPLICATION IF CORRECTED COPY NOT RECEIVED IN 30 DAYS FORWARD ORIGINAL TO SBOO
Form No PDF 1993 Series No I Org Abbrev Retain 0 yrs O mths FORWARD TO SBOO WEEKLY L9iR ffltifl-bM5EJi2fM QiampJ
FRB
Item No Nl-53-97-03-0002012
Description of Item Authority INVESTIGATION SCHEDULE OF PAID BONDS UNDER INVESTIGATIONLsectfbulllllffl NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ita zan(Bm(aclmztffilgtIeNff cf)lJQlIoIWM0 Qfiamplgtlatz~ltaa~ cblflhti1b(llxlS za~ TH Is FORM IS TO DESCRIBE BONDSNOTES AND GIVE DETAILS OF A TRANSACTION UNDER INVESTIGATION
Form No PDF 2343 Series No A COPY Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER RPfi IWI ii hi Mfilir7 o4cent tit W SR-II2-+481
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 17
Item No Description of Item Authority Nl-53-97-03-0002013 Ast RampF APPLICATIONll2ampMiil FOR RELIEF ON ACCOUNT OF THE LOSS THEFT OR NEW
DESTRUCTION OF PAID US SAVINGS BOND~tJ04PE$sfJ9FtjNEJ ijfltasJ atYlJiUJ THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS JIIMamph $1 lNGll RI 1Spound1111 IQ -HJ IWdiAF95 id Jit61Eel THE te1s1 btCJJ PilfftHCTAL BIGUT(j1ilt 181 PliiYDNampiEISITl
Form No PDF 2517 Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUTOFF aas QIN iifi4ib4s lUWW111 hilldUtiff-- in-1Ff 4ftKJ
Item No Description of Item Authority ~l-53-97-03-0002014 CERTIFICATION ATTACHMEN 1Mi6IAJta C OMtgtt- _~ 0 fr SAVlltr5 (gtOM D OWNfil-S bull NEW~
~P~~Du~wj~ ~~u Z~e= llAemmnF fll~i rn BEHi mrn FORMS w
Form No PDF 2778 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF a 1copy9111ti BtSbL iii Hl 5J U1 ~ 018
Request For Record Disposition Authority Page 18
Item No Nl-53-97-03-0002015
Item No Nl-53-97-03-0002016
Description of Item Authority CLAIM FOR RELIEF ON ACCOUNT OF LOSS THEFT OR DESTRUCTION rmcs 10eo~ NEW Gal
-~~s ~--~~IYP AfrF-fl vALtD ss-1pound 3ur 172tO(Z TO P--1zc_f=-1tdegT 3( C)(UNpoundR
Form No PDF 3062 Series No I Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Description of Item Authority CLAIM FOR RELIEF FOR LOSTSTOLEN OR DESTROYED usSBOND STOCKeampiYu NEW 4il9 DHc ampnI Wbiamp UJCWfal)rjAbiOHIEOP lZJt ibE poundECgtWfriii snoo WEPKpoundYJ COPIES MAY BE MADE AND RETAINED IF ACCESSED WITH SUFFICIENT FREQUENCY TO WARRANT THE COSTS ASSOCIATED WITH CREATION AND RETENTION
Form No PDF 3062-3 Series No Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Page 19
0002 017 Form PDF 3253 Exchange application for US Savings Bonds of series HH
Disposition a) Forward processed forms with related stubs to SBOO weekly
b) If incomplete or otherwise defective request a corrected application If corrected copy not receive in 30 days forward original to SBOO
0002 018 Form PDF 3360 Request for reissue ofUS Savings BondsNotes in the name of person or persons other than the owner (including legal guardian custodian for a minor under a statute etc )
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 20
Item No tNl-53-97-03-0002019
Item No ~1-53-97-03-0002020
Description of Item Authority CONTINUATION SHEET FOR LISTING SECURITIES0863 NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ll 4elJitGiJW aBlEiRMON-H ~clWAA~~ Qllw d5liIIINcentCfiDqltWMS ZOPbHS dSCbEMMEJRgt
Form No PDF 3500 Series No 1B COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF illgtIffl tgtlbllq~SiD ZOJIS ar-ar--91()2 -81B
Description REQUEST FOR
~ S- TftltpoundM lcN-
A 6-fl- F-cT c 1-1- A f fr-fi- OF MA Aeuro
Form No PDF 3564 Series No IA COPY Org Abbrev FRB Retain 1 yrs O mths DESTROY OBSOLETE DOCUMENTS ANNUALLY REnfffI I 5SLO mt Ne1 53 YB Ad 0 3gt
Request For Record Disposition Authority Page 21
Item No Nl-53-97-03-0002021
Description of Item SECURITIES TRANSACTION REQUESIWliiiill THlt-f
Ltif$B---Ftpound]o9 DOCUMENTbull THE WITHDRAWAL OF SECURITIES FROM THE USB VAULT
Authority NEW 280
Form No PDF 3800 Series No D COPY Retain 1 yrs O mths CUT OFF FILE YEARLY DESTROY 1 YEAR AFTER FRB MAY HOLD THIS UNDER THEIR OWN ATHORITY
Org Abbrev
CUT OFF OR amp EXPENSE
FRB
Item No ~1-53-97-03-0002022
Description of Item SECURITIES TRANSACTION REQUEST pound4JS it TkA-T f1H~ DOCUMENT THE RECEIPT ANDOR WITHDRAWAL VAULT
OF SECURITIES FROM
Authority NEW
THE
Form No PDF 3800 Series No E COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF THIS IS A CONTROLAUDIT COPY ~fEHTHm RASPS 1111 II 1 ~ e 0 7 lP(lit-
Request For Record Disposition Authority Page 22
Item No Description of Item ((L iRus r 4(r~ll f11poundVr 1Nl-53-97-03-0002023 APPLICATIONS FOR ISSUING AGENT-- amin~PJT~~jjjjjjjQp bull
f-ll-euro coNIA-lff ORIGINAL AGREEMENT ffllii TO lt81 AS Mf lBBOHIG ACliID AND APPROPRIATE CORRESPONDENCE RELATING TO THIS AGREEMENT
Authority NEW
Form No PDF 3827 Series No IA COPY Retain 6 yrs 3 mths DESTROY 6 YEARS AFTER TERMINATION OF AGENCY
Org Abbrev FRB
11N hPPLICtTHJH fO
Q-AI IE lS MIT ISSUHf6 h6ENf MfEHfieH DilSED OH Hel 53 81 BQ 01
Item No Nl-53-97-03-0002024
Description of Item CERTIFICATE OF QUALIFICATION-ISSUING AGENT QUALIFY AS AN ISSUING AGENT FOR THE SERIES
1-( 5 ~gt (USSBo6922Bl EE BONDS
TO APPLY AND Authority NEW
Form No PDF 3828 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths D6ST(IOf- 6 r I AR S ~ YI OYrH ~ AFTER TERMINATION OF ISSUING AGENT STATUS ~TION axsuogN Jif l sect481 02 ~
Request For Record Disposition Authority Page 23
Item No Nl-53-97-03-0002025
~ fgtV tNamp-5 p OtvtgtS
Description of Item R20Jlti_S T F-Oa fJOOR F-M7Pr rRrlVSAcT10N BOOK ENTRY REQUEST FOR TRANSACTION IN USSB BY TRUSTEE-60508 Wi PURP06S Cll 11H5 iN ff TO INITIATE A TRANSACTION IN A BOOK ACCOUNT
IN (S
ENTRY
Authority NEW W
Item No bullNl-53-97-03-0002026
5~~ Mf~T flamppound
Form No PDF 3879 Series No ID COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
Description of Item Authority REQU BY THE OWNER OF REISSUE OF US SAVINGS BONDSNOTES-60000 NEW 451 --TITLE ADD BENEFICIARY OR COOWNER ELIMINATE BENE IARY OR DECEDENT SHOW CHANGE O ANDOR CORRECT ERROR I TION --RETENTION (l) FILE SERIES EEE AN VINGS NOTE REISSUE ESSED IN A CALENDAR MONTH BY SERIES I 2 FULL CALENDAR MONTHS bull---=~~bull NOT RETAIN COPIES (2) FORWARD SERIES HHH TIRED BONDS MICROFILM COPIES MAY BE MADE A FREQUENCY TO WARRANT THE COSTS ASSO Form No PDF 4000 Series No Al COPY FRB
0 yr O mths DETERMINE DISPOSITION SEE MEMO FIELD
FORW
Page 23A
0002 026 Form PDF 4000 Request by the owner for reissue of US Savings BondsNotes to add beneficiary or co-owner eliminate beneficiary or decedent show change of name andor correct error in registration
Disposition a) File series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series lil-IH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 24
Item No fll-53-97-03-0002027
Description of Item 4rtNC r REPORT OF NON-RECEIPTLOSSTHEFTDESTRUCTION OF FISCALACHECKmiddotUisZIB m ~JR tl9Hretl-EODH I L0SS fHSFT ~ kiisffilLc_Tfm~ENfv6rrc1f AND APPLICATION FOR REPLACEMENT
Authority NEW
Form No PDF 5235 Series No I Retain 7 yrs O mths C-tfr oF= F1(1amp-lt Ye4RL-- os~oS-
Org Abbrev FRB
Item No Nl-53-97-03-0002028
Description of ORDER IDIRi FOR
Item SERIES
u SAVINCr-~ Authority EE BONDS 8-11111dibijEnJm~~A-H I) ~ poundt A I GP Rc~~W Ba
SERVICE )-11tnNe1uDiESPil~OLl-]l~~~lJ~QRDS
Form No PDF 5263 Series No Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2
IA COPY Org Abbrev
MONTHS AFTER CUTOFF
FRB
Request For Record Disposition Authority Page 25
Item No Description of Item lf5 Sqvv-5 Authority Nl-53-97-03-0002029 ORDER FORM FOR SERIES EEBONDS 8lfl)a te4Dl40~ NEW_
~ dJ0RW ffi~~llv-imtY 00 NbisectiASIT SlsecttlIES=gtEE B~
10 fi ~e-6-- s T pound 12pound Igt I H Y4 M euro lF-- =- DU c 1 k fl r
Form No PDF 5263-1 Series No IA COPY Org Abbrev FRB Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2 MONTHS AFTER CUT OFF
Item No Description of Item SHUTS u s6- D ro Authority ~l-53-97-03-0003001 ACCOUNTABILITY STATEMENTS AND LEDGERYldbJSii606Jkr1a2~ INDICATEa ALL NEW
ACTIVITIES IN ISSUING AGENTS CONSIGNMENT ACCOUNTS LEDGER SHEETS 0 INCLUDE PIECES ON HAND BY DENOMINATION SERIAL NUMBERS AND BALANCES ON HAND
Form No Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3MOS AFTER CUT OFF ~~ sectA~D dm ftCP--53- 78---0zt- -8Q
Request For Record Disposition Authority Page 26
Item No Description of Item Authority Nl-53-97-03-0003002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLl4 i OOt NEW
BY BUREAU OF PUBLIC DEBT OFFICE aw amltS9Sl8 ~Q-gt ~ bull
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS
Org Abbrev
AFTER CUT OFF
FRB
Item No Nl-53-97-03-0003003
Description of Item ___ GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS~~ ~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT DOCUMENTING THE US TREASURY GENERAL ACCOUNT
ENTRIES
Authority NEW ltlillS TO
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 13
Item No Nl-53-97-03-000200S
Item No ~l-53-97-03-0002006
Description of Item Authority BOOK ENTRY STATEMENT OF ACTIVITVfflsectQi FOR EACH TRUSTEE ACCOUNT NEW TRANSFER ADVICES ADJUSTMENT ADVICES PERMANENT RECEIPTS BOOK ENTRY A~C REQUESTS REISSUE REQUESTS AND RELATED CLASSIFICATION LISTINGS ~jj2111$1D US~[)
TO REFLECT ALL ADJUSTMENTS TO THE ISSUING AND PAYING AGENTS ACCOUNTS
Form No Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF JbtifllrNfROiiAAiki DfbNbkSSP Hf irit 4Ai6l
Description of It~~f4 1gt1~euroD Authority SEN - bull NEW
E T IN F S R
~~lOtlLU=bull c A F- Jgt r o _middot c o 5 1pound M r To pspos70 o~ -Nrtro srArs $ fl4L euro--~ A-f(D ~li-c-A-r~ O CU-5-cf_4 w1r1+0wT A--0tltNfS~rotv tgtF
06C-G-~ E 0 DW1f~ILbulls F-S11gtlt-1E
Form No PDF 1050 Series No Al COPY Org Abbrev FRB Retain 10 yrs O mths CUT OFF FILES YEARLY liei6X8WY~Mfdi iMTgt-fJPiPL TRANSFER TO FRC AS VOLUME WARRANTS 0Q Z 6i ifosectfkaTgt Jj 00$ampQ (8f jjp-SltPi91ti 2MA-b () (iS T fJ 0 r Cgt r 6-A42-gt A- F rF-A- cCfT o Ff-
Request For Record Disposition Authority Page 14
Item No Description of Item Authority Nl-53-97-03-0002007 EST BY FIDUCIARY-60000 FOR REISSUE OF US SAVINGS BONDSNOTES NEW 425
--RET ON (1) FILE SERIES EEE AND SAVINGS NO ISSUE REQUESTS6i-ti N i-t t f A-amppound PROCESSED CALENDAR MONTH BY SERIES IN LY CHRONOLOGICAL ORDER
MONTHS BEFORE FORWARDING TO SBOO DO NOT SERIES HHH REISSUE REQUESTS WEEKLY WITH RETIRED BE MADE AND RETAINED IF ACCESSED WITH SUFFICIE RETENTION ( DISTRUTION AND NOT AS A REQUEST
Series No I Retamiddot bull 10 yrs O mths
ONDITIONS DETERMINE DISPOSITION SEE MEMO FIELD
Item No Description of Item Authority Nl-53-97-03-0002008 SPECIAL FORM OF REQUEST FOR PAYMENTElfiPiampi OF UNITED STATES SAVINGS NEW Cill
AND RETIREMENT SECURITIES WHERE mil USE OF A DETACHED REQUEST IS AUTHORIZED tlms lillJRFJlil O THIS FOIW IS Tit JfSCBIBF BOPILJli EOR HIHCII PaiilEftl H REQUESTlrl)
Form No PDF 1522 Series No I Org Abbrev FRB Retain 0 yrs 1 mths FORWARD TO SBOO WEEKLY
Page 14A
0002 007 Form PDF 1455 Request by fiduciary for reissue ofUS Savings BondsNotes
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series llliH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) When accepted as evidence of distribution and not as a request for reissue retain PD F 1455 for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Page 15
0002 009 Form PDF 1851 Request for reissue for US Savings BondsNotes in name of trustee of a personal trust estate
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Senes HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained 1f accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retied current income bonds
0002 010 Form PDF 1938 Request for reissue ofUS Savmgs BondNotes during the lives of both co-owners
Disposition a) File Series EEE and Savings Note reissue request processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retam original with other accrual request Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 16
Item No Nl-53-97-03-00020ll
Description of Item Authority REINVESTMENT APPLICATIONfiii iiamp TO REQUEST PAYMENT NEW~ lIU s [sJRH IQ MOUfS I ea I iitf AND TO USE PROCEEDS FROM THE PAYMENT OF MATURED BONDS TO PURCHASE NEW BONDS FORWARD PROCESSED FORMS WITH RELATED STUBS TO SBOO WEEKLY IF INCOMPLETE OR OTHERWISE DEFECTIVE REQUEST A CORRECTED APPLICATION IF CORRECTED COPY NOT RECEIVED IN 30 DAYS FORWARD ORIGINAL TO SBOO
Form No PDF 1993 Series No I Org Abbrev Retain 0 yrs O mths FORWARD TO SBOO WEEKLY L9iR ffltifl-bM5EJi2fM QiampJ
FRB
Item No Nl-53-97-03-0002012
Description of Item Authority INVESTIGATION SCHEDULE OF PAID BONDS UNDER INVESTIGATIONLsectfbulllllffl NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ita zan(Bm(aclmztffilgtIeNff cf)lJQlIoIWM0 Qfiamplgtlatz~ltaa~ cblflhti1b(llxlS za~ TH Is FORM IS TO DESCRIBE BONDSNOTES AND GIVE DETAILS OF A TRANSACTION UNDER INVESTIGATION
Form No PDF 2343 Series No A COPY Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER RPfi IWI ii hi Mfilir7 o4cent tit W SR-II2-+481
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 17
Item No Description of Item Authority Nl-53-97-03-0002013 Ast RampF APPLICATIONll2ampMiil FOR RELIEF ON ACCOUNT OF THE LOSS THEFT OR NEW
DESTRUCTION OF PAID US SAVINGS BOND~tJ04PE$sfJ9FtjNEJ ijfltasJ atYlJiUJ THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS JIIMamph $1 lNGll RI 1Spound1111 IQ -HJ IWdiAF95 id Jit61Eel THE te1s1 btCJJ PilfftHCTAL BIGUT(j1ilt 181 PliiYDNampiEISITl
Form No PDF 2517 Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUTOFF aas QIN iifi4ib4s lUWW111 hilldUtiff-- in-1Ff 4ftKJ
Item No Description of Item Authority ~l-53-97-03-0002014 CERTIFICATION ATTACHMEN 1Mi6IAJta C OMtgtt- _~ 0 fr SAVlltr5 (gtOM D OWNfil-S bull NEW~
~P~~Du~wj~ ~~u Z~e= llAemmnF fll~i rn BEHi mrn FORMS w
Form No PDF 2778 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF a 1copy9111ti BtSbL iii Hl 5J U1 ~ 018
Request For Record Disposition Authority Page 18
Item No Nl-53-97-03-0002015
Item No Nl-53-97-03-0002016
Description of Item Authority CLAIM FOR RELIEF ON ACCOUNT OF LOSS THEFT OR DESTRUCTION rmcs 10eo~ NEW Gal
-~~s ~--~~IYP AfrF-fl vALtD ss-1pound 3ur 172tO(Z TO P--1zc_f=-1tdegT 3( C)(UNpoundR
Form No PDF 3062 Series No I Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Description of Item Authority CLAIM FOR RELIEF FOR LOSTSTOLEN OR DESTROYED usSBOND STOCKeampiYu NEW 4il9 DHc ampnI Wbiamp UJCWfal)rjAbiOHIEOP lZJt ibE poundECgtWfriii snoo WEPKpoundYJ COPIES MAY BE MADE AND RETAINED IF ACCESSED WITH SUFFICIENT FREQUENCY TO WARRANT THE COSTS ASSOCIATED WITH CREATION AND RETENTION
Form No PDF 3062-3 Series No Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Page 19
0002 017 Form PDF 3253 Exchange application for US Savings Bonds of series HH
Disposition a) Forward processed forms with related stubs to SBOO weekly
b) If incomplete or otherwise defective request a corrected application If corrected copy not receive in 30 days forward original to SBOO
0002 018 Form PDF 3360 Request for reissue ofUS Savings BondsNotes in the name of person or persons other than the owner (including legal guardian custodian for a minor under a statute etc )
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 20
Item No tNl-53-97-03-0002019
Item No ~1-53-97-03-0002020
Description of Item Authority CONTINUATION SHEET FOR LISTING SECURITIES0863 NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ll 4elJitGiJW aBlEiRMON-H ~clWAA~~ Qllw d5liIIINcentCfiDqltWMS ZOPbHS dSCbEMMEJRgt
Form No PDF 3500 Series No 1B COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF illgtIffl tgtlbllq~SiD ZOJIS ar-ar--91()2 -81B
Description REQUEST FOR
~ S- TftltpoundM lcN-
A 6-fl- F-cT c 1-1- A f fr-fi- OF MA Aeuro
Form No PDF 3564 Series No IA COPY Org Abbrev FRB Retain 1 yrs O mths DESTROY OBSOLETE DOCUMENTS ANNUALLY REnfffI I 5SLO mt Ne1 53 YB Ad 0 3gt
Request For Record Disposition Authority Page 21
Item No Nl-53-97-03-0002021
Description of Item SECURITIES TRANSACTION REQUESIWliiiill THlt-f
Ltif$B---Ftpound]o9 DOCUMENTbull THE WITHDRAWAL OF SECURITIES FROM THE USB VAULT
Authority NEW 280
Form No PDF 3800 Series No D COPY Retain 1 yrs O mths CUT OFF FILE YEARLY DESTROY 1 YEAR AFTER FRB MAY HOLD THIS UNDER THEIR OWN ATHORITY
Org Abbrev
CUT OFF OR amp EXPENSE
FRB
Item No ~1-53-97-03-0002022
Description of Item SECURITIES TRANSACTION REQUEST pound4JS it TkA-T f1H~ DOCUMENT THE RECEIPT ANDOR WITHDRAWAL VAULT
OF SECURITIES FROM
Authority NEW
THE
Form No PDF 3800 Series No E COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF THIS IS A CONTROLAUDIT COPY ~fEHTHm RASPS 1111 II 1 ~ e 0 7 lP(lit-
Request For Record Disposition Authority Page 22
Item No Description of Item ((L iRus r 4(r~ll f11poundVr 1Nl-53-97-03-0002023 APPLICATIONS FOR ISSUING AGENT-- amin~PJT~~jjjjjjjQp bull
f-ll-euro coNIA-lff ORIGINAL AGREEMENT ffllii TO lt81 AS Mf lBBOHIG ACliID AND APPROPRIATE CORRESPONDENCE RELATING TO THIS AGREEMENT
Authority NEW
Form No PDF 3827 Series No IA COPY Retain 6 yrs 3 mths DESTROY 6 YEARS AFTER TERMINATION OF AGENCY
Org Abbrev FRB
11N hPPLICtTHJH fO
Q-AI IE lS MIT ISSUHf6 h6ENf MfEHfieH DilSED OH Hel 53 81 BQ 01
Item No Nl-53-97-03-0002024
Description of Item CERTIFICATE OF QUALIFICATION-ISSUING AGENT QUALIFY AS AN ISSUING AGENT FOR THE SERIES
1-( 5 ~gt (USSBo6922Bl EE BONDS
TO APPLY AND Authority NEW
Form No PDF 3828 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths D6ST(IOf- 6 r I AR S ~ YI OYrH ~ AFTER TERMINATION OF ISSUING AGENT STATUS ~TION axsuogN Jif l sect481 02 ~
Request For Record Disposition Authority Page 23
Item No Nl-53-97-03-0002025
~ fgtV tNamp-5 p OtvtgtS
Description of Item R20Jlti_S T F-Oa fJOOR F-M7Pr rRrlVSAcT10N BOOK ENTRY REQUEST FOR TRANSACTION IN USSB BY TRUSTEE-60508 Wi PURP06S Cll 11H5 iN ff TO INITIATE A TRANSACTION IN A BOOK ACCOUNT
IN (S
ENTRY
Authority NEW W
Item No bullNl-53-97-03-0002026
5~~ Mf~T flamppound
Form No PDF 3879 Series No ID COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
Description of Item Authority REQU BY THE OWNER OF REISSUE OF US SAVINGS BONDSNOTES-60000 NEW 451 --TITLE ADD BENEFICIARY OR COOWNER ELIMINATE BENE IARY OR DECEDENT SHOW CHANGE O ANDOR CORRECT ERROR I TION --RETENTION (l) FILE SERIES EEE AN VINGS NOTE REISSUE ESSED IN A CALENDAR MONTH BY SERIES I 2 FULL CALENDAR MONTHS bull---=~~bull NOT RETAIN COPIES (2) FORWARD SERIES HHH TIRED BONDS MICROFILM COPIES MAY BE MADE A FREQUENCY TO WARRANT THE COSTS ASSO Form No PDF 4000 Series No Al COPY FRB
0 yr O mths DETERMINE DISPOSITION SEE MEMO FIELD
FORW
Page 23A
0002 026 Form PDF 4000 Request by the owner for reissue of US Savings BondsNotes to add beneficiary or co-owner eliminate beneficiary or decedent show change of name andor correct error in registration
Disposition a) File series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series lil-IH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 24
Item No fll-53-97-03-0002027
Description of Item 4rtNC r REPORT OF NON-RECEIPTLOSSTHEFTDESTRUCTION OF FISCALACHECKmiddotUisZIB m ~JR tl9Hretl-EODH I L0SS fHSFT ~ kiisffilLc_Tfm~ENfv6rrc1f AND APPLICATION FOR REPLACEMENT
Authority NEW
Form No PDF 5235 Series No I Retain 7 yrs O mths C-tfr oF= F1(1amp-lt Ye4RL-- os~oS-
Org Abbrev FRB
Item No Nl-53-97-03-0002028
Description of ORDER IDIRi FOR
Item SERIES
u SAVINCr-~ Authority EE BONDS 8-11111dibijEnJm~~A-H I) ~ poundt A I GP Rc~~W Ba
SERVICE )-11tnNe1uDiESPil~OLl-]l~~~lJ~QRDS
Form No PDF 5263 Series No Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2
IA COPY Org Abbrev
MONTHS AFTER CUTOFF
FRB
Request For Record Disposition Authority Page 25
Item No Description of Item lf5 Sqvv-5 Authority Nl-53-97-03-0002029 ORDER FORM FOR SERIES EEBONDS 8lfl)a te4Dl40~ NEW_
~ dJ0RW ffi~~llv-imtY 00 NbisectiASIT SlsecttlIES=gtEE B~
10 fi ~e-6-- s T pound 12pound Igt I H Y4 M euro lF-- =- DU c 1 k fl r
Form No PDF 5263-1 Series No IA COPY Org Abbrev FRB Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2 MONTHS AFTER CUT OFF
Item No Description of Item SHUTS u s6- D ro Authority ~l-53-97-03-0003001 ACCOUNTABILITY STATEMENTS AND LEDGERYldbJSii606Jkr1a2~ INDICATEa ALL NEW
ACTIVITIES IN ISSUING AGENTS CONSIGNMENT ACCOUNTS LEDGER SHEETS 0 INCLUDE PIECES ON HAND BY DENOMINATION SERIAL NUMBERS AND BALANCES ON HAND
Form No Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3MOS AFTER CUT OFF ~~ sectA~D dm ftCP--53- 78---0zt- -8Q
Request For Record Disposition Authority Page 26
Item No Description of Item Authority Nl-53-97-03-0003002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLl4 i OOt NEW
BY BUREAU OF PUBLIC DEBT OFFICE aw amltS9Sl8 ~Q-gt ~ bull
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS
Org Abbrev
AFTER CUT OFF
FRB
Item No Nl-53-97-03-0003003
Description of Item ___ GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS~~ ~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT DOCUMENTING THE US TREASURY GENERAL ACCOUNT
ENTRIES
Authority NEW ltlillS TO
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 14
Item No Description of Item Authority Nl-53-97-03-0002007 EST BY FIDUCIARY-60000 FOR REISSUE OF US SAVINGS BONDSNOTES NEW 425
--RET ON (1) FILE SERIES EEE AND SAVINGS NO ISSUE REQUESTS6i-ti N i-t t f A-amppound PROCESSED CALENDAR MONTH BY SERIES IN LY CHRONOLOGICAL ORDER
MONTHS BEFORE FORWARDING TO SBOO DO NOT SERIES HHH REISSUE REQUESTS WEEKLY WITH RETIRED BE MADE AND RETAINED IF ACCESSED WITH SUFFICIE RETENTION ( DISTRUTION AND NOT AS A REQUEST
Series No I Retamiddot bull 10 yrs O mths
ONDITIONS DETERMINE DISPOSITION SEE MEMO FIELD
Item No Description of Item Authority Nl-53-97-03-0002008 SPECIAL FORM OF REQUEST FOR PAYMENTElfiPiampi OF UNITED STATES SAVINGS NEW Cill
AND RETIREMENT SECURITIES WHERE mil USE OF A DETACHED REQUEST IS AUTHORIZED tlms lillJRFJlil O THIS FOIW IS Tit JfSCBIBF BOPILJli EOR HIHCII PaiilEftl H REQUESTlrl)
Form No PDF 1522 Series No I Org Abbrev FRB Retain 0 yrs 1 mths FORWARD TO SBOO WEEKLY
Page 14A
0002 007 Form PDF 1455 Request by fiduciary for reissue ofUS Savings BondsNotes
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series llliH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) When accepted as evidence of distribution and not as a request for reissue retain PD F 1455 for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Page 15
0002 009 Form PDF 1851 Request for reissue for US Savings BondsNotes in name of trustee of a personal trust estate
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Senes HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained 1f accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retied current income bonds
0002 010 Form PDF 1938 Request for reissue ofUS Savmgs BondNotes during the lives of both co-owners
Disposition a) File Series EEE and Savings Note reissue request processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retam original with other accrual request Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 16
Item No Nl-53-97-03-00020ll
Description of Item Authority REINVESTMENT APPLICATIONfiii iiamp TO REQUEST PAYMENT NEW~ lIU s [sJRH IQ MOUfS I ea I iitf AND TO USE PROCEEDS FROM THE PAYMENT OF MATURED BONDS TO PURCHASE NEW BONDS FORWARD PROCESSED FORMS WITH RELATED STUBS TO SBOO WEEKLY IF INCOMPLETE OR OTHERWISE DEFECTIVE REQUEST A CORRECTED APPLICATION IF CORRECTED COPY NOT RECEIVED IN 30 DAYS FORWARD ORIGINAL TO SBOO
Form No PDF 1993 Series No I Org Abbrev Retain 0 yrs O mths FORWARD TO SBOO WEEKLY L9iR ffltifl-bM5EJi2fM QiampJ
FRB
Item No Nl-53-97-03-0002012
Description of Item Authority INVESTIGATION SCHEDULE OF PAID BONDS UNDER INVESTIGATIONLsectfbulllllffl NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ita zan(Bm(aclmztffilgtIeNff cf)lJQlIoIWM0 Qfiamplgtlatz~ltaa~ cblflhti1b(llxlS za~ TH Is FORM IS TO DESCRIBE BONDSNOTES AND GIVE DETAILS OF A TRANSACTION UNDER INVESTIGATION
Form No PDF 2343 Series No A COPY Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER RPfi IWI ii hi Mfilir7 o4cent tit W SR-II2-+481
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 17
Item No Description of Item Authority Nl-53-97-03-0002013 Ast RampF APPLICATIONll2ampMiil FOR RELIEF ON ACCOUNT OF THE LOSS THEFT OR NEW
DESTRUCTION OF PAID US SAVINGS BOND~tJ04PE$sfJ9FtjNEJ ijfltasJ atYlJiUJ THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS JIIMamph $1 lNGll RI 1Spound1111 IQ -HJ IWdiAF95 id Jit61Eel THE te1s1 btCJJ PilfftHCTAL BIGUT(j1ilt 181 PliiYDNampiEISITl
Form No PDF 2517 Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUTOFF aas QIN iifi4ib4s lUWW111 hilldUtiff-- in-1Ff 4ftKJ
Item No Description of Item Authority ~l-53-97-03-0002014 CERTIFICATION ATTACHMEN 1Mi6IAJta C OMtgtt- _~ 0 fr SAVlltr5 (gtOM D OWNfil-S bull NEW~
~P~~Du~wj~ ~~u Z~e= llAemmnF fll~i rn BEHi mrn FORMS w
Form No PDF 2778 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF a 1copy9111ti BtSbL iii Hl 5J U1 ~ 018
Request For Record Disposition Authority Page 18
Item No Nl-53-97-03-0002015
Item No Nl-53-97-03-0002016
Description of Item Authority CLAIM FOR RELIEF ON ACCOUNT OF LOSS THEFT OR DESTRUCTION rmcs 10eo~ NEW Gal
-~~s ~--~~IYP AfrF-fl vALtD ss-1pound 3ur 172tO(Z TO P--1zc_f=-1tdegT 3( C)(UNpoundR
Form No PDF 3062 Series No I Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Description of Item Authority CLAIM FOR RELIEF FOR LOSTSTOLEN OR DESTROYED usSBOND STOCKeampiYu NEW 4il9 DHc ampnI Wbiamp UJCWfal)rjAbiOHIEOP lZJt ibE poundECgtWfriii snoo WEPKpoundYJ COPIES MAY BE MADE AND RETAINED IF ACCESSED WITH SUFFICIENT FREQUENCY TO WARRANT THE COSTS ASSOCIATED WITH CREATION AND RETENTION
Form No PDF 3062-3 Series No Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Page 19
0002 017 Form PDF 3253 Exchange application for US Savings Bonds of series HH
Disposition a) Forward processed forms with related stubs to SBOO weekly
b) If incomplete or otherwise defective request a corrected application If corrected copy not receive in 30 days forward original to SBOO
0002 018 Form PDF 3360 Request for reissue ofUS Savings BondsNotes in the name of person or persons other than the owner (including legal guardian custodian for a minor under a statute etc )
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 20
Item No tNl-53-97-03-0002019
Item No ~1-53-97-03-0002020
Description of Item Authority CONTINUATION SHEET FOR LISTING SECURITIES0863 NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ll 4elJitGiJW aBlEiRMON-H ~clWAA~~ Qllw d5liIIINcentCfiDqltWMS ZOPbHS dSCbEMMEJRgt
Form No PDF 3500 Series No 1B COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF illgtIffl tgtlbllq~SiD ZOJIS ar-ar--91()2 -81B
Description REQUEST FOR
~ S- TftltpoundM lcN-
A 6-fl- F-cT c 1-1- A f fr-fi- OF MA Aeuro
Form No PDF 3564 Series No IA COPY Org Abbrev FRB Retain 1 yrs O mths DESTROY OBSOLETE DOCUMENTS ANNUALLY REnfffI I 5SLO mt Ne1 53 YB Ad 0 3gt
Request For Record Disposition Authority Page 21
Item No Nl-53-97-03-0002021
Description of Item SECURITIES TRANSACTION REQUESIWliiiill THlt-f
Ltif$B---Ftpound]o9 DOCUMENTbull THE WITHDRAWAL OF SECURITIES FROM THE USB VAULT
Authority NEW 280
Form No PDF 3800 Series No D COPY Retain 1 yrs O mths CUT OFF FILE YEARLY DESTROY 1 YEAR AFTER FRB MAY HOLD THIS UNDER THEIR OWN ATHORITY
Org Abbrev
CUT OFF OR amp EXPENSE
FRB
Item No ~1-53-97-03-0002022
Description of Item SECURITIES TRANSACTION REQUEST pound4JS it TkA-T f1H~ DOCUMENT THE RECEIPT ANDOR WITHDRAWAL VAULT
OF SECURITIES FROM
Authority NEW
THE
Form No PDF 3800 Series No E COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF THIS IS A CONTROLAUDIT COPY ~fEHTHm RASPS 1111 II 1 ~ e 0 7 lP(lit-
Request For Record Disposition Authority Page 22
Item No Description of Item ((L iRus r 4(r~ll f11poundVr 1Nl-53-97-03-0002023 APPLICATIONS FOR ISSUING AGENT-- amin~PJT~~jjjjjjjQp bull
f-ll-euro coNIA-lff ORIGINAL AGREEMENT ffllii TO lt81 AS Mf lBBOHIG ACliID AND APPROPRIATE CORRESPONDENCE RELATING TO THIS AGREEMENT
Authority NEW
Form No PDF 3827 Series No IA COPY Retain 6 yrs 3 mths DESTROY 6 YEARS AFTER TERMINATION OF AGENCY
Org Abbrev FRB
11N hPPLICtTHJH fO
Q-AI IE lS MIT ISSUHf6 h6ENf MfEHfieH DilSED OH Hel 53 81 BQ 01
Item No Nl-53-97-03-0002024
Description of Item CERTIFICATE OF QUALIFICATION-ISSUING AGENT QUALIFY AS AN ISSUING AGENT FOR THE SERIES
1-( 5 ~gt (USSBo6922Bl EE BONDS
TO APPLY AND Authority NEW
Form No PDF 3828 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths D6ST(IOf- 6 r I AR S ~ YI OYrH ~ AFTER TERMINATION OF ISSUING AGENT STATUS ~TION axsuogN Jif l sect481 02 ~
Request For Record Disposition Authority Page 23
Item No Nl-53-97-03-0002025
~ fgtV tNamp-5 p OtvtgtS
Description of Item R20Jlti_S T F-Oa fJOOR F-M7Pr rRrlVSAcT10N BOOK ENTRY REQUEST FOR TRANSACTION IN USSB BY TRUSTEE-60508 Wi PURP06S Cll 11H5 iN ff TO INITIATE A TRANSACTION IN A BOOK ACCOUNT
IN (S
ENTRY
Authority NEW W
Item No bullNl-53-97-03-0002026
5~~ Mf~T flamppound
Form No PDF 3879 Series No ID COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
Description of Item Authority REQU BY THE OWNER OF REISSUE OF US SAVINGS BONDSNOTES-60000 NEW 451 --TITLE ADD BENEFICIARY OR COOWNER ELIMINATE BENE IARY OR DECEDENT SHOW CHANGE O ANDOR CORRECT ERROR I TION --RETENTION (l) FILE SERIES EEE AN VINGS NOTE REISSUE ESSED IN A CALENDAR MONTH BY SERIES I 2 FULL CALENDAR MONTHS bull---=~~bull NOT RETAIN COPIES (2) FORWARD SERIES HHH TIRED BONDS MICROFILM COPIES MAY BE MADE A FREQUENCY TO WARRANT THE COSTS ASSO Form No PDF 4000 Series No Al COPY FRB
0 yr O mths DETERMINE DISPOSITION SEE MEMO FIELD
FORW
Page 23A
0002 026 Form PDF 4000 Request by the owner for reissue of US Savings BondsNotes to add beneficiary or co-owner eliminate beneficiary or decedent show change of name andor correct error in registration
Disposition a) File series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series lil-IH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 24
Item No fll-53-97-03-0002027
Description of Item 4rtNC r REPORT OF NON-RECEIPTLOSSTHEFTDESTRUCTION OF FISCALACHECKmiddotUisZIB m ~JR tl9Hretl-EODH I L0SS fHSFT ~ kiisffilLc_Tfm~ENfv6rrc1f AND APPLICATION FOR REPLACEMENT
Authority NEW
Form No PDF 5235 Series No I Retain 7 yrs O mths C-tfr oF= F1(1amp-lt Ye4RL-- os~oS-
Org Abbrev FRB
Item No Nl-53-97-03-0002028
Description of ORDER IDIRi FOR
Item SERIES
u SAVINCr-~ Authority EE BONDS 8-11111dibijEnJm~~A-H I) ~ poundt A I GP Rc~~W Ba
SERVICE )-11tnNe1uDiESPil~OLl-]l~~~lJ~QRDS
Form No PDF 5263 Series No Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2
IA COPY Org Abbrev
MONTHS AFTER CUTOFF
FRB
Request For Record Disposition Authority Page 25
Item No Description of Item lf5 Sqvv-5 Authority Nl-53-97-03-0002029 ORDER FORM FOR SERIES EEBONDS 8lfl)a te4Dl40~ NEW_
~ dJ0RW ffi~~llv-imtY 00 NbisectiASIT SlsecttlIES=gtEE B~
10 fi ~e-6-- s T pound 12pound Igt I H Y4 M euro lF-- =- DU c 1 k fl r
Form No PDF 5263-1 Series No IA COPY Org Abbrev FRB Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2 MONTHS AFTER CUT OFF
Item No Description of Item SHUTS u s6- D ro Authority ~l-53-97-03-0003001 ACCOUNTABILITY STATEMENTS AND LEDGERYldbJSii606Jkr1a2~ INDICATEa ALL NEW
ACTIVITIES IN ISSUING AGENTS CONSIGNMENT ACCOUNTS LEDGER SHEETS 0 INCLUDE PIECES ON HAND BY DENOMINATION SERIAL NUMBERS AND BALANCES ON HAND
Form No Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3MOS AFTER CUT OFF ~~ sectA~D dm ftCP--53- 78---0zt- -8Q
Request For Record Disposition Authority Page 26
Item No Description of Item Authority Nl-53-97-03-0003002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLl4 i OOt NEW
BY BUREAU OF PUBLIC DEBT OFFICE aw amltS9Sl8 ~Q-gt ~ bull
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS
Org Abbrev
AFTER CUT OFF
FRB
Item No Nl-53-97-03-0003003
Description of Item ___ GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS~~ ~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT DOCUMENTING THE US TREASURY GENERAL ACCOUNT
ENTRIES
Authority NEW ltlillS TO
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Page 14A
0002 007 Form PDF 1455 Request by fiduciary for reissue ofUS Savings BondsNotes
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series llliH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
c) When accepted as evidence of distribution and not as a request for reissue retain PD F 1455 for 10 years
Note When request involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Page 15
0002 009 Form PDF 1851 Request for reissue for US Savings BondsNotes in name of trustee of a personal trust estate
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Senes HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained 1f accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retied current income bonds
0002 010 Form PDF 1938 Request for reissue ofUS Savmgs BondNotes during the lives of both co-owners
Disposition a) File Series EEE and Savings Note reissue request processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retam original with other accrual request Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 16
Item No Nl-53-97-03-00020ll
Description of Item Authority REINVESTMENT APPLICATIONfiii iiamp TO REQUEST PAYMENT NEW~ lIU s [sJRH IQ MOUfS I ea I iitf AND TO USE PROCEEDS FROM THE PAYMENT OF MATURED BONDS TO PURCHASE NEW BONDS FORWARD PROCESSED FORMS WITH RELATED STUBS TO SBOO WEEKLY IF INCOMPLETE OR OTHERWISE DEFECTIVE REQUEST A CORRECTED APPLICATION IF CORRECTED COPY NOT RECEIVED IN 30 DAYS FORWARD ORIGINAL TO SBOO
Form No PDF 1993 Series No I Org Abbrev Retain 0 yrs O mths FORWARD TO SBOO WEEKLY L9iR ffltifl-bM5EJi2fM QiampJ
FRB
Item No Nl-53-97-03-0002012
Description of Item Authority INVESTIGATION SCHEDULE OF PAID BONDS UNDER INVESTIGATIONLsectfbulllllffl NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ita zan(Bm(aclmztffilgtIeNff cf)lJQlIoIWM0 Qfiamplgtlatz~ltaa~ cblflhti1b(llxlS za~ TH Is FORM IS TO DESCRIBE BONDSNOTES AND GIVE DETAILS OF A TRANSACTION UNDER INVESTIGATION
Form No PDF 2343 Series No A COPY Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER RPfi IWI ii hi Mfilir7 o4cent tit W SR-II2-+481
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 17
Item No Description of Item Authority Nl-53-97-03-0002013 Ast RampF APPLICATIONll2ampMiil FOR RELIEF ON ACCOUNT OF THE LOSS THEFT OR NEW
DESTRUCTION OF PAID US SAVINGS BOND~tJ04PE$sfJ9FtjNEJ ijfltasJ atYlJiUJ THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS JIIMamph $1 lNGll RI 1Spound1111 IQ -HJ IWdiAF95 id Jit61Eel THE te1s1 btCJJ PilfftHCTAL BIGUT(j1ilt 181 PliiYDNampiEISITl
Form No PDF 2517 Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUTOFF aas QIN iifi4ib4s lUWW111 hilldUtiff-- in-1Ff 4ftKJ
Item No Description of Item Authority ~l-53-97-03-0002014 CERTIFICATION ATTACHMEN 1Mi6IAJta C OMtgtt- _~ 0 fr SAVlltr5 (gtOM D OWNfil-S bull NEW~
~P~~Du~wj~ ~~u Z~e= llAemmnF fll~i rn BEHi mrn FORMS w
Form No PDF 2778 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF a 1copy9111ti BtSbL iii Hl 5J U1 ~ 018
Request For Record Disposition Authority Page 18
Item No Nl-53-97-03-0002015
Item No Nl-53-97-03-0002016
Description of Item Authority CLAIM FOR RELIEF ON ACCOUNT OF LOSS THEFT OR DESTRUCTION rmcs 10eo~ NEW Gal
-~~s ~--~~IYP AfrF-fl vALtD ss-1pound 3ur 172tO(Z TO P--1zc_f=-1tdegT 3( C)(UNpoundR
Form No PDF 3062 Series No I Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Description of Item Authority CLAIM FOR RELIEF FOR LOSTSTOLEN OR DESTROYED usSBOND STOCKeampiYu NEW 4il9 DHc ampnI Wbiamp UJCWfal)rjAbiOHIEOP lZJt ibE poundECgtWfriii snoo WEPKpoundYJ COPIES MAY BE MADE AND RETAINED IF ACCESSED WITH SUFFICIENT FREQUENCY TO WARRANT THE COSTS ASSOCIATED WITH CREATION AND RETENTION
Form No PDF 3062-3 Series No Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Page 19
0002 017 Form PDF 3253 Exchange application for US Savings Bonds of series HH
Disposition a) Forward processed forms with related stubs to SBOO weekly
b) If incomplete or otherwise defective request a corrected application If corrected copy not receive in 30 days forward original to SBOO
0002 018 Form PDF 3360 Request for reissue ofUS Savings BondsNotes in the name of person or persons other than the owner (including legal guardian custodian for a minor under a statute etc )
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 20
Item No tNl-53-97-03-0002019
Item No ~1-53-97-03-0002020
Description of Item Authority CONTINUATION SHEET FOR LISTING SECURITIES0863 NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ll 4elJitGiJW aBlEiRMON-H ~clWAA~~ Qllw d5liIIINcentCfiDqltWMS ZOPbHS dSCbEMMEJRgt
Form No PDF 3500 Series No 1B COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF illgtIffl tgtlbllq~SiD ZOJIS ar-ar--91()2 -81B
Description REQUEST FOR
~ S- TftltpoundM lcN-
A 6-fl- F-cT c 1-1- A f fr-fi- OF MA Aeuro
Form No PDF 3564 Series No IA COPY Org Abbrev FRB Retain 1 yrs O mths DESTROY OBSOLETE DOCUMENTS ANNUALLY REnfffI I 5SLO mt Ne1 53 YB Ad 0 3gt
Request For Record Disposition Authority Page 21
Item No Nl-53-97-03-0002021
Description of Item SECURITIES TRANSACTION REQUESIWliiiill THlt-f
Ltif$B---Ftpound]o9 DOCUMENTbull THE WITHDRAWAL OF SECURITIES FROM THE USB VAULT
Authority NEW 280
Form No PDF 3800 Series No D COPY Retain 1 yrs O mths CUT OFF FILE YEARLY DESTROY 1 YEAR AFTER FRB MAY HOLD THIS UNDER THEIR OWN ATHORITY
Org Abbrev
CUT OFF OR amp EXPENSE
FRB
Item No ~1-53-97-03-0002022
Description of Item SECURITIES TRANSACTION REQUEST pound4JS it TkA-T f1H~ DOCUMENT THE RECEIPT ANDOR WITHDRAWAL VAULT
OF SECURITIES FROM
Authority NEW
THE
Form No PDF 3800 Series No E COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF THIS IS A CONTROLAUDIT COPY ~fEHTHm RASPS 1111 II 1 ~ e 0 7 lP(lit-
Request For Record Disposition Authority Page 22
Item No Description of Item ((L iRus r 4(r~ll f11poundVr 1Nl-53-97-03-0002023 APPLICATIONS FOR ISSUING AGENT-- amin~PJT~~jjjjjjjQp bull
f-ll-euro coNIA-lff ORIGINAL AGREEMENT ffllii TO lt81 AS Mf lBBOHIG ACliID AND APPROPRIATE CORRESPONDENCE RELATING TO THIS AGREEMENT
Authority NEW
Form No PDF 3827 Series No IA COPY Retain 6 yrs 3 mths DESTROY 6 YEARS AFTER TERMINATION OF AGENCY
Org Abbrev FRB
11N hPPLICtTHJH fO
Q-AI IE lS MIT ISSUHf6 h6ENf MfEHfieH DilSED OH Hel 53 81 BQ 01
Item No Nl-53-97-03-0002024
Description of Item CERTIFICATE OF QUALIFICATION-ISSUING AGENT QUALIFY AS AN ISSUING AGENT FOR THE SERIES
1-( 5 ~gt (USSBo6922Bl EE BONDS
TO APPLY AND Authority NEW
Form No PDF 3828 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths D6ST(IOf- 6 r I AR S ~ YI OYrH ~ AFTER TERMINATION OF ISSUING AGENT STATUS ~TION axsuogN Jif l sect481 02 ~
Request For Record Disposition Authority Page 23
Item No Nl-53-97-03-0002025
~ fgtV tNamp-5 p OtvtgtS
Description of Item R20Jlti_S T F-Oa fJOOR F-M7Pr rRrlVSAcT10N BOOK ENTRY REQUEST FOR TRANSACTION IN USSB BY TRUSTEE-60508 Wi PURP06S Cll 11H5 iN ff TO INITIATE A TRANSACTION IN A BOOK ACCOUNT
IN (S
ENTRY
Authority NEW W
Item No bullNl-53-97-03-0002026
5~~ Mf~T flamppound
Form No PDF 3879 Series No ID COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
Description of Item Authority REQU BY THE OWNER OF REISSUE OF US SAVINGS BONDSNOTES-60000 NEW 451 --TITLE ADD BENEFICIARY OR COOWNER ELIMINATE BENE IARY OR DECEDENT SHOW CHANGE O ANDOR CORRECT ERROR I TION --RETENTION (l) FILE SERIES EEE AN VINGS NOTE REISSUE ESSED IN A CALENDAR MONTH BY SERIES I 2 FULL CALENDAR MONTHS bull---=~~bull NOT RETAIN COPIES (2) FORWARD SERIES HHH TIRED BONDS MICROFILM COPIES MAY BE MADE A FREQUENCY TO WARRANT THE COSTS ASSO Form No PDF 4000 Series No Al COPY FRB
0 yr O mths DETERMINE DISPOSITION SEE MEMO FIELD
FORW
Page 23A
0002 026 Form PDF 4000 Request by the owner for reissue of US Savings BondsNotes to add beneficiary or co-owner eliminate beneficiary or decedent show change of name andor correct error in registration
Disposition a) File series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series lil-IH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 24
Item No fll-53-97-03-0002027
Description of Item 4rtNC r REPORT OF NON-RECEIPTLOSSTHEFTDESTRUCTION OF FISCALACHECKmiddotUisZIB m ~JR tl9Hretl-EODH I L0SS fHSFT ~ kiisffilLc_Tfm~ENfv6rrc1f AND APPLICATION FOR REPLACEMENT
Authority NEW
Form No PDF 5235 Series No I Retain 7 yrs O mths C-tfr oF= F1(1amp-lt Ye4RL-- os~oS-
Org Abbrev FRB
Item No Nl-53-97-03-0002028
Description of ORDER IDIRi FOR
Item SERIES
u SAVINCr-~ Authority EE BONDS 8-11111dibijEnJm~~A-H I) ~ poundt A I GP Rc~~W Ba
SERVICE )-11tnNe1uDiESPil~OLl-]l~~~lJ~QRDS
Form No PDF 5263 Series No Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2
IA COPY Org Abbrev
MONTHS AFTER CUTOFF
FRB
Request For Record Disposition Authority Page 25
Item No Description of Item lf5 Sqvv-5 Authority Nl-53-97-03-0002029 ORDER FORM FOR SERIES EEBONDS 8lfl)a te4Dl40~ NEW_
~ dJ0RW ffi~~llv-imtY 00 NbisectiASIT SlsecttlIES=gtEE B~
10 fi ~e-6-- s T pound 12pound Igt I H Y4 M euro lF-- =- DU c 1 k fl r
Form No PDF 5263-1 Series No IA COPY Org Abbrev FRB Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2 MONTHS AFTER CUT OFF
Item No Description of Item SHUTS u s6- D ro Authority ~l-53-97-03-0003001 ACCOUNTABILITY STATEMENTS AND LEDGERYldbJSii606Jkr1a2~ INDICATEa ALL NEW
ACTIVITIES IN ISSUING AGENTS CONSIGNMENT ACCOUNTS LEDGER SHEETS 0 INCLUDE PIECES ON HAND BY DENOMINATION SERIAL NUMBERS AND BALANCES ON HAND
Form No Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3MOS AFTER CUT OFF ~~ sectA~D dm ftCP--53- 78---0zt- -8Q
Request For Record Disposition Authority Page 26
Item No Description of Item Authority Nl-53-97-03-0003002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLl4 i OOt NEW
BY BUREAU OF PUBLIC DEBT OFFICE aw amltS9Sl8 ~Q-gt ~ bull
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS
Org Abbrev
AFTER CUT OFF
FRB
Item No Nl-53-97-03-0003003
Description of Item ___ GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS~~ ~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT DOCUMENTING THE US TREASURY GENERAL ACCOUNT
ENTRIES
Authority NEW ltlillS TO
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Page 15
0002 009 Form PDF 1851 Request for reissue for US Savings BondsNotes in name of trustee of a personal trust estate
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Senes HHH reissue requests weekly with retired bonds Microfilm copies may be made and retained 1f accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retied current income bonds
0002 010 Form PDF 1938 Request for reissue ofUS Savmgs BondNotes during the lives of both co-owners
Disposition a) File Series EEE and Savings Note reissue request processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar moths before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retam original with other accrual request Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 16
Item No Nl-53-97-03-00020ll
Description of Item Authority REINVESTMENT APPLICATIONfiii iiamp TO REQUEST PAYMENT NEW~ lIU s [sJRH IQ MOUfS I ea I iitf AND TO USE PROCEEDS FROM THE PAYMENT OF MATURED BONDS TO PURCHASE NEW BONDS FORWARD PROCESSED FORMS WITH RELATED STUBS TO SBOO WEEKLY IF INCOMPLETE OR OTHERWISE DEFECTIVE REQUEST A CORRECTED APPLICATION IF CORRECTED COPY NOT RECEIVED IN 30 DAYS FORWARD ORIGINAL TO SBOO
Form No PDF 1993 Series No I Org Abbrev Retain 0 yrs O mths FORWARD TO SBOO WEEKLY L9iR ffltifl-bM5EJi2fM QiampJ
FRB
Item No Nl-53-97-03-0002012
Description of Item Authority INVESTIGATION SCHEDULE OF PAID BONDS UNDER INVESTIGATIONLsectfbulllllffl NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ita zan(Bm(aclmztffilgtIeNff cf)lJQlIoIWM0 Qfiamplgtlatz~ltaa~ cblflhti1b(llxlS za~ TH Is FORM IS TO DESCRIBE BONDSNOTES AND GIVE DETAILS OF A TRANSACTION UNDER INVESTIGATION
Form No PDF 2343 Series No A COPY Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER RPfi IWI ii hi Mfilir7 o4cent tit W SR-II2-+481
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 17
Item No Description of Item Authority Nl-53-97-03-0002013 Ast RampF APPLICATIONll2ampMiil FOR RELIEF ON ACCOUNT OF THE LOSS THEFT OR NEW
DESTRUCTION OF PAID US SAVINGS BOND~tJ04PE$sfJ9FtjNEJ ijfltasJ atYlJiUJ THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS JIIMamph $1 lNGll RI 1Spound1111 IQ -HJ IWdiAF95 id Jit61Eel THE te1s1 btCJJ PilfftHCTAL BIGUT(j1ilt 181 PliiYDNampiEISITl
Form No PDF 2517 Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUTOFF aas QIN iifi4ib4s lUWW111 hilldUtiff-- in-1Ff 4ftKJ
Item No Description of Item Authority ~l-53-97-03-0002014 CERTIFICATION ATTACHMEN 1Mi6IAJta C OMtgtt- _~ 0 fr SAVlltr5 (gtOM D OWNfil-S bull NEW~
~P~~Du~wj~ ~~u Z~e= llAemmnF fll~i rn BEHi mrn FORMS w
Form No PDF 2778 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF a 1copy9111ti BtSbL iii Hl 5J U1 ~ 018
Request For Record Disposition Authority Page 18
Item No Nl-53-97-03-0002015
Item No Nl-53-97-03-0002016
Description of Item Authority CLAIM FOR RELIEF ON ACCOUNT OF LOSS THEFT OR DESTRUCTION rmcs 10eo~ NEW Gal
-~~s ~--~~IYP AfrF-fl vALtD ss-1pound 3ur 172tO(Z TO P--1zc_f=-1tdegT 3( C)(UNpoundR
Form No PDF 3062 Series No I Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Description of Item Authority CLAIM FOR RELIEF FOR LOSTSTOLEN OR DESTROYED usSBOND STOCKeampiYu NEW 4il9 DHc ampnI Wbiamp UJCWfal)rjAbiOHIEOP lZJt ibE poundECgtWfriii snoo WEPKpoundYJ COPIES MAY BE MADE AND RETAINED IF ACCESSED WITH SUFFICIENT FREQUENCY TO WARRANT THE COSTS ASSOCIATED WITH CREATION AND RETENTION
Form No PDF 3062-3 Series No Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Page 19
0002 017 Form PDF 3253 Exchange application for US Savings Bonds of series HH
Disposition a) Forward processed forms with related stubs to SBOO weekly
b) If incomplete or otherwise defective request a corrected application If corrected copy not receive in 30 days forward original to SBOO
0002 018 Form PDF 3360 Request for reissue ofUS Savings BondsNotes in the name of person or persons other than the owner (including legal guardian custodian for a minor under a statute etc )
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 20
Item No tNl-53-97-03-0002019
Item No ~1-53-97-03-0002020
Description of Item Authority CONTINUATION SHEET FOR LISTING SECURITIES0863 NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ll 4elJitGiJW aBlEiRMON-H ~clWAA~~ Qllw d5liIIINcentCfiDqltWMS ZOPbHS dSCbEMMEJRgt
Form No PDF 3500 Series No 1B COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF illgtIffl tgtlbllq~SiD ZOJIS ar-ar--91()2 -81B
Description REQUEST FOR
~ S- TftltpoundM lcN-
A 6-fl- F-cT c 1-1- A f fr-fi- OF MA Aeuro
Form No PDF 3564 Series No IA COPY Org Abbrev FRB Retain 1 yrs O mths DESTROY OBSOLETE DOCUMENTS ANNUALLY REnfffI I 5SLO mt Ne1 53 YB Ad 0 3gt
Request For Record Disposition Authority Page 21
Item No Nl-53-97-03-0002021
Description of Item SECURITIES TRANSACTION REQUESIWliiiill THlt-f
Ltif$B---Ftpound]o9 DOCUMENTbull THE WITHDRAWAL OF SECURITIES FROM THE USB VAULT
Authority NEW 280
Form No PDF 3800 Series No D COPY Retain 1 yrs O mths CUT OFF FILE YEARLY DESTROY 1 YEAR AFTER FRB MAY HOLD THIS UNDER THEIR OWN ATHORITY
Org Abbrev
CUT OFF OR amp EXPENSE
FRB
Item No ~1-53-97-03-0002022
Description of Item SECURITIES TRANSACTION REQUEST pound4JS it TkA-T f1H~ DOCUMENT THE RECEIPT ANDOR WITHDRAWAL VAULT
OF SECURITIES FROM
Authority NEW
THE
Form No PDF 3800 Series No E COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF THIS IS A CONTROLAUDIT COPY ~fEHTHm RASPS 1111 II 1 ~ e 0 7 lP(lit-
Request For Record Disposition Authority Page 22
Item No Description of Item ((L iRus r 4(r~ll f11poundVr 1Nl-53-97-03-0002023 APPLICATIONS FOR ISSUING AGENT-- amin~PJT~~jjjjjjjQp bull
f-ll-euro coNIA-lff ORIGINAL AGREEMENT ffllii TO lt81 AS Mf lBBOHIG ACliID AND APPROPRIATE CORRESPONDENCE RELATING TO THIS AGREEMENT
Authority NEW
Form No PDF 3827 Series No IA COPY Retain 6 yrs 3 mths DESTROY 6 YEARS AFTER TERMINATION OF AGENCY
Org Abbrev FRB
11N hPPLICtTHJH fO
Q-AI IE lS MIT ISSUHf6 h6ENf MfEHfieH DilSED OH Hel 53 81 BQ 01
Item No Nl-53-97-03-0002024
Description of Item CERTIFICATE OF QUALIFICATION-ISSUING AGENT QUALIFY AS AN ISSUING AGENT FOR THE SERIES
1-( 5 ~gt (USSBo6922Bl EE BONDS
TO APPLY AND Authority NEW
Form No PDF 3828 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths D6ST(IOf- 6 r I AR S ~ YI OYrH ~ AFTER TERMINATION OF ISSUING AGENT STATUS ~TION axsuogN Jif l sect481 02 ~
Request For Record Disposition Authority Page 23
Item No Nl-53-97-03-0002025
~ fgtV tNamp-5 p OtvtgtS
Description of Item R20Jlti_S T F-Oa fJOOR F-M7Pr rRrlVSAcT10N BOOK ENTRY REQUEST FOR TRANSACTION IN USSB BY TRUSTEE-60508 Wi PURP06S Cll 11H5 iN ff TO INITIATE A TRANSACTION IN A BOOK ACCOUNT
IN (S
ENTRY
Authority NEW W
Item No bullNl-53-97-03-0002026
5~~ Mf~T flamppound
Form No PDF 3879 Series No ID COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
Description of Item Authority REQU BY THE OWNER OF REISSUE OF US SAVINGS BONDSNOTES-60000 NEW 451 --TITLE ADD BENEFICIARY OR COOWNER ELIMINATE BENE IARY OR DECEDENT SHOW CHANGE O ANDOR CORRECT ERROR I TION --RETENTION (l) FILE SERIES EEE AN VINGS NOTE REISSUE ESSED IN A CALENDAR MONTH BY SERIES I 2 FULL CALENDAR MONTHS bull---=~~bull NOT RETAIN COPIES (2) FORWARD SERIES HHH TIRED BONDS MICROFILM COPIES MAY BE MADE A FREQUENCY TO WARRANT THE COSTS ASSO Form No PDF 4000 Series No Al COPY FRB
0 yr O mths DETERMINE DISPOSITION SEE MEMO FIELD
FORW
Page 23A
0002 026 Form PDF 4000 Request by the owner for reissue of US Savings BondsNotes to add beneficiary or co-owner eliminate beneficiary or decedent show change of name andor correct error in registration
Disposition a) File series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series lil-IH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 24
Item No fll-53-97-03-0002027
Description of Item 4rtNC r REPORT OF NON-RECEIPTLOSSTHEFTDESTRUCTION OF FISCALACHECKmiddotUisZIB m ~JR tl9Hretl-EODH I L0SS fHSFT ~ kiisffilLc_Tfm~ENfv6rrc1f AND APPLICATION FOR REPLACEMENT
Authority NEW
Form No PDF 5235 Series No I Retain 7 yrs O mths C-tfr oF= F1(1amp-lt Ye4RL-- os~oS-
Org Abbrev FRB
Item No Nl-53-97-03-0002028
Description of ORDER IDIRi FOR
Item SERIES
u SAVINCr-~ Authority EE BONDS 8-11111dibijEnJm~~A-H I) ~ poundt A I GP Rc~~W Ba
SERVICE )-11tnNe1uDiESPil~OLl-]l~~~lJ~QRDS
Form No PDF 5263 Series No Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2
IA COPY Org Abbrev
MONTHS AFTER CUTOFF
FRB
Request For Record Disposition Authority Page 25
Item No Description of Item lf5 Sqvv-5 Authority Nl-53-97-03-0002029 ORDER FORM FOR SERIES EEBONDS 8lfl)a te4Dl40~ NEW_
~ dJ0RW ffi~~llv-imtY 00 NbisectiASIT SlsecttlIES=gtEE B~
10 fi ~e-6-- s T pound 12pound Igt I H Y4 M euro lF-- =- DU c 1 k fl r
Form No PDF 5263-1 Series No IA COPY Org Abbrev FRB Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2 MONTHS AFTER CUT OFF
Item No Description of Item SHUTS u s6- D ro Authority ~l-53-97-03-0003001 ACCOUNTABILITY STATEMENTS AND LEDGERYldbJSii606Jkr1a2~ INDICATEa ALL NEW
ACTIVITIES IN ISSUING AGENTS CONSIGNMENT ACCOUNTS LEDGER SHEETS 0 INCLUDE PIECES ON HAND BY DENOMINATION SERIAL NUMBERS AND BALANCES ON HAND
Form No Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3MOS AFTER CUT OFF ~~ sectA~D dm ftCP--53- 78---0zt- -8Q
Request For Record Disposition Authority Page 26
Item No Description of Item Authority Nl-53-97-03-0003002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLl4 i OOt NEW
BY BUREAU OF PUBLIC DEBT OFFICE aw amltS9Sl8 ~Q-gt ~ bull
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS
Org Abbrev
AFTER CUT OFF
FRB
Item No Nl-53-97-03-0003003
Description of Item ___ GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS~~ ~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT DOCUMENTING THE US TREASURY GENERAL ACCOUNT
ENTRIES
Authority NEW ltlillS TO
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 16
Item No Nl-53-97-03-00020ll
Description of Item Authority REINVESTMENT APPLICATIONfiii iiamp TO REQUEST PAYMENT NEW~ lIU s [sJRH IQ MOUfS I ea I iitf AND TO USE PROCEEDS FROM THE PAYMENT OF MATURED BONDS TO PURCHASE NEW BONDS FORWARD PROCESSED FORMS WITH RELATED STUBS TO SBOO WEEKLY IF INCOMPLETE OR OTHERWISE DEFECTIVE REQUEST A CORRECTED APPLICATION IF CORRECTED COPY NOT RECEIVED IN 30 DAYS FORWARD ORIGINAL TO SBOO
Form No PDF 1993 Series No I Org Abbrev Retain 0 yrs O mths FORWARD TO SBOO WEEKLY L9iR ffltifl-bM5EJi2fM QiampJ
FRB
Item No Nl-53-97-03-0002012
Description of Item Authority INVESTIGATION SCHEDULE OF PAID BONDS UNDER INVESTIGATIONLsectfbulllllffl NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ita zan(Bm(aclmztffilgtIeNff cf)lJQlIoIWM0 Qfiamplgtlatz~ltaa~ cblflhti1b(llxlS za~ TH Is FORM IS TO DESCRIBE BONDSNOTES AND GIVE DETAILS OF A TRANSACTION UNDER INVESTIGATION
Form No PDF 2343 Series No A COPY Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER RPfi IWI ii hi Mfilir7 o4cent tit W SR-II2-+481
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 17
Item No Description of Item Authority Nl-53-97-03-0002013 Ast RampF APPLICATIONll2ampMiil FOR RELIEF ON ACCOUNT OF THE LOSS THEFT OR NEW
DESTRUCTION OF PAID US SAVINGS BOND~tJ04PE$sfJ9FtjNEJ ijfltasJ atYlJiUJ THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS JIIMamph $1 lNGll RI 1Spound1111 IQ -HJ IWdiAF95 id Jit61Eel THE te1s1 btCJJ PilfftHCTAL BIGUT(j1ilt 181 PliiYDNampiEISITl
Form No PDF 2517 Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUTOFF aas QIN iifi4ib4s lUWW111 hilldUtiff-- in-1Ff 4ftKJ
Item No Description of Item Authority ~l-53-97-03-0002014 CERTIFICATION ATTACHMEN 1Mi6IAJta C OMtgtt- _~ 0 fr SAVlltr5 (gtOM D OWNfil-S bull NEW~
~P~~Du~wj~ ~~u Z~e= llAemmnF fll~i rn BEHi mrn FORMS w
Form No PDF 2778 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF a 1copy9111ti BtSbL iii Hl 5J U1 ~ 018
Request For Record Disposition Authority Page 18
Item No Nl-53-97-03-0002015
Item No Nl-53-97-03-0002016
Description of Item Authority CLAIM FOR RELIEF ON ACCOUNT OF LOSS THEFT OR DESTRUCTION rmcs 10eo~ NEW Gal
-~~s ~--~~IYP AfrF-fl vALtD ss-1pound 3ur 172tO(Z TO P--1zc_f=-1tdegT 3( C)(UNpoundR
Form No PDF 3062 Series No I Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Description of Item Authority CLAIM FOR RELIEF FOR LOSTSTOLEN OR DESTROYED usSBOND STOCKeampiYu NEW 4il9 DHc ampnI Wbiamp UJCWfal)rjAbiOHIEOP lZJt ibE poundECgtWfriii snoo WEPKpoundYJ COPIES MAY BE MADE AND RETAINED IF ACCESSED WITH SUFFICIENT FREQUENCY TO WARRANT THE COSTS ASSOCIATED WITH CREATION AND RETENTION
Form No PDF 3062-3 Series No Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Page 19
0002 017 Form PDF 3253 Exchange application for US Savings Bonds of series HH
Disposition a) Forward processed forms with related stubs to SBOO weekly
b) If incomplete or otherwise defective request a corrected application If corrected copy not receive in 30 days forward original to SBOO
0002 018 Form PDF 3360 Request for reissue ofUS Savings BondsNotes in the name of person or persons other than the owner (including legal guardian custodian for a minor under a statute etc )
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 20
Item No tNl-53-97-03-0002019
Item No ~1-53-97-03-0002020
Description of Item Authority CONTINUATION SHEET FOR LISTING SECURITIES0863 NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ll 4elJitGiJW aBlEiRMON-H ~clWAA~~ Qllw d5liIIINcentCfiDqltWMS ZOPbHS dSCbEMMEJRgt
Form No PDF 3500 Series No 1B COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF illgtIffl tgtlbllq~SiD ZOJIS ar-ar--91()2 -81B
Description REQUEST FOR
~ S- TftltpoundM lcN-
A 6-fl- F-cT c 1-1- A f fr-fi- OF MA Aeuro
Form No PDF 3564 Series No IA COPY Org Abbrev FRB Retain 1 yrs O mths DESTROY OBSOLETE DOCUMENTS ANNUALLY REnfffI I 5SLO mt Ne1 53 YB Ad 0 3gt
Request For Record Disposition Authority Page 21
Item No Nl-53-97-03-0002021
Description of Item SECURITIES TRANSACTION REQUESIWliiiill THlt-f
Ltif$B---Ftpound]o9 DOCUMENTbull THE WITHDRAWAL OF SECURITIES FROM THE USB VAULT
Authority NEW 280
Form No PDF 3800 Series No D COPY Retain 1 yrs O mths CUT OFF FILE YEARLY DESTROY 1 YEAR AFTER FRB MAY HOLD THIS UNDER THEIR OWN ATHORITY
Org Abbrev
CUT OFF OR amp EXPENSE
FRB
Item No ~1-53-97-03-0002022
Description of Item SECURITIES TRANSACTION REQUEST pound4JS it TkA-T f1H~ DOCUMENT THE RECEIPT ANDOR WITHDRAWAL VAULT
OF SECURITIES FROM
Authority NEW
THE
Form No PDF 3800 Series No E COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF THIS IS A CONTROLAUDIT COPY ~fEHTHm RASPS 1111 II 1 ~ e 0 7 lP(lit-
Request For Record Disposition Authority Page 22
Item No Description of Item ((L iRus r 4(r~ll f11poundVr 1Nl-53-97-03-0002023 APPLICATIONS FOR ISSUING AGENT-- amin~PJT~~jjjjjjjQp bull
f-ll-euro coNIA-lff ORIGINAL AGREEMENT ffllii TO lt81 AS Mf lBBOHIG ACliID AND APPROPRIATE CORRESPONDENCE RELATING TO THIS AGREEMENT
Authority NEW
Form No PDF 3827 Series No IA COPY Retain 6 yrs 3 mths DESTROY 6 YEARS AFTER TERMINATION OF AGENCY
Org Abbrev FRB
11N hPPLICtTHJH fO
Q-AI IE lS MIT ISSUHf6 h6ENf MfEHfieH DilSED OH Hel 53 81 BQ 01
Item No Nl-53-97-03-0002024
Description of Item CERTIFICATE OF QUALIFICATION-ISSUING AGENT QUALIFY AS AN ISSUING AGENT FOR THE SERIES
1-( 5 ~gt (USSBo6922Bl EE BONDS
TO APPLY AND Authority NEW
Form No PDF 3828 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths D6ST(IOf- 6 r I AR S ~ YI OYrH ~ AFTER TERMINATION OF ISSUING AGENT STATUS ~TION axsuogN Jif l sect481 02 ~
Request For Record Disposition Authority Page 23
Item No Nl-53-97-03-0002025
~ fgtV tNamp-5 p OtvtgtS
Description of Item R20Jlti_S T F-Oa fJOOR F-M7Pr rRrlVSAcT10N BOOK ENTRY REQUEST FOR TRANSACTION IN USSB BY TRUSTEE-60508 Wi PURP06S Cll 11H5 iN ff TO INITIATE A TRANSACTION IN A BOOK ACCOUNT
IN (S
ENTRY
Authority NEW W
Item No bullNl-53-97-03-0002026
5~~ Mf~T flamppound
Form No PDF 3879 Series No ID COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
Description of Item Authority REQU BY THE OWNER OF REISSUE OF US SAVINGS BONDSNOTES-60000 NEW 451 --TITLE ADD BENEFICIARY OR COOWNER ELIMINATE BENE IARY OR DECEDENT SHOW CHANGE O ANDOR CORRECT ERROR I TION --RETENTION (l) FILE SERIES EEE AN VINGS NOTE REISSUE ESSED IN A CALENDAR MONTH BY SERIES I 2 FULL CALENDAR MONTHS bull---=~~bull NOT RETAIN COPIES (2) FORWARD SERIES HHH TIRED BONDS MICROFILM COPIES MAY BE MADE A FREQUENCY TO WARRANT THE COSTS ASSO Form No PDF 4000 Series No Al COPY FRB
0 yr O mths DETERMINE DISPOSITION SEE MEMO FIELD
FORW
Page 23A
0002 026 Form PDF 4000 Request by the owner for reissue of US Savings BondsNotes to add beneficiary or co-owner eliminate beneficiary or decedent show change of name andor correct error in registration
Disposition a) File series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series lil-IH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 24
Item No fll-53-97-03-0002027
Description of Item 4rtNC r REPORT OF NON-RECEIPTLOSSTHEFTDESTRUCTION OF FISCALACHECKmiddotUisZIB m ~JR tl9Hretl-EODH I L0SS fHSFT ~ kiisffilLc_Tfm~ENfv6rrc1f AND APPLICATION FOR REPLACEMENT
Authority NEW
Form No PDF 5235 Series No I Retain 7 yrs O mths C-tfr oF= F1(1amp-lt Ye4RL-- os~oS-
Org Abbrev FRB
Item No Nl-53-97-03-0002028
Description of ORDER IDIRi FOR
Item SERIES
u SAVINCr-~ Authority EE BONDS 8-11111dibijEnJm~~A-H I) ~ poundt A I GP Rc~~W Ba
SERVICE )-11tnNe1uDiESPil~OLl-]l~~~lJ~QRDS
Form No PDF 5263 Series No Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2
IA COPY Org Abbrev
MONTHS AFTER CUTOFF
FRB
Request For Record Disposition Authority Page 25
Item No Description of Item lf5 Sqvv-5 Authority Nl-53-97-03-0002029 ORDER FORM FOR SERIES EEBONDS 8lfl)a te4Dl40~ NEW_
~ dJ0RW ffi~~llv-imtY 00 NbisectiASIT SlsecttlIES=gtEE B~
10 fi ~e-6-- s T pound 12pound Igt I H Y4 M euro lF-- =- DU c 1 k fl r
Form No PDF 5263-1 Series No IA COPY Org Abbrev FRB Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2 MONTHS AFTER CUT OFF
Item No Description of Item SHUTS u s6- D ro Authority ~l-53-97-03-0003001 ACCOUNTABILITY STATEMENTS AND LEDGERYldbJSii606Jkr1a2~ INDICATEa ALL NEW
ACTIVITIES IN ISSUING AGENTS CONSIGNMENT ACCOUNTS LEDGER SHEETS 0 INCLUDE PIECES ON HAND BY DENOMINATION SERIAL NUMBERS AND BALANCES ON HAND
Form No Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3MOS AFTER CUT OFF ~~ sectA~D dm ftCP--53- 78---0zt- -8Q
Request For Record Disposition Authority Page 26
Item No Description of Item Authority Nl-53-97-03-0003002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLl4 i OOt NEW
BY BUREAU OF PUBLIC DEBT OFFICE aw amltS9Sl8 ~Q-gt ~ bull
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS
Org Abbrev
AFTER CUT OFF
FRB
Item No Nl-53-97-03-0003003
Description of Item ___ GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS~~ ~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT DOCUMENTING THE US TREASURY GENERAL ACCOUNT
ENTRIES
Authority NEW ltlillS TO
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 17
Item No Description of Item Authority Nl-53-97-03-0002013 Ast RampF APPLICATIONll2ampMiil FOR RELIEF ON ACCOUNT OF THE LOSS THEFT OR NEW
DESTRUCTION OF PAID US SAVINGS BOND~tJ04PE$sfJ9FtjNEJ ijfltasJ atYlJiUJ THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS JIIMamph $1 lNGll RI 1Spound1111 IQ -HJ IWdiAF95 id Jit61Eel THE te1s1 btCJJ PilfftHCTAL BIGUT(j1ilt 181 PliiYDNampiEISITl
Form No PDF 2517 Series No IA COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUTOFF aas QIN iifi4ib4s lUWW111 hilldUtiff-- in-1Ff 4ftKJ
Item No Description of Item Authority ~l-53-97-03-0002014 CERTIFICATION ATTACHMEN 1Mi6IAJta C OMtgtt- _~ 0 fr SAVlltr5 (gtOM D OWNfil-S bull NEW~
~P~~Du~wj~ ~~u Z~e= llAemmnF fll~i rn BEHi mrn FORMS w
Form No PDF 2778 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF a 1copy9111ti BtSbL iii Hl 5J U1 ~ 018
Request For Record Disposition Authority Page 18
Item No Nl-53-97-03-0002015
Item No Nl-53-97-03-0002016
Description of Item Authority CLAIM FOR RELIEF ON ACCOUNT OF LOSS THEFT OR DESTRUCTION rmcs 10eo~ NEW Gal
-~~s ~--~~IYP AfrF-fl vALtD ss-1pound 3ur 172tO(Z TO P--1zc_f=-1tdegT 3( C)(UNpoundR
Form No PDF 3062 Series No I Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Description of Item Authority CLAIM FOR RELIEF FOR LOSTSTOLEN OR DESTROYED usSBOND STOCKeampiYu NEW 4il9 DHc ampnI Wbiamp UJCWfal)rjAbiOHIEOP lZJt ibE poundECgtWfriii snoo WEPKpoundYJ COPIES MAY BE MADE AND RETAINED IF ACCESSED WITH SUFFICIENT FREQUENCY TO WARRANT THE COSTS ASSOCIATED WITH CREATION AND RETENTION
Form No PDF 3062-3 Series No Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Page 19
0002 017 Form PDF 3253 Exchange application for US Savings Bonds of series HH
Disposition a) Forward processed forms with related stubs to SBOO weekly
b) If incomplete or otherwise defective request a corrected application If corrected copy not receive in 30 days forward original to SBOO
0002 018 Form PDF 3360 Request for reissue ofUS Savings BondsNotes in the name of person or persons other than the owner (including legal guardian custodian for a minor under a statute etc )
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 20
Item No tNl-53-97-03-0002019
Item No ~1-53-97-03-0002020
Description of Item Authority CONTINUATION SHEET FOR LISTING SECURITIES0863 NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ll 4elJitGiJW aBlEiRMON-H ~clWAA~~ Qllw d5liIIINcentCfiDqltWMS ZOPbHS dSCbEMMEJRgt
Form No PDF 3500 Series No 1B COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF illgtIffl tgtlbllq~SiD ZOJIS ar-ar--91()2 -81B
Description REQUEST FOR
~ S- TftltpoundM lcN-
A 6-fl- F-cT c 1-1- A f fr-fi- OF MA Aeuro
Form No PDF 3564 Series No IA COPY Org Abbrev FRB Retain 1 yrs O mths DESTROY OBSOLETE DOCUMENTS ANNUALLY REnfffI I 5SLO mt Ne1 53 YB Ad 0 3gt
Request For Record Disposition Authority Page 21
Item No Nl-53-97-03-0002021
Description of Item SECURITIES TRANSACTION REQUESIWliiiill THlt-f
Ltif$B---Ftpound]o9 DOCUMENTbull THE WITHDRAWAL OF SECURITIES FROM THE USB VAULT
Authority NEW 280
Form No PDF 3800 Series No D COPY Retain 1 yrs O mths CUT OFF FILE YEARLY DESTROY 1 YEAR AFTER FRB MAY HOLD THIS UNDER THEIR OWN ATHORITY
Org Abbrev
CUT OFF OR amp EXPENSE
FRB
Item No ~1-53-97-03-0002022
Description of Item SECURITIES TRANSACTION REQUEST pound4JS it TkA-T f1H~ DOCUMENT THE RECEIPT ANDOR WITHDRAWAL VAULT
OF SECURITIES FROM
Authority NEW
THE
Form No PDF 3800 Series No E COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF THIS IS A CONTROLAUDIT COPY ~fEHTHm RASPS 1111 II 1 ~ e 0 7 lP(lit-
Request For Record Disposition Authority Page 22
Item No Description of Item ((L iRus r 4(r~ll f11poundVr 1Nl-53-97-03-0002023 APPLICATIONS FOR ISSUING AGENT-- amin~PJT~~jjjjjjjQp bull
f-ll-euro coNIA-lff ORIGINAL AGREEMENT ffllii TO lt81 AS Mf lBBOHIG ACliID AND APPROPRIATE CORRESPONDENCE RELATING TO THIS AGREEMENT
Authority NEW
Form No PDF 3827 Series No IA COPY Retain 6 yrs 3 mths DESTROY 6 YEARS AFTER TERMINATION OF AGENCY
Org Abbrev FRB
11N hPPLICtTHJH fO
Q-AI IE lS MIT ISSUHf6 h6ENf MfEHfieH DilSED OH Hel 53 81 BQ 01
Item No Nl-53-97-03-0002024
Description of Item CERTIFICATE OF QUALIFICATION-ISSUING AGENT QUALIFY AS AN ISSUING AGENT FOR THE SERIES
1-( 5 ~gt (USSBo6922Bl EE BONDS
TO APPLY AND Authority NEW
Form No PDF 3828 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths D6ST(IOf- 6 r I AR S ~ YI OYrH ~ AFTER TERMINATION OF ISSUING AGENT STATUS ~TION axsuogN Jif l sect481 02 ~
Request For Record Disposition Authority Page 23
Item No Nl-53-97-03-0002025
~ fgtV tNamp-5 p OtvtgtS
Description of Item R20Jlti_S T F-Oa fJOOR F-M7Pr rRrlVSAcT10N BOOK ENTRY REQUEST FOR TRANSACTION IN USSB BY TRUSTEE-60508 Wi PURP06S Cll 11H5 iN ff TO INITIATE A TRANSACTION IN A BOOK ACCOUNT
IN (S
ENTRY
Authority NEW W
Item No bullNl-53-97-03-0002026
5~~ Mf~T flamppound
Form No PDF 3879 Series No ID COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
Description of Item Authority REQU BY THE OWNER OF REISSUE OF US SAVINGS BONDSNOTES-60000 NEW 451 --TITLE ADD BENEFICIARY OR COOWNER ELIMINATE BENE IARY OR DECEDENT SHOW CHANGE O ANDOR CORRECT ERROR I TION --RETENTION (l) FILE SERIES EEE AN VINGS NOTE REISSUE ESSED IN A CALENDAR MONTH BY SERIES I 2 FULL CALENDAR MONTHS bull---=~~bull NOT RETAIN COPIES (2) FORWARD SERIES HHH TIRED BONDS MICROFILM COPIES MAY BE MADE A FREQUENCY TO WARRANT THE COSTS ASSO Form No PDF 4000 Series No Al COPY FRB
0 yr O mths DETERMINE DISPOSITION SEE MEMO FIELD
FORW
Page 23A
0002 026 Form PDF 4000 Request by the owner for reissue of US Savings BondsNotes to add beneficiary or co-owner eliminate beneficiary or decedent show change of name andor correct error in registration
Disposition a) File series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series lil-IH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 24
Item No fll-53-97-03-0002027
Description of Item 4rtNC r REPORT OF NON-RECEIPTLOSSTHEFTDESTRUCTION OF FISCALACHECKmiddotUisZIB m ~JR tl9Hretl-EODH I L0SS fHSFT ~ kiisffilLc_Tfm~ENfv6rrc1f AND APPLICATION FOR REPLACEMENT
Authority NEW
Form No PDF 5235 Series No I Retain 7 yrs O mths C-tfr oF= F1(1amp-lt Ye4RL-- os~oS-
Org Abbrev FRB
Item No Nl-53-97-03-0002028
Description of ORDER IDIRi FOR
Item SERIES
u SAVINCr-~ Authority EE BONDS 8-11111dibijEnJm~~A-H I) ~ poundt A I GP Rc~~W Ba
SERVICE )-11tnNe1uDiESPil~OLl-]l~~~lJ~QRDS
Form No PDF 5263 Series No Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2
IA COPY Org Abbrev
MONTHS AFTER CUTOFF
FRB
Request For Record Disposition Authority Page 25
Item No Description of Item lf5 Sqvv-5 Authority Nl-53-97-03-0002029 ORDER FORM FOR SERIES EEBONDS 8lfl)a te4Dl40~ NEW_
~ dJ0RW ffi~~llv-imtY 00 NbisectiASIT SlsecttlIES=gtEE B~
10 fi ~e-6-- s T pound 12pound Igt I H Y4 M euro lF-- =- DU c 1 k fl r
Form No PDF 5263-1 Series No IA COPY Org Abbrev FRB Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2 MONTHS AFTER CUT OFF
Item No Description of Item SHUTS u s6- D ro Authority ~l-53-97-03-0003001 ACCOUNTABILITY STATEMENTS AND LEDGERYldbJSii606Jkr1a2~ INDICATEa ALL NEW
ACTIVITIES IN ISSUING AGENTS CONSIGNMENT ACCOUNTS LEDGER SHEETS 0 INCLUDE PIECES ON HAND BY DENOMINATION SERIAL NUMBERS AND BALANCES ON HAND
Form No Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3MOS AFTER CUT OFF ~~ sectA~D dm ftCP--53- 78---0zt- -8Q
Request For Record Disposition Authority Page 26
Item No Description of Item Authority Nl-53-97-03-0003002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLl4 i OOt NEW
BY BUREAU OF PUBLIC DEBT OFFICE aw amltS9Sl8 ~Q-gt ~ bull
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS
Org Abbrev
AFTER CUT OFF
FRB
Item No Nl-53-97-03-0003003
Description of Item ___ GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS~~ ~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT DOCUMENTING THE US TREASURY GENERAL ACCOUNT
ENTRIES
Authority NEW ltlillS TO
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 18
Item No Nl-53-97-03-0002015
Item No Nl-53-97-03-0002016
Description of Item Authority CLAIM FOR RELIEF ON ACCOUNT OF LOSS THEFT OR DESTRUCTION rmcs 10eo~ NEW Gal
-~~s ~--~~IYP AfrF-fl vALtD ss-1pound 3ur 172tO(Z TO P--1zc_f=-1tdegT 3( C)(UNpoundR
Form No PDF 3062 Series No I Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Description of Item Authority CLAIM FOR RELIEF FOR LOSTSTOLEN OR DESTROYED usSBOND STOCKeampiYu NEW 4il9 DHc ampnI Wbiamp UJCWfal)rjAbiOHIEOP lZJt ibE poundECgtWfriii snoo WEPKpoundYJ COPIES MAY BE MADE AND RETAINED IF ACCESSED WITH SUFFICIENT FREQUENCY TO WARRANT THE COSTS ASSOCIATED WITH CREATION AND RETENTION
Form No PDF 3062-3 Series No Org Abbrev FRB Retain 0 yrs O mths FORWARD TO SBOO WEEKLY
Page 19
0002 017 Form PDF 3253 Exchange application for US Savings Bonds of series HH
Disposition a) Forward processed forms with related stubs to SBOO weekly
b) If incomplete or otherwise defective request a corrected application If corrected copy not receive in 30 days forward original to SBOO
0002 018 Form PDF 3360 Request for reissue ofUS Savings BondsNotes in the name of person or persons other than the owner (including legal guardian custodian for a minor under a statute etc )
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 20
Item No tNl-53-97-03-0002019
Item No ~1-53-97-03-0002020
Description of Item Authority CONTINUATION SHEET FOR LISTING SECURITIES0863 NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ll 4elJitGiJW aBlEiRMON-H ~clWAA~~ Qllw d5liIIINcentCfiDqltWMS ZOPbHS dSCbEMMEJRgt
Form No PDF 3500 Series No 1B COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF illgtIffl tgtlbllq~SiD ZOJIS ar-ar--91()2 -81B
Description REQUEST FOR
~ S- TftltpoundM lcN-
A 6-fl- F-cT c 1-1- A f fr-fi- OF MA Aeuro
Form No PDF 3564 Series No IA COPY Org Abbrev FRB Retain 1 yrs O mths DESTROY OBSOLETE DOCUMENTS ANNUALLY REnfffI I 5SLO mt Ne1 53 YB Ad 0 3gt
Request For Record Disposition Authority Page 21
Item No Nl-53-97-03-0002021
Description of Item SECURITIES TRANSACTION REQUESIWliiiill THlt-f
Ltif$B---Ftpound]o9 DOCUMENTbull THE WITHDRAWAL OF SECURITIES FROM THE USB VAULT
Authority NEW 280
Form No PDF 3800 Series No D COPY Retain 1 yrs O mths CUT OFF FILE YEARLY DESTROY 1 YEAR AFTER FRB MAY HOLD THIS UNDER THEIR OWN ATHORITY
Org Abbrev
CUT OFF OR amp EXPENSE
FRB
Item No ~1-53-97-03-0002022
Description of Item SECURITIES TRANSACTION REQUEST pound4JS it TkA-T f1H~ DOCUMENT THE RECEIPT ANDOR WITHDRAWAL VAULT
OF SECURITIES FROM
Authority NEW
THE
Form No PDF 3800 Series No E COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF THIS IS A CONTROLAUDIT COPY ~fEHTHm RASPS 1111 II 1 ~ e 0 7 lP(lit-
Request For Record Disposition Authority Page 22
Item No Description of Item ((L iRus r 4(r~ll f11poundVr 1Nl-53-97-03-0002023 APPLICATIONS FOR ISSUING AGENT-- amin~PJT~~jjjjjjjQp bull
f-ll-euro coNIA-lff ORIGINAL AGREEMENT ffllii TO lt81 AS Mf lBBOHIG ACliID AND APPROPRIATE CORRESPONDENCE RELATING TO THIS AGREEMENT
Authority NEW
Form No PDF 3827 Series No IA COPY Retain 6 yrs 3 mths DESTROY 6 YEARS AFTER TERMINATION OF AGENCY
Org Abbrev FRB
11N hPPLICtTHJH fO
Q-AI IE lS MIT ISSUHf6 h6ENf MfEHfieH DilSED OH Hel 53 81 BQ 01
Item No Nl-53-97-03-0002024
Description of Item CERTIFICATE OF QUALIFICATION-ISSUING AGENT QUALIFY AS AN ISSUING AGENT FOR THE SERIES
1-( 5 ~gt (USSBo6922Bl EE BONDS
TO APPLY AND Authority NEW
Form No PDF 3828 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths D6ST(IOf- 6 r I AR S ~ YI OYrH ~ AFTER TERMINATION OF ISSUING AGENT STATUS ~TION axsuogN Jif l sect481 02 ~
Request For Record Disposition Authority Page 23
Item No Nl-53-97-03-0002025
~ fgtV tNamp-5 p OtvtgtS
Description of Item R20Jlti_S T F-Oa fJOOR F-M7Pr rRrlVSAcT10N BOOK ENTRY REQUEST FOR TRANSACTION IN USSB BY TRUSTEE-60508 Wi PURP06S Cll 11H5 iN ff TO INITIATE A TRANSACTION IN A BOOK ACCOUNT
IN (S
ENTRY
Authority NEW W
Item No bullNl-53-97-03-0002026
5~~ Mf~T flamppound
Form No PDF 3879 Series No ID COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
Description of Item Authority REQU BY THE OWNER OF REISSUE OF US SAVINGS BONDSNOTES-60000 NEW 451 --TITLE ADD BENEFICIARY OR COOWNER ELIMINATE BENE IARY OR DECEDENT SHOW CHANGE O ANDOR CORRECT ERROR I TION --RETENTION (l) FILE SERIES EEE AN VINGS NOTE REISSUE ESSED IN A CALENDAR MONTH BY SERIES I 2 FULL CALENDAR MONTHS bull---=~~bull NOT RETAIN COPIES (2) FORWARD SERIES HHH TIRED BONDS MICROFILM COPIES MAY BE MADE A FREQUENCY TO WARRANT THE COSTS ASSO Form No PDF 4000 Series No Al COPY FRB
0 yr O mths DETERMINE DISPOSITION SEE MEMO FIELD
FORW
Page 23A
0002 026 Form PDF 4000 Request by the owner for reissue of US Savings BondsNotes to add beneficiary or co-owner eliminate beneficiary or decedent show change of name andor correct error in registration
Disposition a) File series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series lil-IH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 24
Item No fll-53-97-03-0002027
Description of Item 4rtNC r REPORT OF NON-RECEIPTLOSSTHEFTDESTRUCTION OF FISCALACHECKmiddotUisZIB m ~JR tl9Hretl-EODH I L0SS fHSFT ~ kiisffilLc_Tfm~ENfv6rrc1f AND APPLICATION FOR REPLACEMENT
Authority NEW
Form No PDF 5235 Series No I Retain 7 yrs O mths C-tfr oF= F1(1amp-lt Ye4RL-- os~oS-
Org Abbrev FRB
Item No Nl-53-97-03-0002028
Description of ORDER IDIRi FOR
Item SERIES
u SAVINCr-~ Authority EE BONDS 8-11111dibijEnJm~~A-H I) ~ poundt A I GP Rc~~W Ba
SERVICE )-11tnNe1uDiESPil~OLl-]l~~~lJ~QRDS
Form No PDF 5263 Series No Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2
IA COPY Org Abbrev
MONTHS AFTER CUTOFF
FRB
Request For Record Disposition Authority Page 25
Item No Description of Item lf5 Sqvv-5 Authority Nl-53-97-03-0002029 ORDER FORM FOR SERIES EEBONDS 8lfl)a te4Dl40~ NEW_
~ dJ0RW ffi~~llv-imtY 00 NbisectiASIT SlsecttlIES=gtEE B~
10 fi ~e-6-- s T pound 12pound Igt I H Y4 M euro lF-- =- DU c 1 k fl r
Form No PDF 5263-1 Series No IA COPY Org Abbrev FRB Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2 MONTHS AFTER CUT OFF
Item No Description of Item SHUTS u s6- D ro Authority ~l-53-97-03-0003001 ACCOUNTABILITY STATEMENTS AND LEDGERYldbJSii606Jkr1a2~ INDICATEa ALL NEW
ACTIVITIES IN ISSUING AGENTS CONSIGNMENT ACCOUNTS LEDGER SHEETS 0 INCLUDE PIECES ON HAND BY DENOMINATION SERIAL NUMBERS AND BALANCES ON HAND
Form No Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3MOS AFTER CUT OFF ~~ sectA~D dm ftCP--53- 78---0zt- -8Q
Request For Record Disposition Authority Page 26
Item No Description of Item Authority Nl-53-97-03-0003002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLl4 i OOt NEW
BY BUREAU OF PUBLIC DEBT OFFICE aw amltS9Sl8 ~Q-gt ~ bull
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS
Org Abbrev
AFTER CUT OFF
FRB
Item No Nl-53-97-03-0003003
Description of Item ___ GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS~~ ~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT DOCUMENTING THE US TREASURY GENERAL ACCOUNT
ENTRIES
Authority NEW ltlillS TO
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Page 19
0002 017 Form PDF 3253 Exchange application for US Savings Bonds of series HH
Disposition a) Forward processed forms with related stubs to SBOO weekly
b) If incomplete or otherwise defective request a corrected application If corrected copy not receive in 30 days forward original to SBOO
0002 018 Form PDF 3360 Request for reissue ofUS Savings BondsNotes in the name of person or persons other than the owner (including legal guardian custodian for a minor under a statute etc )
Disposition a) File Series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series HHH reissue request weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 20
Item No tNl-53-97-03-0002019
Item No ~1-53-97-03-0002020
Description of Item Authority CONTINUATION SHEET FOR LISTING SECURITIES0863 NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ll 4elJitGiJW aBlEiRMON-H ~clWAA~~ Qllw d5liIIINcentCfiDqltWMS ZOPbHS dSCbEMMEJRgt
Form No PDF 3500 Series No 1B COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF illgtIffl tgtlbllq~SiD ZOJIS ar-ar--91()2 -81B
Description REQUEST FOR
~ S- TftltpoundM lcN-
A 6-fl- F-cT c 1-1- A f fr-fi- OF MA Aeuro
Form No PDF 3564 Series No IA COPY Org Abbrev FRB Retain 1 yrs O mths DESTROY OBSOLETE DOCUMENTS ANNUALLY REnfffI I 5SLO mt Ne1 53 YB Ad 0 3gt
Request For Record Disposition Authority Page 21
Item No Nl-53-97-03-0002021
Description of Item SECURITIES TRANSACTION REQUESIWliiiill THlt-f
Ltif$B---Ftpound]o9 DOCUMENTbull THE WITHDRAWAL OF SECURITIES FROM THE USB VAULT
Authority NEW 280
Form No PDF 3800 Series No D COPY Retain 1 yrs O mths CUT OFF FILE YEARLY DESTROY 1 YEAR AFTER FRB MAY HOLD THIS UNDER THEIR OWN ATHORITY
Org Abbrev
CUT OFF OR amp EXPENSE
FRB
Item No ~1-53-97-03-0002022
Description of Item SECURITIES TRANSACTION REQUEST pound4JS it TkA-T f1H~ DOCUMENT THE RECEIPT ANDOR WITHDRAWAL VAULT
OF SECURITIES FROM
Authority NEW
THE
Form No PDF 3800 Series No E COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF THIS IS A CONTROLAUDIT COPY ~fEHTHm RASPS 1111 II 1 ~ e 0 7 lP(lit-
Request For Record Disposition Authority Page 22
Item No Description of Item ((L iRus r 4(r~ll f11poundVr 1Nl-53-97-03-0002023 APPLICATIONS FOR ISSUING AGENT-- amin~PJT~~jjjjjjjQp bull
f-ll-euro coNIA-lff ORIGINAL AGREEMENT ffllii TO lt81 AS Mf lBBOHIG ACliID AND APPROPRIATE CORRESPONDENCE RELATING TO THIS AGREEMENT
Authority NEW
Form No PDF 3827 Series No IA COPY Retain 6 yrs 3 mths DESTROY 6 YEARS AFTER TERMINATION OF AGENCY
Org Abbrev FRB
11N hPPLICtTHJH fO
Q-AI IE lS MIT ISSUHf6 h6ENf MfEHfieH DilSED OH Hel 53 81 BQ 01
Item No Nl-53-97-03-0002024
Description of Item CERTIFICATE OF QUALIFICATION-ISSUING AGENT QUALIFY AS AN ISSUING AGENT FOR THE SERIES
1-( 5 ~gt (USSBo6922Bl EE BONDS
TO APPLY AND Authority NEW
Form No PDF 3828 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths D6ST(IOf- 6 r I AR S ~ YI OYrH ~ AFTER TERMINATION OF ISSUING AGENT STATUS ~TION axsuogN Jif l sect481 02 ~
Request For Record Disposition Authority Page 23
Item No Nl-53-97-03-0002025
~ fgtV tNamp-5 p OtvtgtS
Description of Item R20Jlti_S T F-Oa fJOOR F-M7Pr rRrlVSAcT10N BOOK ENTRY REQUEST FOR TRANSACTION IN USSB BY TRUSTEE-60508 Wi PURP06S Cll 11H5 iN ff TO INITIATE A TRANSACTION IN A BOOK ACCOUNT
IN (S
ENTRY
Authority NEW W
Item No bullNl-53-97-03-0002026
5~~ Mf~T flamppound
Form No PDF 3879 Series No ID COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
Description of Item Authority REQU BY THE OWNER OF REISSUE OF US SAVINGS BONDSNOTES-60000 NEW 451 --TITLE ADD BENEFICIARY OR COOWNER ELIMINATE BENE IARY OR DECEDENT SHOW CHANGE O ANDOR CORRECT ERROR I TION --RETENTION (l) FILE SERIES EEE AN VINGS NOTE REISSUE ESSED IN A CALENDAR MONTH BY SERIES I 2 FULL CALENDAR MONTHS bull---=~~bull NOT RETAIN COPIES (2) FORWARD SERIES HHH TIRED BONDS MICROFILM COPIES MAY BE MADE A FREQUENCY TO WARRANT THE COSTS ASSO Form No PDF 4000 Series No Al COPY FRB
0 yr O mths DETERMINE DISPOSITION SEE MEMO FIELD
FORW
Page 23A
0002 026 Form PDF 4000 Request by the owner for reissue of US Savings BondsNotes to add beneficiary or co-owner eliminate beneficiary or decedent show change of name andor correct error in registration
Disposition a) File series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series lil-IH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 24
Item No fll-53-97-03-0002027
Description of Item 4rtNC r REPORT OF NON-RECEIPTLOSSTHEFTDESTRUCTION OF FISCALACHECKmiddotUisZIB m ~JR tl9Hretl-EODH I L0SS fHSFT ~ kiisffilLc_Tfm~ENfv6rrc1f AND APPLICATION FOR REPLACEMENT
Authority NEW
Form No PDF 5235 Series No I Retain 7 yrs O mths C-tfr oF= F1(1amp-lt Ye4RL-- os~oS-
Org Abbrev FRB
Item No Nl-53-97-03-0002028
Description of ORDER IDIRi FOR
Item SERIES
u SAVINCr-~ Authority EE BONDS 8-11111dibijEnJm~~A-H I) ~ poundt A I GP Rc~~W Ba
SERVICE )-11tnNe1uDiESPil~OLl-]l~~~lJ~QRDS
Form No PDF 5263 Series No Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2
IA COPY Org Abbrev
MONTHS AFTER CUTOFF
FRB
Request For Record Disposition Authority Page 25
Item No Description of Item lf5 Sqvv-5 Authority Nl-53-97-03-0002029 ORDER FORM FOR SERIES EEBONDS 8lfl)a te4Dl40~ NEW_
~ dJ0RW ffi~~llv-imtY 00 NbisectiASIT SlsecttlIES=gtEE B~
10 fi ~e-6-- s T pound 12pound Igt I H Y4 M euro lF-- =- DU c 1 k fl r
Form No PDF 5263-1 Series No IA COPY Org Abbrev FRB Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2 MONTHS AFTER CUT OFF
Item No Description of Item SHUTS u s6- D ro Authority ~l-53-97-03-0003001 ACCOUNTABILITY STATEMENTS AND LEDGERYldbJSii606Jkr1a2~ INDICATEa ALL NEW
ACTIVITIES IN ISSUING AGENTS CONSIGNMENT ACCOUNTS LEDGER SHEETS 0 INCLUDE PIECES ON HAND BY DENOMINATION SERIAL NUMBERS AND BALANCES ON HAND
Form No Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3MOS AFTER CUT OFF ~~ sectA~D dm ftCP--53- 78---0zt- -8Q
Request For Record Disposition Authority Page 26
Item No Description of Item Authority Nl-53-97-03-0003002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLl4 i OOt NEW
BY BUREAU OF PUBLIC DEBT OFFICE aw amltS9Sl8 ~Q-gt ~ bull
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS
Org Abbrev
AFTER CUT OFF
FRB
Item No Nl-53-97-03-0003003
Description of Item ___ GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS~~ ~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT DOCUMENTING THE US TREASURY GENERAL ACCOUNT
ENTRIES
Authority NEW ltlillS TO
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 20
Item No tNl-53-97-03-0002019
Item No ~1-53-97-03-0002020
Description of Item Authority CONTINUATION SHEET FOR LISTING SECURITIES0863 NEW THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING RECORDS AND DOCUMENTS RELATED TO LOST BONDS ~ll 4elJitGiJW aBlEiRMON-H ~clWAA~~ Qllw d5liIIINcentCfiDqltWMS ZOPbHS dSCbEMMEJRgt
Form No PDF 3500 Series No 1B COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF illgtIffl tgtlbllq~SiD ZOJIS ar-ar--91()2 -81B
Description REQUEST FOR
~ S- TftltpoundM lcN-
A 6-fl- F-cT c 1-1- A f fr-fi- OF MA Aeuro
Form No PDF 3564 Series No IA COPY Org Abbrev FRB Retain 1 yrs O mths DESTROY OBSOLETE DOCUMENTS ANNUALLY REnfffI I 5SLO mt Ne1 53 YB Ad 0 3gt
Request For Record Disposition Authority Page 21
Item No Nl-53-97-03-0002021
Description of Item SECURITIES TRANSACTION REQUESIWliiiill THlt-f
Ltif$B---Ftpound]o9 DOCUMENTbull THE WITHDRAWAL OF SECURITIES FROM THE USB VAULT
Authority NEW 280
Form No PDF 3800 Series No D COPY Retain 1 yrs O mths CUT OFF FILE YEARLY DESTROY 1 YEAR AFTER FRB MAY HOLD THIS UNDER THEIR OWN ATHORITY
Org Abbrev
CUT OFF OR amp EXPENSE
FRB
Item No ~1-53-97-03-0002022
Description of Item SECURITIES TRANSACTION REQUEST pound4JS it TkA-T f1H~ DOCUMENT THE RECEIPT ANDOR WITHDRAWAL VAULT
OF SECURITIES FROM
Authority NEW
THE
Form No PDF 3800 Series No E COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF THIS IS A CONTROLAUDIT COPY ~fEHTHm RASPS 1111 II 1 ~ e 0 7 lP(lit-
Request For Record Disposition Authority Page 22
Item No Description of Item ((L iRus r 4(r~ll f11poundVr 1Nl-53-97-03-0002023 APPLICATIONS FOR ISSUING AGENT-- amin~PJT~~jjjjjjjQp bull
f-ll-euro coNIA-lff ORIGINAL AGREEMENT ffllii TO lt81 AS Mf lBBOHIG ACliID AND APPROPRIATE CORRESPONDENCE RELATING TO THIS AGREEMENT
Authority NEW
Form No PDF 3827 Series No IA COPY Retain 6 yrs 3 mths DESTROY 6 YEARS AFTER TERMINATION OF AGENCY
Org Abbrev FRB
11N hPPLICtTHJH fO
Q-AI IE lS MIT ISSUHf6 h6ENf MfEHfieH DilSED OH Hel 53 81 BQ 01
Item No Nl-53-97-03-0002024
Description of Item CERTIFICATE OF QUALIFICATION-ISSUING AGENT QUALIFY AS AN ISSUING AGENT FOR THE SERIES
1-( 5 ~gt (USSBo6922Bl EE BONDS
TO APPLY AND Authority NEW
Form No PDF 3828 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths D6ST(IOf- 6 r I AR S ~ YI OYrH ~ AFTER TERMINATION OF ISSUING AGENT STATUS ~TION axsuogN Jif l sect481 02 ~
Request For Record Disposition Authority Page 23
Item No Nl-53-97-03-0002025
~ fgtV tNamp-5 p OtvtgtS
Description of Item R20Jlti_S T F-Oa fJOOR F-M7Pr rRrlVSAcT10N BOOK ENTRY REQUEST FOR TRANSACTION IN USSB BY TRUSTEE-60508 Wi PURP06S Cll 11H5 iN ff TO INITIATE A TRANSACTION IN A BOOK ACCOUNT
IN (S
ENTRY
Authority NEW W
Item No bullNl-53-97-03-0002026
5~~ Mf~T flamppound
Form No PDF 3879 Series No ID COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
Description of Item Authority REQU BY THE OWNER OF REISSUE OF US SAVINGS BONDSNOTES-60000 NEW 451 --TITLE ADD BENEFICIARY OR COOWNER ELIMINATE BENE IARY OR DECEDENT SHOW CHANGE O ANDOR CORRECT ERROR I TION --RETENTION (l) FILE SERIES EEE AN VINGS NOTE REISSUE ESSED IN A CALENDAR MONTH BY SERIES I 2 FULL CALENDAR MONTHS bull---=~~bull NOT RETAIN COPIES (2) FORWARD SERIES HHH TIRED BONDS MICROFILM COPIES MAY BE MADE A FREQUENCY TO WARRANT THE COSTS ASSO Form No PDF 4000 Series No Al COPY FRB
0 yr O mths DETERMINE DISPOSITION SEE MEMO FIELD
FORW
Page 23A
0002 026 Form PDF 4000 Request by the owner for reissue of US Savings BondsNotes to add beneficiary or co-owner eliminate beneficiary or decedent show change of name andor correct error in registration
Disposition a) File series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series lil-IH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 24
Item No fll-53-97-03-0002027
Description of Item 4rtNC r REPORT OF NON-RECEIPTLOSSTHEFTDESTRUCTION OF FISCALACHECKmiddotUisZIB m ~JR tl9Hretl-EODH I L0SS fHSFT ~ kiisffilLc_Tfm~ENfv6rrc1f AND APPLICATION FOR REPLACEMENT
Authority NEW
Form No PDF 5235 Series No I Retain 7 yrs O mths C-tfr oF= F1(1amp-lt Ye4RL-- os~oS-
Org Abbrev FRB
Item No Nl-53-97-03-0002028
Description of ORDER IDIRi FOR
Item SERIES
u SAVINCr-~ Authority EE BONDS 8-11111dibijEnJm~~A-H I) ~ poundt A I GP Rc~~W Ba
SERVICE )-11tnNe1uDiESPil~OLl-]l~~~lJ~QRDS
Form No PDF 5263 Series No Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2
IA COPY Org Abbrev
MONTHS AFTER CUTOFF
FRB
Request For Record Disposition Authority Page 25
Item No Description of Item lf5 Sqvv-5 Authority Nl-53-97-03-0002029 ORDER FORM FOR SERIES EEBONDS 8lfl)a te4Dl40~ NEW_
~ dJ0RW ffi~~llv-imtY 00 NbisectiASIT SlsecttlIES=gtEE B~
10 fi ~e-6-- s T pound 12pound Igt I H Y4 M euro lF-- =- DU c 1 k fl r
Form No PDF 5263-1 Series No IA COPY Org Abbrev FRB Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2 MONTHS AFTER CUT OFF
Item No Description of Item SHUTS u s6- D ro Authority ~l-53-97-03-0003001 ACCOUNTABILITY STATEMENTS AND LEDGERYldbJSii606Jkr1a2~ INDICATEa ALL NEW
ACTIVITIES IN ISSUING AGENTS CONSIGNMENT ACCOUNTS LEDGER SHEETS 0 INCLUDE PIECES ON HAND BY DENOMINATION SERIAL NUMBERS AND BALANCES ON HAND
Form No Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3MOS AFTER CUT OFF ~~ sectA~D dm ftCP--53- 78---0zt- -8Q
Request For Record Disposition Authority Page 26
Item No Description of Item Authority Nl-53-97-03-0003002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLl4 i OOt NEW
BY BUREAU OF PUBLIC DEBT OFFICE aw amltS9Sl8 ~Q-gt ~ bull
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS
Org Abbrev
AFTER CUT OFF
FRB
Item No Nl-53-97-03-0003003
Description of Item ___ GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS~~ ~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT DOCUMENTING THE US TREASURY GENERAL ACCOUNT
ENTRIES
Authority NEW ltlillS TO
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 21
Item No Nl-53-97-03-0002021
Description of Item SECURITIES TRANSACTION REQUESIWliiiill THlt-f
Ltif$B---Ftpound]o9 DOCUMENTbull THE WITHDRAWAL OF SECURITIES FROM THE USB VAULT
Authority NEW 280
Form No PDF 3800 Series No D COPY Retain 1 yrs O mths CUT OFF FILE YEARLY DESTROY 1 YEAR AFTER FRB MAY HOLD THIS UNDER THEIR OWN ATHORITY
Org Abbrev
CUT OFF OR amp EXPENSE
FRB
Item No ~1-53-97-03-0002022
Description of Item SECURITIES TRANSACTION REQUEST pound4JS it TkA-T f1H~ DOCUMENT THE RECEIPT ANDOR WITHDRAWAL VAULT
OF SECURITIES FROM
Authority NEW
THE
Form No PDF 3800 Series No E COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF THIS IS A CONTROLAUDIT COPY ~fEHTHm RASPS 1111 II 1 ~ e 0 7 lP(lit-
Request For Record Disposition Authority Page 22
Item No Description of Item ((L iRus r 4(r~ll f11poundVr 1Nl-53-97-03-0002023 APPLICATIONS FOR ISSUING AGENT-- amin~PJT~~jjjjjjjQp bull
f-ll-euro coNIA-lff ORIGINAL AGREEMENT ffllii TO lt81 AS Mf lBBOHIG ACliID AND APPROPRIATE CORRESPONDENCE RELATING TO THIS AGREEMENT
Authority NEW
Form No PDF 3827 Series No IA COPY Retain 6 yrs 3 mths DESTROY 6 YEARS AFTER TERMINATION OF AGENCY
Org Abbrev FRB
11N hPPLICtTHJH fO
Q-AI IE lS MIT ISSUHf6 h6ENf MfEHfieH DilSED OH Hel 53 81 BQ 01
Item No Nl-53-97-03-0002024
Description of Item CERTIFICATE OF QUALIFICATION-ISSUING AGENT QUALIFY AS AN ISSUING AGENT FOR THE SERIES
1-( 5 ~gt (USSBo6922Bl EE BONDS
TO APPLY AND Authority NEW
Form No PDF 3828 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths D6ST(IOf- 6 r I AR S ~ YI OYrH ~ AFTER TERMINATION OF ISSUING AGENT STATUS ~TION axsuogN Jif l sect481 02 ~
Request For Record Disposition Authority Page 23
Item No Nl-53-97-03-0002025
~ fgtV tNamp-5 p OtvtgtS
Description of Item R20Jlti_S T F-Oa fJOOR F-M7Pr rRrlVSAcT10N BOOK ENTRY REQUEST FOR TRANSACTION IN USSB BY TRUSTEE-60508 Wi PURP06S Cll 11H5 iN ff TO INITIATE A TRANSACTION IN A BOOK ACCOUNT
IN (S
ENTRY
Authority NEW W
Item No bullNl-53-97-03-0002026
5~~ Mf~T flamppound
Form No PDF 3879 Series No ID COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
Description of Item Authority REQU BY THE OWNER OF REISSUE OF US SAVINGS BONDSNOTES-60000 NEW 451 --TITLE ADD BENEFICIARY OR COOWNER ELIMINATE BENE IARY OR DECEDENT SHOW CHANGE O ANDOR CORRECT ERROR I TION --RETENTION (l) FILE SERIES EEE AN VINGS NOTE REISSUE ESSED IN A CALENDAR MONTH BY SERIES I 2 FULL CALENDAR MONTHS bull---=~~bull NOT RETAIN COPIES (2) FORWARD SERIES HHH TIRED BONDS MICROFILM COPIES MAY BE MADE A FREQUENCY TO WARRANT THE COSTS ASSO Form No PDF 4000 Series No Al COPY FRB
0 yr O mths DETERMINE DISPOSITION SEE MEMO FIELD
FORW
Page 23A
0002 026 Form PDF 4000 Request by the owner for reissue of US Savings BondsNotes to add beneficiary or co-owner eliminate beneficiary or decedent show change of name andor correct error in registration
Disposition a) File series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series lil-IH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 24
Item No fll-53-97-03-0002027
Description of Item 4rtNC r REPORT OF NON-RECEIPTLOSSTHEFTDESTRUCTION OF FISCALACHECKmiddotUisZIB m ~JR tl9Hretl-EODH I L0SS fHSFT ~ kiisffilLc_Tfm~ENfv6rrc1f AND APPLICATION FOR REPLACEMENT
Authority NEW
Form No PDF 5235 Series No I Retain 7 yrs O mths C-tfr oF= F1(1amp-lt Ye4RL-- os~oS-
Org Abbrev FRB
Item No Nl-53-97-03-0002028
Description of ORDER IDIRi FOR
Item SERIES
u SAVINCr-~ Authority EE BONDS 8-11111dibijEnJm~~A-H I) ~ poundt A I GP Rc~~W Ba
SERVICE )-11tnNe1uDiESPil~OLl-]l~~~lJ~QRDS
Form No PDF 5263 Series No Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2
IA COPY Org Abbrev
MONTHS AFTER CUTOFF
FRB
Request For Record Disposition Authority Page 25
Item No Description of Item lf5 Sqvv-5 Authority Nl-53-97-03-0002029 ORDER FORM FOR SERIES EEBONDS 8lfl)a te4Dl40~ NEW_
~ dJ0RW ffi~~llv-imtY 00 NbisectiASIT SlsecttlIES=gtEE B~
10 fi ~e-6-- s T pound 12pound Igt I H Y4 M euro lF-- =- DU c 1 k fl r
Form No PDF 5263-1 Series No IA COPY Org Abbrev FRB Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2 MONTHS AFTER CUT OFF
Item No Description of Item SHUTS u s6- D ro Authority ~l-53-97-03-0003001 ACCOUNTABILITY STATEMENTS AND LEDGERYldbJSii606Jkr1a2~ INDICATEa ALL NEW
ACTIVITIES IN ISSUING AGENTS CONSIGNMENT ACCOUNTS LEDGER SHEETS 0 INCLUDE PIECES ON HAND BY DENOMINATION SERIAL NUMBERS AND BALANCES ON HAND
Form No Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3MOS AFTER CUT OFF ~~ sectA~D dm ftCP--53- 78---0zt- -8Q
Request For Record Disposition Authority Page 26
Item No Description of Item Authority Nl-53-97-03-0003002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLl4 i OOt NEW
BY BUREAU OF PUBLIC DEBT OFFICE aw amltS9Sl8 ~Q-gt ~ bull
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS
Org Abbrev
AFTER CUT OFF
FRB
Item No Nl-53-97-03-0003003
Description of Item ___ GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS~~ ~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT DOCUMENTING THE US TREASURY GENERAL ACCOUNT
ENTRIES
Authority NEW ltlillS TO
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 22
Item No Description of Item ((L iRus r 4(r~ll f11poundVr 1Nl-53-97-03-0002023 APPLICATIONS FOR ISSUING AGENT-- amin~PJT~~jjjjjjjQp bull
f-ll-euro coNIA-lff ORIGINAL AGREEMENT ffllii TO lt81 AS Mf lBBOHIG ACliID AND APPROPRIATE CORRESPONDENCE RELATING TO THIS AGREEMENT
Authority NEW
Form No PDF 3827 Series No IA COPY Retain 6 yrs 3 mths DESTROY 6 YEARS AFTER TERMINATION OF AGENCY
Org Abbrev FRB
11N hPPLICtTHJH fO
Q-AI IE lS MIT ISSUHf6 h6ENf MfEHfieH DilSED OH Hel 53 81 BQ 01
Item No Nl-53-97-03-0002024
Description of Item CERTIFICATE OF QUALIFICATION-ISSUING AGENT QUALIFY AS AN ISSUING AGENT FOR THE SERIES
1-( 5 ~gt (USSBo6922Bl EE BONDS
TO APPLY AND Authority NEW
Form No PDF 3828 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths D6ST(IOf- 6 r I AR S ~ YI OYrH ~ AFTER TERMINATION OF ISSUING AGENT STATUS ~TION axsuogN Jif l sect481 02 ~
Request For Record Disposition Authority Page 23
Item No Nl-53-97-03-0002025
~ fgtV tNamp-5 p OtvtgtS
Description of Item R20Jlti_S T F-Oa fJOOR F-M7Pr rRrlVSAcT10N BOOK ENTRY REQUEST FOR TRANSACTION IN USSB BY TRUSTEE-60508 Wi PURP06S Cll 11H5 iN ff TO INITIATE A TRANSACTION IN A BOOK ACCOUNT
IN (S
ENTRY
Authority NEW W
Item No bullNl-53-97-03-0002026
5~~ Mf~T flamppound
Form No PDF 3879 Series No ID COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
Description of Item Authority REQU BY THE OWNER OF REISSUE OF US SAVINGS BONDSNOTES-60000 NEW 451 --TITLE ADD BENEFICIARY OR COOWNER ELIMINATE BENE IARY OR DECEDENT SHOW CHANGE O ANDOR CORRECT ERROR I TION --RETENTION (l) FILE SERIES EEE AN VINGS NOTE REISSUE ESSED IN A CALENDAR MONTH BY SERIES I 2 FULL CALENDAR MONTHS bull---=~~bull NOT RETAIN COPIES (2) FORWARD SERIES HHH TIRED BONDS MICROFILM COPIES MAY BE MADE A FREQUENCY TO WARRANT THE COSTS ASSO Form No PDF 4000 Series No Al COPY FRB
0 yr O mths DETERMINE DISPOSITION SEE MEMO FIELD
FORW
Page 23A
0002 026 Form PDF 4000 Request by the owner for reissue of US Savings BondsNotes to add beneficiary or co-owner eliminate beneficiary or decedent show change of name andor correct error in registration
Disposition a) File series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series lil-IH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 24
Item No fll-53-97-03-0002027
Description of Item 4rtNC r REPORT OF NON-RECEIPTLOSSTHEFTDESTRUCTION OF FISCALACHECKmiddotUisZIB m ~JR tl9Hretl-EODH I L0SS fHSFT ~ kiisffilLc_Tfm~ENfv6rrc1f AND APPLICATION FOR REPLACEMENT
Authority NEW
Form No PDF 5235 Series No I Retain 7 yrs O mths C-tfr oF= F1(1amp-lt Ye4RL-- os~oS-
Org Abbrev FRB
Item No Nl-53-97-03-0002028
Description of ORDER IDIRi FOR
Item SERIES
u SAVINCr-~ Authority EE BONDS 8-11111dibijEnJm~~A-H I) ~ poundt A I GP Rc~~W Ba
SERVICE )-11tnNe1uDiESPil~OLl-]l~~~lJ~QRDS
Form No PDF 5263 Series No Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2
IA COPY Org Abbrev
MONTHS AFTER CUTOFF
FRB
Request For Record Disposition Authority Page 25
Item No Description of Item lf5 Sqvv-5 Authority Nl-53-97-03-0002029 ORDER FORM FOR SERIES EEBONDS 8lfl)a te4Dl40~ NEW_
~ dJ0RW ffi~~llv-imtY 00 NbisectiASIT SlsecttlIES=gtEE B~
10 fi ~e-6-- s T pound 12pound Igt I H Y4 M euro lF-- =- DU c 1 k fl r
Form No PDF 5263-1 Series No IA COPY Org Abbrev FRB Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2 MONTHS AFTER CUT OFF
Item No Description of Item SHUTS u s6- D ro Authority ~l-53-97-03-0003001 ACCOUNTABILITY STATEMENTS AND LEDGERYldbJSii606Jkr1a2~ INDICATEa ALL NEW
ACTIVITIES IN ISSUING AGENTS CONSIGNMENT ACCOUNTS LEDGER SHEETS 0 INCLUDE PIECES ON HAND BY DENOMINATION SERIAL NUMBERS AND BALANCES ON HAND
Form No Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3MOS AFTER CUT OFF ~~ sectA~D dm ftCP--53- 78---0zt- -8Q
Request For Record Disposition Authority Page 26
Item No Description of Item Authority Nl-53-97-03-0003002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLl4 i OOt NEW
BY BUREAU OF PUBLIC DEBT OFFICE aw amltS9Sl8 ~Q-gt ~ bull
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS
Org Abbrev
AFTER CUT OFF
FRB
Item No Nl-53-97-03-0003003
Description of Item ___ GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS~~ ~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT DOCUMENTING THE US TREASURY GENERAL ACCOUNT
ENTRIES
Authority NEW ltlillS TO
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 23
Item No Nl-53-97-03-0002025
~ fgtV tNamp-5 p OtvtgtS
Description of Item R20Jlti_S T F-Oa fJOOR F-M7Pr rRrlVSAcT10N BOOK ENTRY REQUEST FOR TRANSACTION IN USSB BY TRUSTEE-60508 Wi PURP06S Cll 11H5 iN ff TO INITIATE A TRANSACTION IN A BOOK ACCOUNT
IN (S
ENTRY
Authority NEW W
Item No bullNl-53-97-03-0002026
5~~ Mf~T flamppound
Form No PDF 3879 Series No ID COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
Description of Item Authority REQU BY THE OWNER OF REISSUE OF US SAVINGS BONDSNOTES-60000 NEW 451 --TITLE ADD BENEFICIARY OR COOWNER ELIMINATE BENE IARY OR DECEDENT SHOW CHANGE O ANDOR CORRECT ERROR I TION --RETENTION (l) FILE SERIES EEE AN VINGS NOTE REISSUE ESSED IN A CALENDAR MONTH BY SERIES I 2 FULL CALENDAR MONTHS bull---=~~bull NOT RETAIN COPIES (2) FORWARD SERIES HHH TIRED BONDS MICROFILM COPIES MAY BE MADE A FREQUENCY TO WARRANT THE COSTS ASSO Form No PDF 4000 Series No Al COPY FRB
0 yr O mths DETERMINE DISPOSITION SEE MEMO FIELD
FORW
Page 23A
0002 026 Form PDF 4000 Request by the owner for reissue of US Savings BondsNotes to add beneficiary or co-owner eliminate beneficiary or decedent show change of name andor correct error in registration
Disposition a) File series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series lil-IH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 24
Item No fll-53-97-03-0002027
Description of Item 4rtNC r REPORT OF NON-RECEIPTLOSSTHEFTDESTRUCTION OF FISCALACHECKmiddotUisZIB m ~JR tl9Hretl-EODH I L0SS fHSFT ~ kiisffilLc_Tfm~ENfv6rrc1f AND APPLICATION FOR REPLACEMENT
Authority NEW
Form No PDF 5235 Series No I Retain 7 yrs O mths C-tfr oF= F1(1amp-lt Ye4RL-- os~oS-
Org Abbrev FRB
Item No Nl-53-97-03-0002028
Description of ORDER IDIRi FOR
Item SERIES
u SAVINCr-~ Authority EE BONDS 8-11111dibijEnJm~~A-H I) ~ poundt A I GP Rc~~W Ba
SERVICE )-11tnNe1uDiESPil~OLl-]l~~~lJ~QRDS
Form No PDF 5263 Series No Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2
IA COPY Org Abbrev
MONTHS AFTER CUTOFF
FRB
Request For Record Disposition Authority Page 25
Item No Description of Item lf5 Sqvv-5 Authority Nl-53-97-03-0002029 ORDER FORM FOR SERIES EEBONDS 8lfl)a te4Dl40~ NEW_
~ dJ0RW ffi~~llv-imtY 00 NbisectiASIT SlsecttlIES=gtEE B~
10 fi ~e-6-- s T pound 12pound Igt I H Y4 M euro lF-- =- DU c 1 k fl r
Form No PDF 5263-1 Series No IA COPY Org Abbrev FRB Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2 MONTHS AFTER CUT OFF
Item No Description of Item SHUTS u s6- D ro Authority ~l-53-97-03-0003001 ACCOUNTABILITY STATEMENTS AND LEDGERYldbJSii606Jkr1a2~ INDICATEa ALL NEW
ACTIVITIES IN ISSUING AGENTS CONSIGNMENT ACCOUNTS LEDGER SHEETS 0 INCLUDE PIECES ON HAND BY DENOMINATION SERIAL NUMBERS AND BALANCES ON HAND
Form No Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3MOS AFTER CUT OFF ~~ sectA~D dm ftCP--53- 78---0zt- -8Q
Request For Record Disposition Authority Page 26
Item No Description of Item Authority Nl-53-97-03-0003002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLl4 i OOt NEW
BY BUREAU OF PUBLIC DEBT OFFICE aw amltS9Sl8 ~Q-gt ~ bull
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS
Org Abbrev
AFTER CUT OFF
FRB
Item No Nl-53-97-03-0003003
Description of Item ___ GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS~~ ~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT DOCUMENTING THE US TREASURY GENERAL ACCOUNT
ENTRIES
Authority NEW ltlillS TO
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Page 23A
0002 026 Form PDF 4000 Request by the owner for reissue of US Savings BondsNotes to add beneficiary or co-owner eliminate beneficiary or decedent show change of name andor correct error in registration
Disposition a) File series EEE and Savings Note reissue requests processed in a calendar month by series in daily chronological order Retain the months file for 2 full calendar months before forwarding to SBOO Do not retain copies
b) Forward Series lil-IH reissue requests weekly with retired bonds Microfilm copies may be made and retained if accessed with sufficient frequency to warrant the costs associated with creation and retention
Note When requests involve both accrual and current income bonds retain originals with other accrual requests Prepare and submit photocopies with retired current income bonds
Request For Record Disposition Authority Page 24
Item No fll-53-97-03-0002027
Description of Item 4rtNC r REPORT OF NON-RECEIPTLOSSTHEFTDESTRUCTION OF FISCALACHECKmiddotUisZIB m ~JR tl9Hretl-EODH I L0SS fHSFT ~ kiisffilLc_Tfm~ENfv6rrc1f AND APPLICATION FOR REPLACEMENT
Authority NEW
Form No PDF 5235 Series No I Retain 7 yrs O mths C-tfr oF= F1(1amp-lt Ye4RL-- os~oS-
Org Abbrev FRB
Item No Nl-53-97-03-0002028
Description of ORDER IDIRi FOR
Item SERIES
u SAVINCr-~ Authority EE BONDS 8-11111dibijEnJm~~A-H I) ~ poundt A I GP Rc~~W Ba
SERVICE )-11tnNe1uDiESPil~OLl-]l~~~lJ~QRDS
Form No PDF 5263 Series No Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2
IA COPY Org Abbrev
MONTHS AFTER CUTOFF
FRB
Request For Record Disposition Authority Page 25
Item No Description of Item lf5 Sqvv-5 Authority Nl-53-97-03-0002029 ORDER FORM FOR SERIES EEBONDS 8lfl)a te4Dl40~ NEW_
~ dJ0RW ffi~~llv-imtY 00 NbisectiASIT SlsecttlIES=gtEE B~
10 fi ~e-6-- s T pound 12pound Igt I H Y4 M euro lF-- =- DU c 1 k fl r
Form No PDF 5263-1 Series No IA COPY Org Abbrev FRB Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2 MONTHS AFTER CUT OFF
Item No Description of Item SHUTS u s6- D ro Authority ~l-53-97-03-0003001 ACCOUNTABILITY STATEMENTS AND LEDGERYldbJSii606Jkr1a2~ INDICATEa ALL NEW
ACTIVITIES IN ISSUING AGENTS CONSIGNMENT ACCOUNTS LEDGER SHEETS 0 INCLUDE PIECES ON HAND BY DENOMINATION SERIAL NUMBERS AND BALANCES ON HAND
Form No Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3MOS AFTER CUT OFF ~~ sectA~D dm ftCP--53- 78---0zt- -8Q
Request For Record Disposition Authority Page 26
Item No Description of Item Authority Nl-53-97-03-0003002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLl4 i OOt NEW
BY BUREAU OF PUBLIC DEBT OFFICE aw amltS9Sl8 ~Q-gt ~ bull
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS
Org Abbrev
AFTER CUT OFF
FRB
Item No Nl-53-97-03-0003003
Description of Item ___ GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS~~ ~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT DOCUMENTING THE US TREASURY GENERAL ACCOUNT
ENTRIES
Authority NEW ltlillS TO
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 24
Item No fll-53-97-03-0002027
Description of Item 4rtNC r REPORT OF NON-RECEIPTLOSSTHEFTDESTRUCTION OF FISCALACHECKmiddotUisZIB m ~JR tl9Hretl-EODH I L0SS fHSFT ~ kiisffilLc_Tfm~ENfv6rrc1f AND APPLICATION FOR REPLACEMENT
Authority NEW
Form No PDF 5235 Series No I Retain 7 yrs O mths C-tfr oF= F1(1amp-lt Ye4RL-- os~oS-
Org Abbrev FRB
Item No Nl-53-97-03-0002028
Description of ORDER IDIRi FOR
Item SERIES
u SAVINCr-~ Authority EE BONDS 8-11111dibijEnJm~~A-H I) ~ poundt A I GP Rc~~W Ba
SERVICE )-11tnNe1uDiESPil~OLl-]l~~~lJ~QRDS
Form No PDF 5263 Series No Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2
IA COPY Org Abbrev
MONTHS AFTER CUTOFF
FRB
Request For Record Disposition Authority Page 25
Item No Description of Item lf5 Sqvv-5 Authority Nl-53-97-03-0002029 ORDER FORM FOR SERIES EEBONDS 8lfl)a te4Dl40~ NEW_
~ dJ0RW ffi~~llv-imtY 00 NbisectiASIT SlsecttlIES=gtEE B~
10 fi ~e-6-- s T pound 12pound Igt I H Y4 M euro lF-- =- DU c 1 k fl r
Form No PDF 5263-1 Series No IA COPY Org Abbrev FRB Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2 MONTHS AFTER CUT OFF
Item No Description of Item SHUTS u s6- D ro Authority ~l-53-97-03-0003001 ACCOUNTABILITY STATEMENTS AND LEDGERYldbJSii606Jkr1a2~ INDICATEa ALL NEW
ACTIVITIES IN ISSUING AGENTS CONSIGNMENT ACCOUNTS LEDGER SHEETS 0 INCLUDE PIECES ON HAND BY DENOMINATION SERIAL NUMBERS AND BALANCES ON HAND
Form No Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3MOS AFTER CUT OFF ~~ sectA~D dm ftCP--53- 78---0zt- -8Q
Request For Record Disposition Authority Page 26
Item No Description of Item Authority Nl-53-97-03-0003002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLl4 i OOt NEW
BY BUREAU OF PUBLIC DEBT OFFICE aw amltS9Sl8 ~Q-gt ~ bull
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS
Org Abbrev
AFTER CUT OFF
FRB
Item No Nl-53-97-03-0003003
Description of Item ___ GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS~~ ~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT DOCUMENTING THE US TREASURY GENERAL ACCOUNT
ENTRIES
Authority NEW ltlillS TO
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 25
Item No Description of Item lf5 Sqvv-5 Authority Nl-53-97-03-0002029 ORDER FORM FOR SERIES EEBONDS 8lfl)a te4Dl40~ NEW_
~ dJ0RW ffi~~llv-imtY 00 NbisectiASIT SlsecttlIES=gtEE B~
10 fi ~e-6-- s T pound 12pound Igt I H Y4 M euro lF-- =- DU c 1 k fl r
Form No PDF 5263-1 Series No IA COPY Org Abbrev FRB Retain 0 yrs 2 mths CUT OFF FILES WEEKLY DESTROY 2 MONTHS AFTER CUT OFF
Item No Description of Item SHUTS u s6- D ro Authority ~l-53-97-03-0003001 ACCOUNTABILITY STATEMENTS AND LEDGERYldbJSii606Jkr1a2~ INDICATEa ALL NEW
ACTIVITIES IN ISSUING AGENTS CONSIGNMENT ACCOUNTS LEDGER SHEETS 0 INCLUDE PIECES ON HAND BY DENOMINATION SERIAL NUMBERS AND BALANCES ON HAND
Form No Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3MOS AFTER CUT OFF ~~ sectA~D dm ftCP--53- 78---0zt- -8Q
Request For Record Disposition Authority Page 26
Item No Description of Item Authority Nl-53-97-03-0003002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLl4 i OOt NEW
BY BUREAU OF PUBLIC DEBT OFFICE aw amltS9Sl8 ~Q-gt ~ bull
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS
Org Abbrev
AFTER CUT OFF
FRB
Item No Nl-53-97-03-0003003
Description of Item ___ GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS~~ ~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT DOCUMENTING THE US TREASURY GENERAL ACCOUNT
ENTRIES
Authority NEW ltlillS TO
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 26
Item No Description of Item Authority Nl-53-97-03-0003002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLl4 i OOt NEW
BY BUREAU OF PUBLIC DEBT OFFICE aw amltS9Sl8 ~Q-gt ~ bull
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS
Org Abbrev
AFTER CUT OFF
FRB
Item No Nl-53-97-03-0003003
Description of Item ___ GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS~~ ~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT DOCUMENTING THE US TREASURY GENERAL ACCOUNT
ENTRIES
Authority NEW ltlillS TO
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 27
Item No Description of Item Authority Nl-53-97-03-0003004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~ NEW ~
~g3m STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION FOR THE SAVINGS BOND TRANSACTIONS
Form No Series No Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF-
( r bull l
)_
oFIHiTAli-lJ $itVn1111z_ S (Jpound4-1poundll)Apiicent1 ~ d)r- S 1-11deglh euro HT Item No Description of Item 1 n - Authority Nl-53-97-03-000300sect_i SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~Dlma DAILY REPORT NEW
DtliLr~ffOft( (f)f- THIS FORM IS TO REPORT DAILY SECURITY CHANGES
Form No PDF 2565 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF RBfEtlfl0U 6ASIW PN NCl 53 8l 031 41
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 28
Item No lNl-53-97-03-0003006
Description of Item
lfflllampo ~w--M~-1~ ~lffltfBSEMNbJFcEENW
f U f3 l- 1C V CJ Uc 1-1 c lfL -rY ft flt E I Y1 fJ ~2--5 LM- SN r or~ 15-)t Ideg i2- fl S E S
or- F-GtJ1i-fL-A L 1(h_Sfllt-1euro BA--1111-is
Authority NEW~
Form No PDF 0849 Series No C COPY
Retain 1 yrs1 2~~1l9r~A-LpoundtP CUT OFF FILES~- b~STROY Nwt5 1 YR
Org Abbrev
AFTER CUTOFF
FRB
Item No ~1-53-97-03-0003007
S6-pound Npoundt r -PAr-pound
Des ription of Item ADVI OF ADJUSTMENT~ PD 2792
OF THIS FORM IS USED TO ADJUST ERRORS INGPAYING AGENT PRICING ERROR
Authority NEW
OR
Form No Series No A Abbrev FRB mths
CUT ILES YEARLY DESTROY 2 YRS AFTER CUT RET NCl-53-78-04 25A
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Page 29
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in individual bonds of stubs to issuingpaymg agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 008 Form PDF 2792 (copy C) Advice adjustment (card pricing error adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agent
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 009 Form PDF 2792 (copy B) Advice adjustment (card TL adjustments) used to adJust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues card TL and price error adjustments) used to adjust errors in individual bonds or stubs to issuingpaying agents
Disposition Cut off files yearly Destroy 2 years after cutoff
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Page 30
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule ofUS Savings-type securities delivered for destruction and destroyed
Disposition Cut off files yearly Destroy 2 years after cut off
0003 012 Form PDF 3415-2 Destruction reconcilement of accountable balance and securities ofUS Savings-type securities delivered for destruction documentation Files contain schedules withdrawal requests from other offices of the Bureau andor Secret Service signed receipted listings accountable balances and related documents Files used to certify the destruction of US Savings bonds notes stubs savings stamps and superseded or obsolete reels of microfilm
Disposition Cut off files yearly Destroy 2 years after cutoff
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 31
Item No Description of Item Authority Nl-53-97-03-0003012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908 NEW
Spound le- p~E1toLts ON DOCUMENTATION SAVINGS BONDSFArCrri
NOTES ANDS S SAVINGS STAMPS AND SU MICROFILM SCHE ES FROM OTHER OFFICES OF THE BUREAU ANDOR SECRET SERVI R PTED LISTINGS ACCOUNTABLE BALANCES OR RELATED DOCUME TO EVIDENCE AND CERTIFY THE DESTRUCTION AS INSURANCE THAT
Form No Series No Org Abbrev FRB 0 mths
YEARLY DESTROY 2 CUT OFF 04B
Item No Description of Item Authority Nl-53-97-03-0003013 SUMMARY OF DAILY TRANSACTIONS FEDERAL RESERVE BANK OF PITTSBURGH~ NEW
ACCOUNT 30 ~ THIS IS A COMPUTER GENERATED REPORT USED TO CONTROL THE ACCOUNTABILITY OF UNISSUED SECURITY STOCK
Form No PDF 4713 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUTOFF ~ bl~2lgta3~amp3-r- la
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 32
Item No Description of Item Authority Nl-53-97-03-0003014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY
~(jffiilgt fSEbSamp) diOk---nngt HfVBilbR 1t)
CHECK~ CiiATM-- HeH-WEffT ffl PAMEIIMF
NEW
IASpoundp 1 ltvvE5TO~ 70 ClAtM ON-~E--cP-tPT Of- A fAY11eNf
Form No PDF 5236 Series No Org Abbrev FRB Retain 7 yrs O mths
C-r ot=-F p11-pounds YE-ARL-r )iS11lt-0f 7 YpoundA25 AF-i=--2 c-wrot=-c
Item No Description of Item Authority Nl-53-97-03-0003015 NEW
-rp__ A-N $ F f5 -J 0 F- R t D G-Y1 f I o N C HAR-frpound_ S F op___ ~ bullS SA vt IVlr-S
80rfsNoE fRpound 5 kl(Ti=D Ji-J01G-H THE cH-ECK
ctn_~roN 5rsreV -ro rtte FP-rgte--P-A - Rf=SeRVtz 1JA+rvc-1 4-T PI TT$ BuPL-
Form No PDF 5270 Series No D COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS AFTER CUT OFF Kiltl imPCJNh~ Ullf ltsd 5-3- 18 0 4 OWL
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 33
Item No ~l-53-97-03-0003016
Item No bullNl-53-97-03-0003017
Description of Item GIFT CERTIFICATE FOR SAVINGS BOND-6liiitM3 RECORDS RELATED ADJUSTMENTS TO AGENTS SAVINGS BONDS THE FRB
Series No IA COPY Org Abbrev FRB Retain 36 yrs mths CUT OFF FILES YEARLY DESTROY 36 YRS 3MO AFTER CUT OFF
Description of Item Authority DEPOSIT TICKET-5061-2 RECORDING DEPOSITS FOR CREDIT TO US TREASURY NEW THIS FORM SHOWS DEPOSITS BY REPORTING ENTITIES INTO THE MISSING UNMATURED COUPON (MUC) SYSTEM
Form No SF 0215 Series No Org Abbrev FRB Retain 6 yrs 3 mths CUT OFF FILES YEARLY DESTROY 6 YRS 3 MOS AFTER CUT OFF ~WPl blwl o3lnRD oreNCgt1 --i53 eJJ SZOif zeamp
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 34
Item No Nl-53-97-03-0003018
Item No Nl-53-97-03-0003019
Description of Item Authority DEBIT VOUCHER-aDlOGfP NEW THE PURPOSE OF THIS FORM IS TO TRANSFER FUNDS BETWEEN THE FISCAL AGENT AND THE PARKERBURG OFFICE FOR THE NET AMOUNT OF LARGE DIFFERENCES RESULTING AFTER PAID BONDS AND STUBS HAVE BEEN CLASSIFIED AND AUDITED FOR THE CORRECT AMOUNT
Form No SF 5515 Series No IA Retain 6 yrs 3 mths DESTROY 6 YEARS 3 MONTHS AFTER ACCO~W~SEO a51V Ncopy6amp3gt--46~cent zab
COPY
UNTING PER
Org Abbrev FRB
IOD
Description of Item IRS FORM 1096~CCIC4c REPORTING
Authority NEW~
Form No IRS 1096 Series No IA COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 35
Item No Description of Item Authority Nl-53-97-03-0003020 INTEREST INCOME STATEMENTS FOR RECIPIENTS-6OOOO NEW
THIS INCLUDES THE IRS 1099 FORM A PRINTED LISTING FRQ410U REPORTED LISTING FRQ430U AND 1099-1 TAPE DUMP ~ THESE ARE GENERAL ACCOUNTING FILES THAT ARE USED IN THE SAVINGS BONDS OPERATIONS THAT ARE NOT INCLUDED IN THE GENERAL RECORDS SCHEDULE 6 ITEM 1
Form No IRS 1099R Series No IA COPY Org Abbrev FRB Retain 6 yrs o mths cu OFF- FltE-5 YGA~l Y DG5 TRO y b fpoundJRS ArT~R ct[70t=-F
5 TA if N 0 r t411TATlampAS~a~~D~gzzi~m~M0~F~~~ t 5 L- o c rle- b) IE X JI 2 poundS w t-1 t c I-IE VE P I gt - A T c- lt bull
Item No Description of Item Authority Nl-53-97-03-0003021 IRS FORM 4804~ FOR TAPE REPORTING NEW a
TabSoRl)-rs rutQO]JiW 2f9i me-=t-i+S
Form No IRS 4804 Series No A COPY Org Abbrev FRB Retain 4 yrs O mths CUT OFF FILES YEARLY DESTROY 4 YEARS AFTER THE FEB 28 DUE DATE
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 36
Item No Description of Item Authority Nl-53-97-03-0004001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW
ltllilsP01SmON11WItl2Blb QJOlZOOi3- amp-R5 -middot I l J l) 7
Form No PDF 5243 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths ~- DESTROY ctfiilLAbiifi FILES 6 YEARS AFTER CUTOF~ ~ F4Zamp4u Cb OESfRQyenIJ IN EHR 2092 RETSHP~tt-ePSEil el bRS-1yen =a
Item No Description of Item us~P- Authority Nl-53-97-03-0004002 PENALTY ENVELOPES~ BY AGENTS J11D NEW~
rne+tAsWRDPJ ft FCP l B 8 I f i-ampHift EN vriOJ-LBamp
Form No Series No A COPY Org Abbrev FRB Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER CUT OFF
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
I
Request For Record Disposition Authority Page 37
Item No Nl-53-97-03-0004003
Item No ~1-53-97-03-0004004
Description of Item Authority ~QdSL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~ ifilW
IRJH)B ~~lat 26W-v136Pampfb F$ OR9Slt~~- ampas -1) o 7
Form No PDF 5244 Series No Bl COPY Org Abbrev OBS-FRB Retain 6 yrs O mths OBSOLETE AS OF JUNE 1996 DESTROY 6 YEARS AFTER CUTOFF oMli lfEC I~lfi~-~~ agtE~ ~ adlatiNu=eNftASJm eN W--12~
Description of Item Authority REPORTING INSTRUCTIONS FOR US BOND ISSUING AGENTS~ NEW
Form No PDF 5249 Series No A COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YEARS AFTER CUTOFF RETEHffSH BaSBD Ch Cits
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 38
Item No 1Nl-53-97-03-0004005
Item No middotNl-53-97-03-0004006
Description of Item Authority NEW
fsect fA II IN6r-S 13 o IYps
Form No PDF 5250 Series No B COPY Org Abbrev FRB Retain 6 yrs O mths CUT OFF FILES YEARLY DESTROY 6 YRS AFTER CUTOFF RfifBHiI8N BASBD 011 SR8 12 0
Description of Item Pii GE RE fJJiiiU=l06 0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB
Authority NEW
~
Form No PDF 5259 Series No B COPY Retain 6 yrs O mths QSSAS Of iiilli 1996 DESTROY FILES 6 YRS zo BF EJBZltlbiFR BI YrlM 2002 f(CTSIITIStl
Org Abbrev OBS-FRB
AFTER CUT OFF Lri81 yen-HJi neisen QM i-RS=l2 ---ID
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 39
Item No Nl-53-97-03-0004007
Item No Nl-53-97-03-0004008
Description of Item Authority APPLICATIONS AND VOUCHER FOR REFUND OF POSTAGE AND FEEsmicrogeamDO NEW 4alt-THIS FORM IS REQUIRED BY THE POST OFFICE
Form No PS 3533 Series No IA COPY Org Abbrev FRB Retain Jf yrs O mths CUT OFF FILES YEARLY DESTROY YRS AFTER CUTOFF
Description of Item Authority STATEMliNT OF MIU1UIC WITH HETER ()ft FRECANCELED POS1AGE-600oo NEW TittS=- FORM IS REQIIIRliD BY THE POST OFFIOE a
~tSTAamp-f STATfcMENr FtP-ST --AS~ iIAL- ~jTf=R ell-
ffJ1cCA-Ncat-rc D fOS TAC=-pound J F-P I Xf-iD
Form No PS 3600-PC Series No IA COPY Org Abbrev FRB Retain 4- I yrs t mths t CUT OFF FILES YEARLY DESTROYbull YRS_ DAFTER CUTOFF RETENTION SASliD QN NC] 53 78=04 1 QB
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 40
Item No Nl-53-97-03-0004009
Item No ~1-53-97-03-0005001
Description of Item Authority SfifEflpoundlNf OF KlHING WITK PERMIT IMPRINI 60000 FIRST CLASS MAH NEW -THIS FORH IS REQUIRED BY TM POST OFFICE po r Aamppound 5 rAtfz NZlNT F1ps r c- 11 s s hAtL - PfAM1 r
I 11yen p f2- t Ni
Form No PS 3600-R Series No IA COPY Org Abbrev FRB Retain 4bull yrs a mths CUT OFF FILES YEARLY DESTROY t YRS 3 HOS= AFTER CUT OFF RETENTION a~SED ON HCl 53 78 04 Oamp
Description of Item Authority ADVICE OF SHIPMENT OF US SAVINGS BONDSfBii~ FROM THE FRB-PITTSBURG NEW (M~BRfclQE ll190AL PG He 9sectsect ITEM ~10 2~
Form No Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF RETENTION BASED ON IINNA-2162 01
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 41
Item No Nl-53-97-03-0005002
Item No Nl-53-97-03-0005003
Description of Item btNUbf STUB CONTROL
5 S Lt rpound 1 A I _s 0 OC ~ Nl E- NT T [-I F-
1=-~o Yl t- II IE- f- P- () 1s
Form No PDF 2635 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths ~ENltQlltl~1Uf~Jr6~~ DESTROY 2 YEARS AFTER CUTOFF Rttm~mllJJcter-11W~~~~~-~
Authority NEW
THE TRANSFER OF STUBS AND ISSUE
Form No PDF 2635 Series No D COPY Org Abbrev FRB Retain 9 yrs O mths CUT OFF ANNUALLY HOLD IN OFFICE FOR 2 YEARSAtf R811Ziibb I UFI 7f
Allf)IflNltIs bullEJHb ~liTILfpound 1 fQ(3 5orLid--Ft A-t-PA ~ r ti flf2- s
pG-6TA-of 1 YE-AILS -4t=TpoundR cu off
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 42
Item No ~ltlltltgtF~a_ AWi-pound ~uthority Nl-53-97-03-0005004 NEW GIB
TRANSFERS FROM FRBs TO PARKERSBURG OF RETIRED CARDS BONDS AND NOTES-UNDER ONE TRANSFER DATE AS REDEMPTIONS REISSUES (CANCELLED SALES) EXCHANGES AND RETIRED AUTHORITIES
Form No PDF 2636 Series No ID COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-00050O5 5AVINGS 601405 STOCK amp RpoundI IftEMpound1~T SECURin ON HAND 60000 NEW Gfilamp-
BY DEHOHHlltlION (PACS 5EINICpound MANUAL PCNO 953 ITEM NO 10)
) 5 SAVNamp-S A-NI) PE T 117k vvteYT ~ r-ccaJ t 11 L~ 6--fi-lYc~ L
~ocr- N +ANDIS()- cCgt8 ____ bull
Form No PDF 2835 Series No I Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER CUTOFF
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 43
Item No Description of Item Authority Nl-53-97-03-0005006 STUB TRANSMITTAL LETTERK2QiPilgtt DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS ltSAeurowcS~
Form No PDF 3252 Series No 1B COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Item No Description of Item Authority Nl-53-97-03-0005007 ADVICE OF SHIPMENT FOR US SAVINGSRETIREMENT PLAN BONDS-60000 NEW
FORWARDED FOR CREDIT (PERMANENT RECEIPT) ISSUE AND RETIREMENT ACCOUNTS RECONCILIATION MEDIA THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALE REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS THIS FORM IS USED TO TRANSMIT BONDS FROM FEDERAL RESERVE BANKS TO PITTSBURGH FRB AUDIT AND ACCOUNTING CREDIT Form No PDF 3458 Series No C COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 44
Item No lNl-SJ-97-03-0005008
Description of Item ____ ADVICE SERIES HHH STUB CONTROL BLOTTER AND TRANSFER ADVICEfiili (4P1JZSoSJERamp~ imlMJm~ ) bull THESE DOCUMENTS SERVE INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS
Authority NEW c3ellJ
AS
Form No PDF 3480 Series No 10 COPY Org Abbrev FRB Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER CUT OFF
Item No Description of Item Authority tNl-53-97-03-0005009 ADVICE FOR STAMP TRANSFERS OR REDEMPTIONi0QH NEW
THESE ACCOUNTS PERTAIN TO THE RECEIPT AND AUDIT OF BONDS STUBS NOTES AND STAMPS SUBMITTED TO EVIDENCE SALES REDEMPTION CANCELLATION REISSUE OR DENOMINATIONAL EXCHANGE THE RECONCILIATION MEDIA CONSIST OF COPIES OF ADVICES AUDIT SCHEDULES REPORTS OF ADJUSTMENTS DAILY REPORTS SUMMARIES AND RECAPITULATIONS PREPARED IN THE RECONCILIATION PROCESS
Form No PDF 3484 Series No Al COPY Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER CUT OFF
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 45 ~Q~ru 4-fl o t rehi TfQ-A-NS gtIt r T r L - U ~ SA 1Nf-S ~ONO 3VClr E S- -
3CW)S Item No Deecriptien of Ieem A-T1Reh(cNr PIJiN ~onl)lt - llffgtIVIPlr- Rti-tt~snrcVr Authority
Nl-53-97-03-0005010 FORWamplDINC lTiM TRNSHI 1111FAL R-EFIRpoundHENT PLAN 80NQS 9045 NEW THIS FORM IS A TRANSMITTAL USED BY FRBS TO SUBMIT BONDS WHICH THEY DO NOT HAVE AUTHORITY TO REISSUE OR REDEEM AS FORWARDING ITEMS TO THE PARKERSBURG OFFICE tfAGS SPBV-XCE lf111HlJ1tf F6 IW 54 ITEMMe sectt
Form No PDF 4581 Series No 18 COPY Org Abbrev FRB Retain l yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF RETENTION IS BASED ON NN-351-S284 03
Item No Description of Item Authority Nl-53-97-03-00050ll PAYROLL SALES ADVICE OF CREDITiiib 1 (SAV1Nt s Bor-tr 50fruAfli) NEW 4Wr
BANKS USING THE SBS-sYSTEM SUBMIT A COMPUTER-GENERATED ADVICE THE PURPOSE OF THIS FORM IS TO TRANSMIT PAYROLL AND BOOK ENTRY SALES PROCEEDS FROM THE ISSUING AGENT TO THE FRB AND SUBSEQUENTLY FROM THE FRB TO SBOO
Form No PDF 4848 Series No IC COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUT OFF
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 46
Item No 1Nl-53-97-03-000S012
Description of Item Authority CASH SALES TRANSFER ADVICE~RflNG2BitL8B fPPE -Mou- _ NEW 457
~~E~=~ SALES PROCEEDS TRANSFE~D TO PUBLIC ~ REFLECTED IN DETAIL BY FORMS PD 3252 4848 4890 BANKS USING THE SBS SYSTEM SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4856 Series No Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2
IC COPY
YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No Nl-53-97-03-0005013
Description of Item Authority PAYROLL SALES DEBIT ADVIrJ4Q4QiB NEW 459
~kJ~~~~F~L~~e=~~ ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848 BANKS USING SBS SUBMIT A COMPUTER-GENERATED FORM
Form No PDF 4890 Series No 18
Retain 7 yrs O mths CUT OFF FILES YEARLY DESTROY 7 YRS
COPY
AFTER
Org
CUTOFF
Abbrev FRB
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 47
Item No Description of Item Authority lNl-53-97-03-0005014 PAYROLL SALES DEBIT ADVICEampyen ti iFB-tl NEW_
16~~ USED TO RECORD AN ADVANCE ADJUSTMENT OF PAYROLL PROCEEDS PREVIUOSLY REPORTED TO PARKERSBURG ON A PD 4848
Form No PDF 4890 Series No IC COPY Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Item No ~l-53-97-03-0005015
Description of Item JQP-~ 3ATC-H- cAA-D (AEamp-ttfftL PELI ve1i TIINfuMlJ11idgt ciNiEljt-iF01l ~~lffiifiQJRLtlS--6QiQamp
THIS FORM IS TO TRANSMIT THE FRB ORDER FORMS PDF 5263 ORDER FOR EE US SAVINGS BONDS
syS~thority NEW Jii9lt
SERIES
Form No PDF 5255 Series No A COPY Org Abbrev FRB Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS AFTER CUTOFF
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 48
Item No Nl-53-97-03-00O6O01
Item No Nl-53-97-03-0006002
Description of Item STATISTICAL REPORTS OF THE TREASURY DEPARTMENT-P fiiBiii COPIES OF STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND MACHINE UTILIZATION PUBLIC DEBT TRANSACTIONS
Authority NEW
Form No Series No I Retain 5 yrs O mths CUT OFF FILES YEARLY DESTROY 5 YEARS AFTER
Org Abbrev
CUT OFF
FRB
Description of Item NOTICE OF IRREGULARITY IN REGISTRATION BOND STUesri~abull=bull~middot~ ewos liERl~HJmmladPO=tlO ~ DflOfNID~
Authority NEW
Form No Series No Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YRS ~pound11JfiON ci~i~2~ ~~
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 49
Item No Nl-53-97-03-0006003
Item No 1Nl-53-97-03-0006004
Description of Item AGENT QUALIFIED TO ISSUEREDEEM BONDS A MONTHLY REPORT OF QUALIFIED AGENTS
AND NOTE~ELfflliitd Authority NEW yenii
Form No Retain 6 yrs DESTROY 6 YRS 3
Series No 1
3 mths MOS AFTER TERMINATION AS AN
Org Abbrev
AGENT
FRB
Description of Item REt-4-r-llYG- 70 40UTINi +-rD CORRESPONDENCE WITH ISSUING AGENTS6ilidraquoDima~FOR GENERAL INFORMATIONbull
~~ Rl~iikliL HlfORgt4Jl OH (Pill~ ~M~ ~-
Authority NEW
Form No series No I Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
org
OFF
Abbrev FRB
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page SO
Item No Description of Item fJEl-tNr ro fJEa111ur~ Authority Nl-53-97-03-000600S CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302
~~Na REQbESIS FOR SOFPLIES (PACS SERVICE HtdfUAL PG~~
Form No Retain 0 yrs 2 CUTOFF FILES EVERY
Series No 1
mths MONTH AND DESTROY 2 MONTHS
Org Abbrev
LATER
FRB
Item No Nl-53-97-03-0006006
Description of Item lr Lrr1H6- TO AE-Q lfli~rs CORRESPONDENCE WITH PAYING AGENTS~m)l FOR GENERAL INFORMATION DOCUHEN]6 COHCERHIM~ GEMEFltAL INFORMAiloN (PACS SERVICE HlNIIAL PG s4 ITEM NO 18)
NO
Authority NEW 300
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 51
Item No Nl-53-97-03-0006007
Item No Nl-53-97-03-0006008
Description of Item Authority UNDELIVERABLE BONDS FORWARDED TO BPD BY FRft-diliHiiffi NEW THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD F 4581 OF OWNERS ADDRESS THAT IS UNKNOWN
Form No Series No Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YEAR AFTER
Org Abbrev
CUT OFF
FRB
QlregltMiilti~WASbO dJliip agtNND 2l~~
Description of Item SCHEDULE OF SERIAL NUMBERSEiliieigliillil~ flll3 PURPOSE OF iIIIS PORH IS TO RECORQ SERIAL HUHBERS
AutNEW
hority -MiJiP-
Form No PDF 0003 Series No Org Abbrev FRB Retain 3 yrs O mths CUT OFF FILES YEARLY DESTROY 3 YEARS AFTER OF ACCOUNTING PERIOD
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 52
Description of Item STOCK SHIPMENT UNI~ED STATES SAVINGS BONDS RECORD+SCiffiAh THIS IS A RECORD OFSAVINGS BONDS BEFORE BEING
Series etain 5 yrs O mths
CUT OFF FILE YEARLY DESTROY 5 YRS ~N-~SEU JNOlfflFilS~O) 3gtM
AFTER CUT
Org
OFF
Item No ~l-53-97-03-0006010
Description of Item ()Alitlts _ vssB Authority 0
CHANGE TO LIST ISSUINGPAYING AGENTS AND CORRESPONDENT MEMBER~ NEW -_ MONTHLY REPORT OF ADDRESS DELETIONS AND CHANGES TO MATERFILE OF ENTITIES QUALIFIED TO ISSUE AND PAY BONDS amp NOTES (mi~eY~~MANtffiti eGdNel
Form No PDF 2497 Series No B Retain 2 yrs O mths CUT OFF FILES YEARLY DESTROY 2 YRS
COPY
AFTER CUT
Org
OFF
Abbrev FRB
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 53
Item No Discription of Item Authority Nl-53-97-03-00060ll~~GENT ~ AGREEMENT~ (uG~4ampNamp-5 80IVDNoTJamps) NEW
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF SAVINGS BONDS (PACS SalVICI K1lNIJAL PC 956 IlBH 2ampi
Form No PDF 3880 Series No A COPY Org Abbrev FRB Retain 6 yrs 3 mths AS LOHEi AS THi INSTITUTION SEPVES AS AH AGENT ()esT20r 6 JtiAtJ-5 J)10lTHS At=-rP-t REfElffIOM BASPD OU Hel 53 81 02 01 TlAMIIYl-r101-1 OF- Ql1--IA CA-rON
Item No Descriptio~ of Item Authority Nl-53-97-03-0006012 CERTIFICATQffl OF QUALIFICATION - PAYING AGENTblrgta (u Sl4lltvt-5 JtlflgtS NEW )- 14 middot cmiddot ~VN~ VOTeuro S
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE SAVINGS BONDS
Form No PDF 3881 Series No Al COPY Org Abbrev FRB Retain 6 yrs 3 mths ffGUb-OR 6 YRS AND 3 HOS AFTER iERHINAfIG~I Oi ACElgtIGP o6TA0Y 6 fpAttS ~ J11JYrHs 4~rtA 14ETEHfIOU BASED OH NCl secta 8) 02 oi rcP-nlY4-70N OF- amp9-IPC-fi-rttgt-v
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 54
Item No Nl-53-97-03-0006013
Description of Item INFORMATION INQUIRY ~ tASefgt
TO REQUEST INFORMATION ABOUT REGISTRATION SECURITIES
ANDOR STATUS OF SAVINGS TYPE
Authority NEW D
Form No PDF 4947 Series No A COPY Retain 1 yrs O mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT
Org
OFF
Abbrev FRB
Item No Nl-53-97-03-0006014
Description of Item Authority NOTICE OF WITHHOLDING ON REDEMPTION OF US RETIREMENT PLAN~ NEW ~l k-EUEEMIN8 BOHDOHHERS OF fllS HICOHS 41tm HHHHbull bullLb ING REQIIIIW1fl~TS tgtR US 11Dff)UA- lltET1A-amamp-Ni BoMl)~
Form No PDF 5063 Series No Org Abbrev FRB Retain 2 yrs O mths
f) e f7J-0 ~ A-F rea CURRENT YEAR PLUS ONE YEAR
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
Request For Record Disposition Authority Page 55
Item No Description of Itemp4-0 ws SAVINC-5 POy(J F(-C-11lE_ S t(PSr TlfTON FtiC1 Authority Nl-53-97-03-0006015 PACSIMII F ampYBSPIiUfTOM gpego FQR PUP BOHPS t =iltB bull 11e2 NEW 263
THIS FORM IS TO BE USED IN CONNECTION WITH PDF 2517 FOR OBTAINING A CREDIT
Form No PDF 5320 Series No 18 COPY Org Abbrev FRB Retain 1 yrs a mths CUT OFF FILES YEARLY DESTROY 1 YR AFTER CUT OFF
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
DEFINITION OF TERMS
1 Bank or Federal Reserve Bank - A Federal Reserve Bank or Branch approved by the Department of Treasury for conducting authorized transactions
2 Bond - a US Savings or Retirement Bond
3 Financial institution - includes commercial savings and thrift banks savings and loan associations and credit unions
4 Fiscal agent - the capacity in which Banks act on behalf of the US in conducting certain authorized transactions
5 N onfinancial institution - includes companies state and local governments and other eligible orgamzations which issue bonds only for their employees
6 Note Savings Note or Freedom Share - means a US Savings Note
7 OPDA refers to the Office of Public Debt Accounting Bureau of Public Debt
8 Paper bond - any saving bond printed on paper as distinguished from a bond printed on punch card stock Old style paper bonds were issued prior to October 1957 on paper New style paper bonds were phased in beginning in 1985 and are 325 X 7375 inches
9 PARS - an acronym for the Public Debt Accounting and Reporting System an automated system in OPDA that controls all financial transactions pertaining to the Public Debt of the US Government PARS also maintains an inventory of securities that affect the public dept of the US Government
10 Public debt accounts - detail accounts reflecting public debt cash sales and redemptions and accountability of public debt securities maintained by the Bureau of the Public Debt Office of Public Debt Accounting Parkersburg WV
11 Retirement bond or retirement security - either a retirement plan bond or individual retirement bond
12 RDS - Regional Delivery System by which Series EE savings bonds sold over-the-counter by financial institutions are inscribed at Federal Reserve Banks and delivered by mail
13 SBOO - Savings Bond Operations Office of the Bureau of Public Debt Parkersburg WV
14 Security - any of the savings and retirement securities issued by the US Government including savings bonds savings notes savings stamps retirement plan bonds and individual retirement bonds
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
15 Transfer date - the date inscribed on all control documents by the bank to indicate when the proceeds of issued and retired securities are credited or charged to the Treasury account andor issue records and securities transferred to SBOO in Parkersburg WV
16 Treasury account or Treasury general account - the accounts reflecting the receipt custody and disbursement of public moneys maintained by the Financial Management Service
17 Treasury or Department - the U S Department of the Treasury
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