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n1-053-97-003 sf115

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PDF page 1

  
 
 
 
 
SOME ITEMS SUPERSEDED OR OBSOLETE                      N1-053-97-003  Accurate as of 05/20/2026 
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 These items, unless subsequently superseded, may be used by the agency to 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. 
INACTIVE ITEMS.  These items may no longer be used to disposition records. 
They are superseded or obsolete.  References to more recent schedules are provided below as a 
courtesy. Some items may be annotated on the schedule. 
NA ITEMS. These items have no applicable status (active or inactive).  These items cannot 
be used for disposition. 
For example, not applicable items were filing instructions, describe non-records, pointed to 
another disposition authority, listed as "reserved", were lined off and not approved at the time of 
scheduling or had an instruction of "disposition not approved". 
(P) Permanent - item with permanent disposition 
(T) Temporary - item with temporary disposition 
ITEM STATUS WHY INACTIVE 
0001.001 Inactive (T) superseded by N1-053-03-003 / 35 
0001.002 Inactive (T) obsolete 
0001.003 Inactive (T) superseded by N1-053-03-003 / 19 
0001.004 Active (T) 
0001.005 Active (T) 
0001.006\a Active (T) 
0001.006\b Active (T) 
0001.006\c Active (T) 
0001.007 Active (T) 
0001.008\a Active (T) 
0001.008\b Active (T) 
0001.008\c Active (T) 
0001.009\a Active (T) 
0001.009\b Active (T) 
0001.009\c Active (T) 
0001.010 Active (T) 
0001.011 Active (T) 
0001.012 Active (T) 
0001.013 Active (T) 
0001.014 Active (T) 

PDF page 2

SOME ITEMS SUPERSEDED OR OBSOLETE                      N1-053-97-003  Accurate as of 05/20/2026 
ITEM STATUS 
0001.015 Active (T) 
0001.016 Active (T) 
0001.017 Active (T) 
0001.018\a NA 
0001.018\b NA 
0001.018\c Active (T) 
0001.019\a Active (T) 
0001.019\b NA 
0001.019\c Active (T) 
0002.001 Active (T) 
0002.002 Active (T) 
0002.003 Inactive (T) 
0002.004 Active (T) 
0002.005 Inactive (T) 
0002.006 Active (T) 
0002.007\a Active (T) 
0002.007\b NA 
0002.007\c Active (T) 
0002.008 Active (T) 
0002.009\a Active (T) 
0002.009\b NA 
0002.010\a Active (T) 
0002.010\b NA 
0002.011 Active (T) 
0002.012 Active (T) 
0002.013 Active (T) 
0002.014 Active (T) 
0002.015 Active (T) 
0002.016 Active (T) 
0002.017\a Inactive (T) 
0002.017\b Inactive (T) 
0002.018\a Active (T) 
0002.018\b NA 
0002.019 Active (T) 
0002.020 Active (T) 
0002.021 Active (T) 
0002.022 Active (T) 
0002.023 Inactive (T) 
0002.024 Inactive (T) 
0002.025 Active (T) 
0002.026\a Active (T) 
WHY INACTIVE 
filing instruction 
filing instruction 
filing instruction 
superseded by N1-053-06-005 / 62 
obsolete 
filing instruction 
filing instruction 
filing instruction 
Obsolete. Sale of HH bonds was discontinued in 2004. 
Obsolete. Sale of HH bonds was discontinued in 2004. 
filing instruction 
counter sales is obsolete with the implementation of Treasury Direct 
counter sales is obsolete with the implementation of Treasury Direct 

PDF page 3

SOME ITEMS SUPERSEDED OR OBSOLETE                      N1-053-97-003  Accurate as of 05/20/2026 
ITEM STATUS 
0002.026\b NA 
0002.027 Active (T) 
0002.028 Inactive (T) 
0002.029 Active (T) 
0003.001 Inactive (T) 
0003.002 Active (T) 
0003.003 Active (T) 
0003.004 Active (T) 
0003.005 Active (T) 
0003.006 Inactive (T) 
0003.007 Inactive (T) 
0003.008 Active (T) 
0003.009 Active (T) 
0003.010 Active (T) 
0003.011 Active (T) 
0003.012 Active (T) 
0003.013 Active (T) 
0003.014 Active (T) 
0003.015 Active (T) 
0003.016 NA 
0003.017 Active (T) 
0003.018 Active (T) 
0003.019 Active (T) 
0003.020 Inactive (T) 
0003.021 Active (T) 
0004.001 Inactive (T) 
0004.002 Inactive (T) 
0004.003 Inactive (T) 
0004.004 Inactive (T) 
0004.005 Inactive (T) 
0004.006 Inactive (T) 
0004.007 Inactive (T) 
0004.008 Inactive (T) 
0004.009 Inactive (T) 
0005.001 Inactive (T) 
0005.002 Inactive (T) 
0005.003 Inactive (T) 
0005.004 Inactive (T) 
0005.005 Active (T) 
0005.006 Inactive (T) 
0005.007 Active (T) 
WHY INACTIVE 
filing instruction 
superseded by N1-053-03-003 / 29 
superseded by n1-053-06-005 / 13 
superseded by N1-053-03-003 / 27 
obsolete 
lined off before the schedule was approved 
superseded by N1-053-03-003 / 4 
obsolete as electronic process does not require use of the postal service 
obsolete as electronic process does not require use of the postal service 
obsolete as electronic process does not require use of the postal service 
counter sales is obsolete with the implementation of Treasury Direct 
obsolete as electronic process does not require use of the postal service 
superseded by GRS 5.5 / 030 (DAA-GRS-2016-0012-0003) 
superseded by GRS 5.5 / 030 (DAA-GRS-2016-0012-0003) 
superseded by GRS 5.5 / 030 (DAA-GRS-2016-0012-0003) 
superseded by GRS 5.5 / 030 (DAA-GRS-2016-0012-0003) 
counter sales is obsolete with the implementation of Treasury Direct 
obsolete 
obsolete 
obsolete 
counter sales is obsolete with the implementation of Treasury Direct 

PDF page 4

SOME ITEMS SUPERSEDED OR OBSOLETE                      N1-053-97-003  Accurate as of 05/20/2026 
ITEM STATUS 
0005.008 Inactive (T) 
0005.009 Active (T) 
0005.010 Inactive (T) 
0005.011 Inactive (T) 
0005.012 Inactive (T) 
0005.013 Inactive (T) 
0005.014 Inactive (T) 
0005.015 Inactive (T) 
0006.001 Active (T) 
0006.002 Active (T) 
0006.003 Inactive (T) 
0006.004 Inactive (T) 
0006.005 Inactive (T) 
0006.006 Active (T) 
0006.007 Inactive (T) 
0006.008 Inactive (T) 
0006.009 Inactive (T) 
0006.010 Active (T) 
0006.011 Active (T) 
0006.012 Active (T) 
0006.013 Active (T) 
0006.014 Active (T) 
0006.015 Active (T) 
WHY INACTIVE 
counter sales is obsolete with the implementation of Treasury Direct 
superseded by N1-053-03-003 / 40 
The payroll program was discontinued January 1, 2011. 
counter sales is obsolete with the implementation of Treasury Direct 
The payroll program was discontinued January 1, 2011. 
The payroll program was discontinued January 1, 2011. 
superseded by N1-053-03-003 / 28 
counter sales is obsolete with the implementation of Treasury Direct 
superseded by N1-053-03-003 / 28 
counter sales is obsolete with the implementation of Treasury Direct 
superseded by N1-053-03-003 / 42 
superseded by N1-053-03-003 / 21 
lined off before the schedule was approved 

PDF page 5

··,;' '"'-------------,...~EQUEST FOR RECORD~ ..-. r>OSITION AUTHORITY 
(See Instructions on reverse) 
TO NATIONAL ARCHIVES and RECORDS ADMINISTRATION (NIR) 
WASHINGTON, DC 20408 
1 FROM (Agency or establishment) 
BUREAU OF THE PUBLIC DEBT 
2 MAJOR SUBDIVISION 
SAVINGS BOND OPERATION OFFICE 
3 MINOR SUBDIVISION 
FEDERAL RESERVE BANKS 
""""' 1/E BLANK (NARA use only) 
~ 
JOB NUMBER /1.J .r;:J.. _ ,..,
/-5 J; C/1 ~ J 
DATE RECEIVED ,3-/ 6__ 97 
NOTIFICATION TO AGENCY 
In accordance with the prov1s1ons of 44 
USC 33:l3a the d1spos1t1on request, 
mcludmg arrendments, 1s appro\·ed except 
for items that mal hi! ·,narked "d1spos1t1on 
not approved" or 'w1thd1awn" m cofumn 10 
4 NAME OF PERSON WITH WHOM TO CONFER 5 TELEPHONE 
VICKI 5. 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 business 
of this agency or will not be needed after the retention periods srec1fied; and that written concurrence from 
the General Accounting Office, under the provisions ofTitle~ot e GAO Manual for Guidance of Federal 
Agencies, ~ISl'f 1 
D is not reqmred; [::zl • is attached; or has been requested. 
DATE 
3/10/97 
SIGNATUR;2FA. ~NC REPRESENTATIVE 
,0/,,, .,,, ,4,(, • t',£/J,,f ~ 
--r- r-
TITLE 
7 
ITEM 
NO 
8 DESCRIPTION OF ITEM AND PROPOSED DISPOSITION 
9 GRS OR 
SUPERSEDED 
JOB CITATION 
10 ACTION 
TAKEN(NARA 
USE ONLY) 
SEE ATTACHED 
·.anohanSes to this proposed schedule ."1.ave be,~r a.ppro•
•~•. rjt/_97 ~✓~ 
""" appr~ --·- da.te -- Agency re~reseniaie 
~~ ..- ,:. t 
•1111 1,, 
~ -d by· 
115-109 NSN 7540-00-634-4064 STANDARD FORM 115 (REV. 3-91)
PREVIOUS EDITION NOT USABLE Prescribed by NARA
T ,/ 36 CFA 1228
tf,p,t,lj;-r~-~ }oui:_r
JAN 2 n 1998 lh/lr v ; 1,Jcu.D £ "/ 
;1) fl_ 

PDF page 6

1 Request For Record Disposition Authority 
Item No. Description of Item 
•Nl-53-97-03-0001. 001 CORRESPONDENCE WITH INDIVIDUALS, BANKS ETC.~ RELATING TO 
SPECIFIC BOND TRANSACTIONS WITH THE FRB. --?'fY:lia>;} 
~ 
Form No: Series No: Org. Abbrev: FRB 
Retain: 1 yrs 0 mths 
CUT OFF FILES YEARLY. DESTROY 1 YR AFTER CUT OFF. 
Page: 
Authority 
NEW/J!ISI. 

PDF page 7

2 Request For Record Disposition Authority Page: 
Item No. 
Nl-53-97-03-0001.002 
Item No. 
fll-53-97-03-0001.003 
Description of Item ___ Authority 
CORRESPONDENCE OF APPLICANTS REJECT LETTER~ AS AGENTS. NEW g'JliJJ 
®!!fff "'6)1Jii\iJ.-Ji9P..;i>sl18MP Mlfti MllliJilrJ 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. ilftA' 
dfiiiiir',iJiJS, M ..l;iaii~ wAneeti Mni":7,-,,il 
Form No: Series No: Org. Abbrev: FRB 
Retain: 1 yrs O mths 
CUT OFF FILES YEARLY. DESTROY 1 YEAR AFTER CUTOFF. 
Description of Item IJlal& Authority 
LEGAL EVIDENCE FOR -~D.f::,14.PTJ:QNS, REISSUE & EXCHANGISfffll8QI OF- S,1V1N"'6 tbew~. NEW \11118 
SUPPORTING DOCUMENTE,!~[HfrS'"!:;ivINGS BONDS ARE REDEMMED BY RESERVE BANKS ON 
BEHALF OF REGISTERED OWNERS OR OTHER ENTITLED PERSONS. THESE INCLUDE DEATH 
CERTIFICATES, ALTERNATE I.D. CERTIFICATES, MARRIAGE LICENSES, BIRTH 
NOTICES, CERTICATES OF LEGAL INCOMPETENCY, NOTICE OF WILL, AND EQUIVALENT 
DOCUMENTATION. 
Form No; series No: l Org. Abbrev: FRB 
Retain: 10 yrs O mths 
CUT OFF FILES YEARLY. DESTROY FILES 10 YRS AFTER CUT OFF. 

PDF page 8

3 Request For Record Disposition Authority Page: 
Item No. Description of Item Authority 
~1-53-97-03-0001.004 CORRESPONDENCE OF USSB REDEMPTIONS BY FR~fil1JOmtJ NEWel 
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 
iNl-53-97-03-0001. 005 CERTIFICATE OF IDENTITY OF OWNER OF SAVINGS/RETIREMENT SECURITIESfiijid!B',l!i NEW 423 
~95 ~Hl&LBBP§rui+ ~NABLib-A PERSON WHO HAS NO INTEREST IN A 
BOND TO CERTIFY REGARDING OWNER'S 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. 
... .. 

PDF page 9

4 Request For Record Disposition Authority Page: 
Item No. 
•Nl-53-97-03-0001.006 
.5££ Nf:.t-T f'Af,f 
Item No. 
Nl-53-97-03-0001.007 
Description of Item Authority 
RE ST FOR REISSUE OF U.S. SAVINGS BONDS-60000: UPON CHANG NEW 427 
--RETE N: (1) FILE SERIES EE/E AND SAVINGS NOTE 
PROCESSED I CALENDAR MONTH BY SERIES IN DAILY 
2 FULL ORE FORWARDING TO 
SBOO. DO NOT H/H REISSUE REQUESTS WEEKLY 
WITH RETIRED B AND RETAINED (NOT TO 
EXCEED TWO YE QUENCY TO WARRANT THE 
COSTS ASSOCIAT ) RETAIN COPIES OF 
. 
Series No: 1 
Reta yrs mths 
ONDITIONS DETERMINE DISPOSITION. SEE MEMO FIELD 
Description of Item Authority 
DISCLAIMER AND CONSENT WITH RESPECT TO U.S. SAVINGS BONDS/NOTE NEW .. 
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 . 
... 

PDF page 10

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 EE/E and Savings Note reissue requests processed in a calendar month by 
series in daily chronological order Retain the month's file for 2 full calendar months 
before forwarding to SBOO Do not retain copies 
b) Forward Series HH/H 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 

PDF page 11

5 Request For Record Disposition Authority Page: 
Item No. 
1Nl-S3-97-03-0001. 008 
St:ti N£1'T fAvfi-
Item No. 
~1-Sl-97-03-0001.009 
.S~£ NG.>c,r P1.v£. 
Description of Item Authority 
A CATIONS FOR DISPOSITION-60000: U.S. SAVINGS BONDS/NOTES AND/OR NEW 431 
--TITL. LATED CHECKS (IN A COMBINED AMOUNT NOT EXCEEDING OWNED BY 
DECEDENT WH ESTATE IS BEING SETTLED WITHOUT ADMINI.S!l!Rffl~ION. --RETENTION: 
(1) FILE SERIES 
BY SER IN DAILY CHRONO 
AND SAVINGS NOTE REISSUE REl06l~STS PROCESSED IN A 
CALENDAR MONTH 
FILE FOR 2 FUL 
COPIES. (2) FO WEEKLY WITH RETIRED BONDS. 
MICROFILM COPI IF ACCESSED WITH SUFFICIENT 
FREQUENCY A CONTINUES ON NEXT PAGE)~Kil,~ 
FIELD 
Retain• yrs mths 
4 DITIONS DETERMINE DISPOSITION. SEE MEMO 
Description of Item Authority 
APP IONS FOR DISPOSITION-60000: U.S. SAVINGS BONDS/NO NEW 432 
--TITLE: RE OWNED BY DECEDENT WHOSE ES ED 
WITHOUT 
AMOUNT EXCEEDS$, 
PROCESSED IN A CALEND ONOLOGICAL ORDER. 
FORM SHOULD BE 
FORWARDING TO SBOO. 
DO NOT RETAIN COPIES. QUESTS WEEKLY WITH 
RETIRED BONDS. MI INED IF ACCESSED WITH 
SUFFICIENT FREQUENC ON NEXT PAGE) 
-1 Series No: ! 
Retain: O mths 
4 ITIONS DETERMINE DISPOSITION. SEE MEMO FIELD FOR 

PDF page 12

Page SA 
0001 008 Form PD F 1946 Application for disposition U S Savings Bonds/Notes and/or 
related checks (in combined amount not exceeding $1,000) owned by descendent whose estate is 
being settled without administration 
Disposition 
a) File Series EE/E and Savings Note reissue request processed in a calendar month by 
series in daily chronological order Retain the month's file for 2 full calendar months 
before forwarding to SBOO Do not retain copies 
b) Forward Series H/Illi 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 
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 subrrut photocopies with retired current income bonds 
0001 009 Form PDF 1946-1 Application for disposition US Savings Bonds/notes and/or 
related checks owned by descendent whose estate is being settled without administration (This 
form should be used when the combined face amount exceeds $1,000) 
Disposition 
a) File Series EE/E and Savings Note reissued requests processed in a calendar month by 
senes in daily chronological order Retain the month's file 2 full calendar months before 
forwarding to SBOO Do not retain copies 
b) Forward Series I-Il-1/H 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 

PDF page 13

6 Request For Record Disposition Authority Page: 
Item No. 
Nl-53-97-03-0001.0lO 
Item No. 
1Nl-53-97-03-0001.0ll 
j 
Description of Item 
APPLICATIONS BY PREFERRED CREDITORse@:991 
Authority 
FOR DISPOSITION WITHOUT NEW 1118 
ADMINISTRATION WHERE DECEASED OWNER'S ESTATE INCLUDES UNITED STATES 
REGISTERED SECURITIES AND/OR 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: ! 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 DECEDENT'S ESTATE. 
THIS FORM IS TO CERTIFY THAT COURT RECORDS SHOW THE LISTED PERSON ENTITLED 
TO CERTAIN BONDS OR CHECKS AS DISTRIBUTION FROM A DECEDENT'S 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. 

PDF page 14

7 Request For Record Disposition Authority Page: 
Item No. 
Nl-53-97-03-0001.012 
Item No. 
~l-53-97-03-0001.013 
Description of Item Authority 
CERTIFICATE BY LEGAL REPRESENTATIVE(S) OF DECEDENT'S ESTATEririRH&& NEW -
DURING ADMINISTRATION OF AUTHORITY TO ACT AND OF DISPOSITION WHERE ESTATE 
HOLDS NO MORE THAN $1,000 (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 STATEsa•:,pB NEW4118 
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. 

PDF page 15

8 Request For Record Disposition Authority Page: 
Item No. Description of Item AuthorityoF 
Nl-53-97-03-0001.014 APPLICATIONS FOR DISPOSITION RETIREMENT PLAN ANO/OR NEW .. 
INDIVIDUAL RETIREMENT BONDS WITHOUT ADMINISTRATION OF DECEASED OWNER'S 
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 
•Nl-53-97-03-0001.015 APPLICATIONS AGREEMENT-TO QUALIFY UNDER T.D. CIR.888 (REV) NEW 
THESE DOCUMENTS DEFINE THE TERMS OF AGREEMENT BETWEEN A FEDERAL RESERVE 
BANK AS {~~<;AL AGENT OF U.S. FOR ISSUING AND/OR PAYING AGENT. GI Ii &II 
INCLUDES"PD 3827, 3828, 3880, 3881, 3902, 3903. 13W&rli&ridkkat&MM1111:t;;rff 
,_eSNftaa;; £ ;• t=o 
Form No: Fft&i89GII Series No: !A COPY Org. Abbrev: FRB 
Retain: 6 yrs 3 mths 
DESTROY 6 YRS, 3 MOS AFTER TERMINATION OF AGENT . 
... .. 

PDF page 16

9 Request For Record Disposition Authority Page: 
Item No. Description of Item Authority 
Nl-53-97-03-0001.016 NOTICE OF QUALIFICATION UNDER TREASURY DEPT. CIRCULAR NO. 866Sb@@ii 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: +NVE:W i'IW P1rA 2EidiBi!cr>UW W li-6 fi 8 I 622 , aft l 
Item No. Description of Item Authority 
Nl-53-97-03-0001.017 APPLICATIONS FOR PAYMENT OF NEW 
'flllllil§l iFTii ,@ii A itPZ iZ kl Ji ,DJ> Htiv::::~Ef UNITED STATES SAVINGS BONDS/NOTES 
AND/OR RELATED CHECKS IN AN AMOUNT NOT EXCEEDING $1,000 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. 
¢.iw(RAflA auta fl M aftP!;Q#QJI! lff.?959:tM, -t't lfW 

PDF page 17

Page 10 
0001 018 Form PDF 5200 Overpayment history 
Disposition 
a) If not processed in 120 days, forward to SBOO 
b) If claim disputed within 120 days, forward to SBOO to settle claim 
c) If overpayment is settled, destroy 10 years after settlement 
0001 019 Form PDF 5336 Application for disposition - US Savings Bonds/Notes and/or 
related checks owned by descendent whose estate is being settled without administration 
Disposition 
a) File Series EE/E and Savings Note reissue requests processed in a calendar month by 
series in daily chronological order Retain the month's file for 2 full calendar moths before 
forwardmg to SBOO You may retain a photocopy for 10 years, but you are not required 
to do so 
b) Forward Series HH/H 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 evtdence 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 

PDF page 18

Request For Record Disposition Authority Page: 11 
Item No. 
!Nl-53-97-03-0002.001 
Item No. 
,Nl-53-97-03-0002.002 
) 
Description of Item 0 ~ o~srAoi~~or,J-~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. l{ft!ZZ %1-FWkl?JC•@dffii ¢'. 0;Astr;- ?'T'1,RM.Jl'ii3 
Form No: Series No: Org. Abbrev: FRB 
Retain: 10 yrs O mths 
CUT OFF FILES YEARLY. DESTROY 10 YRS AFTER CUT OFF. 
llR>i4!hitbii1KMifkid)f 81 .i .e,g; IJ-@4 1 IE::z 
Description of Item R.,.f.LAT/lf6- ro TflG Authority 
CORRESPONDENCE AND FORMSA~ CORRECTION/REISSUE OF SAVINGS BONDS NEW 
mm,,~~:L~~n:~~!~~ 
To As "FORWARDING ITEMS'~. (ms:i2~ @'!~d©-,~P 4?-a:0? NP,??'ffim-l 
~-
Form No: Series No: Org. Abbrev: FRB 
Retain: 1 yrs O mths 
CUT OFF FILES YEARLY. DESTROY 1 YEAR AFTER CUT OFF. 
~~~;t5?2~ 

PDF page 19

Request For Record Disposition Authority Page: 12 
Item No. 
lNl-53-97-03-0002.003 
Item No. 
,Nl-53-97-03-0002.004 
Description of Item Authority 
REISSUE REQUEST FOR SAVINGS BONDS SERIES E~ NEW4'J!lll 
REQUESTS PROCESSED WITHIN A GIVEN CALENDAR MONTH SHOULD BE FILED BY SERIES 
IN A DAILY CHRONOLOGICAL ORDER WITHOUT ALPHBETIZING OR OTHER FILE 
ARRANGEMENT. li1m£1?1@:JW~?7 951½,?r:lf:W Nat: 4:jtl, 
Form No: Series No: 1 Org. Abbrev: FRB 
Retain: 0 yrs 2 mths 
CUTOFF FILE EACH MONTH AND HOLD FOR TWO MONTHS TH.IN FORWARD TO 
SBOO. 
Description of Item ,__ _. Authority 
REISSUE REQUEST FOR SAVINGS BONDS SERIES H/HH--wUWi, NEW 419' 
-
Form No: Series No: l 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. 

PDF page 20

Request For Record Disposition Authority Page: 13 
Item No. Description of Item Authority 
Nl-53-97-03-0002.005 BOOK ENTRY STATEMENT OF ACTIVITVHltimlM)i FOR EACH TRUSTEE ACCOUNT. NEW 
TRANSFER ADVICES, ADJUSTMENT ADVICES, PERMANENT RECEIPTS, BOOK ENTRY A~£ 
REQUESTS, REISSUE REQUESTS AND RELATED CLASSIFICATION LISTINGS ~llQCJuseD 
TO REFLECT ALL ADJUSTMENTS TO THE ISSUING AND PAYING AGENT'S ACCOUNTS. 
Form No: series No: 1A COPY Org. Abbrev: FRB 
Retain: 3 yrs O mths 
CUT OFF FILES YEARLY. DESTROY 3 YEARS AFTER CUT OFF. 
lli&ti!Zlitl!}Qff:HRf~ISB:Rl:.i.:<ii!CMl!Zaiii!:i3ztcmtP2ii@l.:!ik56~iii4¥ia:amE:itibfit•;:,:iPi!:!!if;l;J 
Item No. Description of Itemi;..,,~-4--b4~~ 
~1-53-97-03-0002.006 
~~.ILl...::U.~..l...1..1-W/• CR. F- J> IT OA-' :s c. Oh S 1& Mt TO {.),spos /TtOM 0~ c.0¥1r1c.. D SJ'ATh...S 
A--1'{ o ~ li-L--Ar r ~ o c.. I+5 e,,f:.. ~ W1r1-t-Ow'T fr'0fl'IIN/'S~r,cN ()!=-
fJW7'f{UL ·~ F!,-SrMrl!. 
Form No: PDF 1050 Series No: !Al COPY Org. Abbrev: FRB 
Retain: 10 yrs O mths 
CUT OFF FILES YEARLY . ..,~=.......@ iMT>:OliSIH TRANSFER TO 
FRC AS VOLUME WARRANTS. fffi s n@ iiH@El'fJi: H 00$8D C8f &$-5?J ► Yffeii2;;i&Ab 
(.)(i..'::>TfJ..DY' IC> t',6:..A4,-:> A-Frf:,.P-... C:..,'-t'TOF~ . 
.. .,. 

PDF page 21

Request For Record Disposition Authority Page: 14 
Item No. Description of Item Authority 
Nl-53-97-03-0002.007 EST BY FIDUCIARY-60000: FOR REISSUE OF U.S. SAVINGS BONDS/NOTES NEW 425 
--RET ON: (1) FILE SERIES EE/E AND SAVINGS NO ISSUE REQUESTS6/i-ti. N i.-t t f A-&£, 
PROCESSED CALENDAR MONTH BY SERIES IN LY CHRONOLOGICAL ORDER. 
MONTHS BEFORE FORWARDING TO 
SBOO. DO NOT SERIES HH/H REISSUE REQUESTS WEEKLY 
WITH RETIRED BE MADE AND RETAINED IF ACCESSED 
WITH SUFFICIE CREATION AND 
RETENTION. ( DISTRUTION AND NOT AS A REQUEST 
Series No: I 
Reta· . 10 yrs O mths 
ONDITIONS DETERMINE DISPOSITION. SEE MEMO FIELD 
Item No. Description of Item Authority 
Nl-53-97-03-0002.008 SPECIAL FORM OF REQUEST FOR PAYMEN'T'ElfiPi&i OF UNITED STATES SAVINGS NEW Cill/ 
AND RETIREMENT SECURITIES WHERE mil USE OF A DETACHED REQUEST IS 
AUTHORIZED. t.lms lill:JRFJl'il!: O!' THIS FOIW IS Tit J:'f!SCBIBF BOPILJli, EOR HIHCII Paiil'E!ftl 
H" REQUESTl!rl). 
Form No: PDF 1522 Series No: I Org. Abbrev: FRB 
Retain: 0 yrs 1 mths 
FORWARD TO SBOO WEEKLY. 

PDF page 22

Page 14A 
0002 007 Form PDF 1455 Request by fiduciary for reissue of US Savings Bonds/Notes 
Disposition 
a) File Series EE/E and Savings Note reissue requests processed in a calendar month by 
series in daily chronological order Retain the month's file for 2 full calendar months 
before forwarding to SBOO Do not retain copies 
b) Forward Series llli/H 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 

PDF page 23

Page 15 
0002 009 Form PDF 1851 Request for reissue for US Savings Bonds/Notes in name of 
trustee of a personal trust estate 
Disposition 
a) File Series EE/E and Savings Note reissue requests processed in a calendar month by 
series in daily chronological order Retain the month's file for 2 full calendar months 
before forwarding to SBOO Do not retain copies 
b) Forward Senes HH/H 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 retied current income bonds 
0002 010 Form PDF 1938 Request for reissue of US SaVIngs Bond/Notes during the lives 
of both co-owners 
Disposition 
a) File Series EE/E and Savings Note reissue request processed in a calendar month by 
series in daily chronological order Retain the month's file for 2 full calendar moths before 
forwarding to SBOO Do not retain copies 
b) Forward Series HH/H reissue request weekly with retired bonds Microfilm copies may 
be made and retamed 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 

PDF page 24

Request For Record Disposition Authority Page: 16 
Item No. 
Nl-53-97-03-0002.0ll 
Description of Item Authority 
REINVESTMENT APPLICATioNa:rlCJ& TO REQUEST PAYMENT NEW-tqj1 
raus IQDH ; ;. XO ft:EOHP.!$1 FAiin Nll'l 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: 1 Org. Abbrev: 
Retain: 0 yrs O mths 
FORWARD TO SBOO WEEKLY. 6R :U:~sf@J)F.B'ft QijQ. 
FRB 
Item No. 
,Nl-53-97-03-0002.012 
Description of Item Authority 
INVESTIGATION SCHEDULE OF PAID BONDS UNDER INVESTIGATION.c!lf'D!OJiil NEW 
THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING 
RECORDS AND DOCUMENTS RELATED TO LOST BONDS. ~iut ~UtBN'Pie~ 
~Etlll'Ztl:0 il'Zitl.d>.id!d~i9!b~ cM:Biid..5:::,0i!x.:1 41~. TH IS 
FORM IS TO DESCRIBE BONDS/NOTES, 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 
am, iti iitlNt di!A::iA:P: bilt tilif @-¥f=.112?--A-\,81 
Org. 
CUTOFF. 
Abbrev: FRB 
. ' . 

PDF page 25

Request For Record Disposition Authority Page: 17 
Item No. 
'Nl-53-97-03-0002.013 
Item No. 
~l-53-97-03-0002.014 
Description of Item Authority 
Ast R&F APPLICATIONll2&Miil FOR RELIEF ON ACCOUNT OF THE LOSS, THEFT, OR NEW 
DESTRUCTION OF PAID U.S. SAVINGS BOND~.tJ04'PE,$.?sfJ9F!@.tj.NE!J ijf,<asJ. atYlJiU@@J 
THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING 
RECORDS AND DOCUMENTS RELATED TO LOST BONDS. JIIM&h $1 lNG!"ll RI 1:S:£1111 IQ -HJ 
IWdiAF95 id J?it61Eel THE te:1;s1, btCJ:J Pil\fftHCTAL BIGUT(j:::1ilt 181' PliiY!DN&iEISITl 
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. aa.s 
QIN iifi4ib4 s,: lUWW:111 hilldU:t#iff--in-1 Ff. 4ft:KJ 
Description of Item Authority 
CERTIFICATION ATTACHMEN .1Mi6IA,Jta C. OMt>t- .,_~ 0 f,'r SAVll{tr5 (!>OM D OWNfi/.l.-S • NEW~ 
~P~~;D u~wj;~: ;~~:u!:,.Z~e='l!'l!Aemmn"F 'fll~'i' rn BEH'i' 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 1©9111't'i Bt\SbL iii Hl 5J U1 ~ 018 

PDF page 26

Request For Record Disposition Authority Page: 18 
Item No. Description of Item Authority 
Nl-53-97-03-0002.015 CLAIM FOR RELIEF ON ACCOUNT OF LOSS, THEFT OR DESTRUCTION JJ TEI 10)80: NEW-
AfrF-fl.. VAl.lD /SSl,,f€;. R>w'T f'AtC)(l.. 
Item No. 
Nl-53-97-03-0002.016 
c. o- ow N e ~ 1 o fl.. 0 i-rv 1:;.,:;. 1<:... 1 A 12... 'r 
Form No: PDF 3062 Series No: 1 Org. Abbrev: FRB 
Retain: 0 yrs O mths 
FORWARD TO SBOO WEEKLY. 
Description of Item Authority 
CLAIM FOR RELIEF FOR LOST/STOLEN, OR DESTROYED u.s.S.BOND STOCKm\&YiiL: NEW ~ 
:AH:CiJPl>R)l Wbi& DJCLLiE!ilp?jl,KbftMI.JE'Da R,jt Im £fQ:HMH!i AA !DOD :WEl!:KLYJ 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 S800 WEEKLY. 

PDF page 27

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 Bonds/Notes 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 EE/E and Savings Note reissue requests processed in a calendar month by 
series in daily chronological order Retain the month's file for 2 full calendar months 
before forwarding to SBOO Do not retain copies 
b) Forward Series HH/H 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 

PDF page 28

Request For Record Disposition Authority Page: 20 
Item No. 
tNl-53-97-03-0002.019 
Item No. 
~1-53-97-03-0002.020 
Description of Item Authority 
CONTINUATION SHEET FOR LISTING SECURITIES@0863 NEW 
THESE CLAIMS CASE FILES ARE A PART OF THE CENTRAL NAME FILES CONTAINING 
RECORDS AND DOCUMENTS RELATED TO LOST BONDS. ~ll! 4.,elJitGiJ!::W aBl'EiR'MON'-H 
~clWAA~~ Q\llw d5.li:IIIN¢CfiDq<:WM?S ZOP'b!HS dSCb'E.MMEJR>. 
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 . 
.ill>Iffl t>lbllq~Si!D Z:OJ!IS a,r-a:r--'91::..()2, -8'1B. 
Description 
REQUEST FOR 
~ S- T"ft'.<£.M lc,..N.,-
A 6-fl- F-c..T c.. 1-1- A f{ f::r-fi- OF MA A,€.., 
Form No: PDF 3564 Series No: IA COPY Org. Abbrev: FRB 
Retain: 1 yrs O mths 
DESTROY OBSOLETE DOCUMENTS ANNUALLY. R'E'n'ff'fI I 5.:SLO mt 
Ne.1 53 YB Ad, 0 3{!>. 

PDF page 29

Request For Record Disposition Authority Page: 21 
Item No. 
Nl-53-97-03-0002.021 
Description of Item 
SECURITIES TRANSACTION REQUESI@Wliiiill: THl't-f 
Lti@f:$B---Ft£]o9 DOCUMENT• 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 
& EXPENSE. 
FRB 
Item No. 
~1-53-97-03-0002.022 
Description of Item 
SECURITIES TRANSACTION REQUEST £4JS it TkA-T 
'f1H~ DOCUMENT THE RECEIPT AND/OR 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 
CONTROL/AUDIT COPY. ~!fEHT!Hm RASPS 1111 II! 1 ~:, e, 0 7, l?P(li:t'-

PDF page 30

Request For Record Disposition Authority Page: 22 
Item No. Description of Item ('('L iR.us r ;4.(;r~ll f../11£/Vr 
1Nl-53-97-03-0002.023 APPLICATIONS FOR ISSUING AGENT-,:- ami'n~;PJT,~~jjjjjjjQp • 
f-ll-€.. c.,oNIA-lff!;, ORIGINAL AGREEMENT ffllii TO lt81!' AS Mf lBBOHIG .ACli!ID' 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. 
Q!-!AI IE" l\S MIT ISSUHf6 h6EN'f. M:'fEH'fieH Dil\SED 
Org. Abbrev: FRB 
11:N hPPLICt.T;HJH 'f'O 
OH Hel 53 81 BQ, 01. 
Item No. 
Nl-53-97-03-0002.024 
Description of Item 
CERTIFICATE OF QUALIFICATION-ISSUING AGENT 
QUALIFY AS AN ISSUING AGENT FOR THE SERIES 
1.-( 5 ~!:> 
(USSB}o6922Bl 
EE BONDS 
TO APPLY AND 
Authority 
NEW 
Form No: PDF 3828 Series No: !A COPY Org. Abbrev: FRB 
Retain: 6 yrs 3 mths D6:ST(,I.0f- 6 rI..'. AR S, ~ /YI O/YrH ~ 
AFTER TERMINATION OF ISSUING AGENT STATUS. ~TION axsuo;;gN 
J!if l §4::::81 02 ,~. 

PDF page 31

Request For Record Disposition Authority Page: 23 
Item No. 
Nl-53-97-03-0002.025 
!> ,-.v,Nf::,-5 f:>,O;vt:>S 
Description of Item R£.OJAli.,S r p..oA. ooo/t. F-/'17~'r r11..l'rlV.SAc,T101'/ /H l.(.S. 
BOOK ENTRY REQUEST FOR TRANSACTION IN USSB BY TRUSTEE-60508: 
GK PURPOSS 9!" THH illll L ff TO INITIATE A TRANSACTION IN A BOOK ENTRY 
ACCOUNT. 
Authority 
NEWS,, 
Form No: PDF 3879 Series No: 1D COPY Org. Abbrev: FRB 
Retain: 1 yrs O rnths 
CUT OFF FILES YEARLY. DESTROY l YEAR AFTER CUT OFF. 
Item No. Description of Item Authority 
•Nl-53-97-03-0002.026 REQ BY THE OWNER OF REISSUE OF U.S. SAVINGS BONDS/NOTES-60000: NEW 451 
ADD BENEFICIARY OR COOWNER, ELIMINATE BEN IARY OR DECEDENT,6~£ N £.~ T f Au- I;. SHOW CHANGE O , AND/OR CORRECT ERROR IN REG TION. --RETENTION: (1) 
FILE SERIES E/EE AN VINGS NOTE REISSUE STS PROCESSED IN A CALENDAR 
MONTH BY SERIES IN DAILY 
FULL CALENDAR MONTHS BEFORE NOT RETAIN COPIES. (2) 
FORWARD SERIES HH/H REISSUE TIRED BONDS. MICROFILM 
COPIES MAY BE MADE AND RET ED IF ACCES FREQUENCY TO 
WARRANT THE COSTS ASSO (DATA CONTINUES 
Form No; PDF 4000 Series No: !Al COPY FRB 
O mths0 yr 
DETERMINE DISPOSITION. SEE MEMO FIELD 

PDF page 32

Page 23A 
0002 026 Form PDF 4000 Request by the owner for reissue of US Savings Bonds/Notes 
to add beneficiary or co-owner, eliminate beneficiary or decedent, show change of name, and/or 
correct error in registration 
Disposition 
a) File series E/EE and Savings Note reissue requests processed in a calendar month by 
series in daily chronological order Retain the month's file for 2 full calendar months 
before forwarding to SBOO Do not retain copies 
b) Forward Series lil-I/H 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 

PDF page 33

Request For Record Disposition Authority Page: 24 
Item No. 
~l-53-97-03-0002.027 
Description of Item ,4t,,.ift1C. 'r 
REPORT OF NON-RECEIPT/LOSS/THEFT/DESTRUCTION OF FISCACCHECL.15&£18. 
~ HEHfr<ll:BOSII f, LOsS, lfHBH" ~ 
_ ~ AND APPLICATION FOR REPLACEMENT. 
Authority 
NEW 
Form No: PDF 5235 Series No: l Org. Abbrev: FRB 
Retain: 7 yrs O mths 
t-t.tr oP.t= F11.,1c-~ YeA-A.L-t-. o,;.s,A.oS-
Item No. 1,t 5 ~AVl!ft',J Authority 
'Nl-53-97-03-0002.028 EEA BONDS 8 4(0ltii);~amoacA-N O //l. £.t. A 11,'i. P RliZ"'Aiw ~ 
SERVICE 
}"f"HTS-:i,,~TD'El~~m;r~~~N!l!;~~S 
Form No: PDF 5263 Series No: !A COPY Org. Abbrev: FRB 
Retain: 0 yrs 2 mths 
CUT OFF FILES WEEKLY. DESTROY 2 MONTHS AFTER CUTOFF. 

PDF page 34

Request For Record Disposition Authority Page: 25 
Item No. 
,Nl-53-97-03-0002.029 
Item No. 
•Nl-53-97-03-0003. 001 
Description of Item If!'> 6,4 VtfVc,-.:S Authority 
ORDER FORM FOR SERIES EE11 BONDS ~ a 4!4.0ttctl~ NEW,._ 
'fll1.rg i1J0Rlf Hf~'fO:i.Al'tY ZO ~s,:,- SBR'IES::SEE B~ 
TC) f3i il<.,ec,...1sT£12...t=-.I> /H fY,4,11(£_ tt=- J=-, DU e-1 .k12, r 
Form No: PDF 5263-1 Series No: !A COPY Org. Abbrev: FRB 
Retain: 0 yrs 2 mths 
CUT OFF FILES WEEKLY. DESTROY 2 MONTHS AFTER CUT OFF. 
Description of Item -SHUTS IA 5.., p ro Authority 
ACCOUNTABILITY STATEMENTS AND LEDGERV'-'d:l!;i:'1%260likir 122:iUIII INDICATEe 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. 
~,s!A!i;§D ~l~ ftC ► SJ. 78>-0q,, ~. 

PDF page 35

Request For Record Disposition Authority Page: 26 
Item No. Description of Item Authority 
Nl-53-97-03-0003.002 STATEMENT OF ORIGINAL SALES HANDLED INCORRECTLI &iii"""' NEW 
BY BUREAU OF PUBLIC DEBT OFFICE, 
a:en:Jst\1tdil'm>, 211co iHO:tS9 5tl, ~GE> ~ •• 
Form No: Series No: Org. Abbrev: FRB 
Retain: 3 yrs O mths 
CUT OFF FILES YEARLY. DESTROY 3 YEARS AFTER CUT OFF. 
Item No. Description of Item ___,.""""' Authority 
Nl-53-97-03-0003.003 GENERAL ACCOUNT ENTRIES-SUPPORTING DOCUMENTS.96~ NEW <9ilillS 
~ SUPPORTING TICKETS AND FORMS OR EQUIVALENT, DOCUMENTING ENTRIES TO 
THE U.S. TREASURY GENERAL ACCOUNT. 
Form No: Series No: ! Org. Abbrev: FRB 
Retain: 2 yrs O rnths 
CUT OFF FILES YEARLY. DESTROY 2 YRS AFTER CUT OFF . 
.. .-

PDF page 36

Request For Record Disposition Authority Page: 27 
Item No. Description of Item Authority 
Nl-Sl-97-03-0003.004 REIMBURSEMENT EXPENSE REPORTS FOR USSB TRANSACTIONS~: NEW~ 
~~NIE STATISTICAL REPORTS RELATING TO REIMBURSEMENT OF EXPENSES AND 
MACHINE UTILIZATION FOR THE SAVINGS BONO TRANSACTIONS. 
Form No: Series No: Org. Abbrev: FRB 
Retain: 2 yrs O mths I. • , .. rC ii' •. l\CUT OFF FILES YEARLY. DESTROY 2 YEARS AFTER CUT OFF.· 
l r \' ' ''' \ 
\ ,1· I ,l 
c,FA.Fi.TIA.fi.lJ $/i.t:VA-11"/1£. 'i"" ({J/£,4;11.~,e.)Ar,11i~ ~, or::. s 1-1 ,rm EHTItem No. Description of Item ,1,, ", - Authority 
Nl-53-97-03-0003.00§..,, SECURITY CHARGES FOR BPD TRANSACTIONSV(BEARER)~: DAILY REPORT NEW 
DAliLYR'f/-()yl'f ,(J)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. 
RB'f'BU!J1'l0H i!ASll!P QN NCl 53 8'.lmQd, 41. 

PDF page 37

Request For Record Disposition Authority Page: 28 
Item No. 
lNl-53-97-03-0003.006 
Item No. 
~1-53-97-03-0003.007 
S£€.. l'li--t r -PAt-£ 
Description of Item Authority 
NEW 3ia> 
~~~ ~~ ~"iHfflffi.SEmm~XMM6fil. 
f U'3t- IC.. /,I CIUC. l-fcf<- t:,&A... RE-1/'.1'1t111/2-6£,M,JISNr" or=- 16-)(F'iz /\LS IE s 
t)r- rGDti.11-A L '1{.kSB/<.-1,1'€, i:JA-1111-cs 
Form No: PDF 0849 Series No: #C COPY Org. Abbrev: FRB 
Retain: 1 yrs ,..,r 2,~JJlz_S.,,p,4/1..t,/tt>. 
CUT OFF FILES~- D~STROY NW-6 1 YR AFTER CUTOFF. 
Des ription of Item Authority 
ADVI OF ADJUSTMENT~: PD 2792 NEW 
OF THIS FORM IS USED TO ADJUST ERRORS OR 
NG/PAYING AGENT. PRICING ERROR STMENTS PROVIDED ON TAPE. 
Form No: series No: !A Abbrev: FRB 
rs mths 
CUT OF ILES YEARLY. DESTROY 2 YRS AFTER CUT 
RET TION BASED ON NCl-53-78-04, 25A. 

PDF page 38

Page 29 
0003 007 Form PDF 2792 (copy A) Advice adjustment (issues) used to adjust errors in 
individual bonds of stubs to issuing/paymg 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 issuing/paying agent 
Disposition Cut off files yearly Destroy 2 years after cutoff 
0003 009 Form PDF 2792 (copy B) Advice adjustment (card, T/L adjustments) used to 
adJust errors in individual bonds or stubs to issuing/paying agents 
Disposition Cut off files yearly Destroy 2 years after cutoff 
0003 010 Form PDF 2792 (FRB office copy) Advice adjustments for (issues, card, T/L, 
and price error adjustments) used to adjust errors in individual bonds or stubs to issuing/paying 
agents 
Disposition Cut off files yearly Destroy 2 years after cutoff 

PDF page 39

Page 30 
0003 011 Form PDF 3415-1 Reconcilement of accountable balance and schedule of US 
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 of US Savings-type securities delivered for destruction documentation Files contain 
schedules, withdrawal requests from other offices of the Bureau and/or 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 

PDF page 40

Request For Record Disposition Authority Page: 31 
Item No. Description of Item Authority 
Nl-53-97-03-0003.012 D RUCTION RECONCILEMENT OF ACCOUNTABLE BALANCE ANDS URITIES-908: NEW 
S£. le- p~E.1/toLt...s ON DOCUMENTATION. 
SAVINGS BONDS,FArC::rri:.. 
NOTES, ANDS S, SAVINGS STAMPS, AND SU 
MICROFILM. SCHE ES, FROM OTHER OFFICES OF THE BUREAU 
AND/OR 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-53-97-03-0003.013 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~2l> a:3~&:3-r- :..la,,. 

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Request For Record Disposition Authority Page: 32 
Item No. Description of Item Authority 
Nl-53-97-03-0003.014 CLAIM FOR PROCEEDS OF A FISCAL AGENCY CHECK~ NEW 
~(j@ffiil> .fSE::b,S&!) di!Ok---nn!,> HfVB:ilbR '1':t) CiiA'TM--HeH-WEffT 'ffl., * PA?MEIIMF. 
IA.S£p 1,';' ltvvE...5TO~ 70 C.l.AtM /\/ON-~E--c..P-tPT Of- A f'AY/11/e,.,Nf. 
Form No: PDF 5236 Series No: Org. Abbrev: FRB 
Retain: 7 yrs O mths 
C."'-r ot=-F p11-£s YE-AR.L-'r. {)i:.S11<-0'f 7 Y.£A/2.5 AF-,i=--/2.... c:-wrot=-,c, 
Item No. Description of Item Authority 
NEWNl-53-97-03-0003.015 ~frE-MP"'i'T'ett---'f'ftl\:H-s~.~~=~~~cRa~~~~~-m~n~~~~-~~n~--m~~B~~c~~£~~~~~;-~~;~i~_f-~~~~~~~~~~f-~1ie-e~ 
-rp__ A-N $ F f5. ,-J..... 0 F- R.t D G-/'Y1 f ; I o N C.. HAR-fr..€, S F op___ ~ . S. SA v't IV'l:r-"S 
80r{f::,s/No,E:::, f'R..£ 5 kl'(Ti=,.D J/i-/J....01./G-H THE... c..H-ECK 
ctn.,._,~r,oN .5'r.sre/V\ -ro rtte. FP-r>e:--P-A '- Rf=.SeR.Vtz. 1J,A,+rvc..,-1 
.4-T PI TT.$ BuP..L-/./ . 
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. 
Kil,'tl im'P! CJNh!~"Ullf ltsd: 5-3- '18 0 4 , OWL 

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Request For Record Disposition Authority Page: 33 
Item No. 
~l-53-97-03-0003.016 
Item No. 
•Nl-53-97-03-0003.017 
Description of Item 
GIFT CERTIFICATE FOR SAVINGS BOND-6lii@itM3 
RECORDS 
RELATED ADJUSTMENTS TO AGENT'S 
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-506.1-2: RECORDING DEPOSITS FOR CREDIT TO U.S. 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. 
~W'.Pl blwl o3ln,'RD ore.N:C>1 --i:5,3 'eJJ SZ.Oif, z:e&. 

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Request For Record Disposition Authority Page: 34 
Item No. 
Nl-53-97-03-0003.018 
Item No. 
Nl-53-97-03-0003.019 
Description of Item Authority 
DEBIT VOUCHER-aDl'OGfP. 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 COPY Org. Abbrev: FRB 
Retain: 6 yrs 3 mths 
DESTROY 6 YEARS, 3 MONTHS AFTER ACCOUNTING PERIOD. 
~W~SEO a51V N©6&3>--46~¢% z:ab. 
Description of Item Authority 
COPY REPORTING NEW~IRS FORM 1096~CCIC4c FOR HARD 
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 

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Request For Record Disposition Authority Page: 35 
Item No. Description of Item Authority 
Nl-53-97-03-0003.020 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 c..u, OFF- Flt,E.-5 YGA~l. Y. DG,5 TR.O y b f'£;:JR.S. ArT~R.. c.,t[70t=-F 
5 TA i"f N;. 0 r t,,/.411 TATl&A'.S
~a~~D~:gzzi~m~::M:::::0 ::~F~~~ t 5 L- o c..,,.. rle- b) IE.. X/JI /2. £S,, 
w t-1 t c... I-IE: VE P... I !> '- A T /c- /<.. . 
Item No. Description of Item Authority 
Nl-53-97-03-0003.021 IRS FORM 4804~: FOR TAPE REPORTING NEW a, 
TabSo@Rl{:)-:r,.s; rutQO]Ji'!W 2f9.i'. 'm:e-=: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 

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Request For Record Disposition Authority Page: 36 
Item No. Description of Item Authority 
Nl-53-97-03-0004.001 ~ PENALTY MAIL STAMPED SAVING BOND ENVELOPE ORDER-~ NlllW 
l::tllilsP01SmON'11WI.t;l,;2B'.l!b !"Q:JOl:;ZOOi3-. &-R..5 -· I .l. J l) 7 
Form No: PDF 5243 Series No: !Bl COPY Org. Abbrev: OBS-FRB 
Retain: 6 yrs O mths 
~-DESTROY c:tfiilLA.biifi FILES 6 YEARS AFTER CUTOF~ ~ 
F4Z&4u Cb OES'fRQ¥I:.J IN !EHR 2092. RET.SH'P~tt-ePSEil el bRS:-1¥, =a,. 
Item No. Description of Item us~P- Authority 
Nl-53-97-03-0004.002 PENALTY ENVELOPES~ BY AGENTS J!11D NEW~ 
rne+tAs WRDPJ ft:':! FCP l! B 8 I 'f i-&Hift. ENvriOJ-LB&.. 
Form No: Series No: !A COPY Org. Abbrev: FRB 
Retain: 1 yrs O mths 
CUT OFF FILES YEARLY. DESTROY 1 YEAR AFTER CUT OFF. 

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I 
Request For Record Disposition Authority Page: 37 
Item No. 
Nl-53-97-03-0004.003 
Item No. 
~1-53-97-03-0004.004 
Description of Item Authority 
~Qd..SL PENALTY MAIL PRINTED STAMPED SAVING BOND ENVELOPE ORDER~; ifilW 
'I'RJH)B., ~~lat 26W-v'!::136P&fb F$ OR9S<~~- &a..s -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 . .o'Mli lfEC 
'I~lfi~➔-~~ a!>E~ ~ ad.latiN'u=eN..;;ftASJm, 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. 
RETE!H'ffSH BaSBD Ch Cits 

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Request For Record Disposition Authority Page: 38 
AuthorityItem No. Description of Item 
~1-53-97-03-0004.005 NEW 
Form No: PDF 5250 Series No: #B COPY Org. 
Retain: 6 yrs O mths 
CUT OFF FILES YEARLY. DESTROY 6 YRS AFTER CUTOFF. 
M'flBH'l'leM Bf\.813D 0111 SRB 12, W.. 
Abbrev: FRB 
Item No. 
ffl-53-97-03-0004.006 
Description of Item 
PiS?AGE RBf~WD=lOe,:0 APPLICATION FOR CREDIT OF UNUSED POSTAGE BY FRB. 
Authority 
NEW 
X 
Form No: PDF 5259 Series No: #B COPY 
Retain: 6 yrs O mths 
95:8.AS OP ;1@& 18'1'&. DESTROY FILES 6 YRS AFTER 
:ro::::mcQS:S 1FROYRf'l Bl YEl\ft 2002. HS'fl5IITIStl BAOBD 
Org. Abbrev: OBS-FRB 
CUT OFF. LHSI H:Clil1 
Ql1t::ERSi•l2 1 0:1. 

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Request For Record Disposition Authority Page: 39 
Item No. 
,Nl-53-97-03-0004.007 
Item No. 
Nl-53-97-03-0004.008 
Description of Item 
APPLICATIONS AND VOUCHER 
THIS FORM IS REQUIRED BY 
FOR REFUND OF POSTAGE AND 
THE POST OFFICE. 
FEEsµgea,m!!DO 
Authority 
NEW 4alt-
Form No: PS 3533 Series No: IA 
Retain: Jf, yrs O mths 
CUT OFF FILES YEARLY. DESTROY' YRS 
COPY Org. 
AFTER CUTOFF. 
Abbrev: FRB 
Description of Item 
STATEMli:NT OF MIU1.UIC WITH HETER ()ft F'RECANCELED POS1'AGE-600oo: 
TittS=- FORM IS REQIIIRli:D BY THE POST OFFIOE a 
~t:,STA&-f:. STAT"fc..ME..Nr: FtP-.ST '-'-AS~ /'i'IA/L- ~j;...Tf=.R., e,ll-
ffJ..1c..C.A-Nc..at-rc. D f'O.S TAC=-£. J. F-P I Xf-i...D. 
Authority 
NEW 
Form No: PS 3600-PC Series No: IA COPY 
Retain: 4- I yrs t, mths 't 
CUT OFF FILES YEARLY. DESTROY• YRS,!!,._ 
RETENTION SASli:D QN NC] 53 78=04 1 QB. 
Org. Abbrev: 
DAFTER CUTOFF. 
FRB 

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Request For Record Disposition Authority Page: 40 
Item No. Description of Item Authority 
Nl-53-97-03-0004.009 S'fMEHBN'l' QF M.\ILIN6 WITH PERMIT IMPRINT-60000: E'IRST CLASS MAH. NEW 
JfHIS FORM IS REQUIR:BB BY THE POST OFFICE!. 
po::,rA&f:. sr,...--r-1£A1eN7: Frp..sr c..t...,1ss /MA,1L-P~AM,r 
/h'IIP/2- t N'f . 
Form No: PS 3600-R Series No: lA COPY Org. Abbrev: FRB 
Retain: ti-• yrs a, mths 
CUT OFF FILES YEARLY. DESTROY t YRS, J.. H09• AFTER CUT OFF. 
RETENTION &ASEB OH HCl 53 78 04, 08'. 
Item No. Description of Item Authority 
•Nl-53-97-03-0005.001 ADVICE OF SHIPMENT OF U.S. SAVINGS BONDSff!OQftC/. FROM THE FRB-PITTSBURG NEW 
(BA~BR!ftlQJi! !Ji!f\@AL. PG. H0. 956 1 ITEM NO. 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. 
. .. 

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Request For Record Disposition Authority Page: 41 
Item No. 
Nl-53-97-03-0005.002 
Item No. 
'Nl-53-97-03-0005.003 
Description of Item 
btNU'.bf STUB CONTROL 
0 OC. ~ N'l E- NT T [-I F-
l 5 s u r£ -rA I' ,;_.s ,=-~o /Yl. t- II E- f- P- () 1s. 
Form No: PDF 2635 Series No: IC COPY Org. Abbrev: FRB 
Retain: 2 yrs O mths 
~EN'l'tQl<l~1Uf~Jr6~~ 
DESTROY 2 YEARS AFTER CUTOFF. ~IM11'~'m.lrntar--'l',l,ff"Z~~-m;~-flh,,-~ 
Authority 
NEW 
THE TRANSFER OF STUBS AND ISSUE TAPES FROM THE FRB's TO PUBLIC 
Form No: PDF 2635 Series No: !D COPY Org. Abbrev: FRB 
Retain: 9 yrs O mths 
CUT OFF ANNUALLY, HOLD IN OFFICE FOR 2 YEARS.Atf? R811.Ziibb I UFI 7f 
Al;lf)I'fl@N!<Is •EJ,Hb. ~liTI/Lf£ .;.1.. f/Q...(3 5,orL/id,--Ft. .A-'t-PA 
p;...6 Tf'<-o'f Cf '(£-AILS -4:r= TJ;f<.. ~u, off. 

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Request For Record Disposition Authority Page: 42 
Item No. 
Nl-53-97-03-0005.004 NEW._ 
,P../tl'<'oF-~1'2.. AWi'-( ~uthority 
Item No. 
'Nl-53-97-03-0005.005 
TRANSFERS FROM FRB's 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. 
Description of Item Authority 
5A11INGS BONDS STOCK & RE'.I I~J!!Ml!:Wf SECl:JIUTY ON MANt>-6000-0: NEW~ 
Bl' BENOMHl:lV:FION. (PACS SERVICE M.1\IWAL, PG.NO. 953, ITEM NU. IO). 
{) 5 sA vINCr S ,41'{ o P.. E r I f'J..J;; ,,vvt;;, 1Yr ~ F- C.C.l(I- ... t ,,-1 Ii!- -:,s b--tz..M /c...i<l..,lt L 
::,,oc..r- "N t+ANoflS r,,:. c.0.8. ____ . 
Form No: PDF 2835 Series No: I Org. Abbrev: FRB 
Retain: 2 yrs O mths 
CUT OFF FILES YEARLY. DESTROY 2 YEARS AFTER CUTOFF. 

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Request For Record Disposition Authority Page: 43 
Item No. Description of Item Authority 
Nl-53-97-03-0005.006 STUB TRANSMITTAL LETTERK2QiP!i?l>;t DUPLICATE COPY OF FORM SENT TO TREASURY NEW Q9l 
LISTING SAVINGS BONDS STUBS RETURNED BY ISSUING AGENTS. {<SA€wc:S~ 
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-53-97-03-0005.007 ADVICE OF SHIPMENT FOR US SAVINGS/RETIREMENT 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. 

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Request For Record Disposition Authority Page: 44 
Item No. 
~l-53-97-03-0005.008 
Description of Item _,__,__,. 
ADVICE SERIES HH/H STUB CONTROL BLOTTER AND TRANSFER ADVICEf@cm@ 
(41:'11:U'S,~ ilfflmJm::.~ t. THESE DOCUMENTS SERVE 
INTERNAL CONTROLS AND ARE USED IN RECONCILING THE SHIPMENTS. 
Authority 
NEW <KJIS. 
AS 
Form No: PDF 3480 Series No: !D COPY 
Retain: 5 yrs O mths 
CUT OFF FILES YEARLY. DESTROY 5 YEARS AFTER 
Org. Abbrev: 
CUT OFF. 
FRB 
Item No. 
1Nl-53-97-03-000S.009 
Description of Item Authority 
ADVICE FOR STAMP TRANSFERS OR REDEMPTION@jemQH 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 
Retain: 3 yrs O mths 
CUT OFF FILES YEARLY. DESTROY 3 YEARS AFTER 
Org. Abbrev: 
CUT OFF. 
FRB 
. .. 

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Request For Record Disposition Authority Page: 45 
~Q~r.u 4-fl.. o t re.hi. TfQ-A-NS />'It r T,'r L - U ~ SA 1//Nf-S ~ONO 3//VClr E. S- -
/3CW/)S:,. 
Item No. Deecript.ien of Ieem A."-T1Re../h(c,Nr PI..JiN ~onl)<;; - ll'ff>IVIP"'l'r'- R.t'i-tt~s..nrc./Vr Authority 
Nl-53-97-03-0005.010 FORW&'lDINC lTi:M TR.".NSHI 1111FAL R-E':FIR£HENT PLAN 80NQS 904.5: NEW 
THIS FORM IS A TRANSMITTAL USED BY FRB'S TO SUBMIT BONDS, WHICH THEY DO NOT 
HAVE AUTHORITY TO REISSUE OR REDEEM, AS FORWARDING ITEMS TO THE PARKERSBURG 
OFFICE. tf'AGS SPBV:-XC'E lf111Hl:J1tf., F6. IW. ,54, ITEM:::::Me. !§t. 
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-53-97-03-0005.0ll PAYROLL SALES ADVICE OF CREDIT@i@iib 1 (:SAV1Nt,, s Bor-tr, 50f:'r,uAfl.i:'.) 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. 

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Request For Record Disposition Authority Page: 46 
Item No. Description of Item Authority 
~1-53-97-03-0005.012 457CASH SALES TRANSFER ADVICE 
TO PUBLIC 
DETAIL BY FORMS PD 3252, 4848, 4890. BANKS USING THE SBS 
NEW 
SYSTEM SUBMIT A COMPUTER-GENERATED FORM. 
Form No: PDF 4856 Series No: IC 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-53-97-03-0005.013 PAYROLL SALES DEBIT ADVICJ,$alizYi83 NEW 459 
~Zlcl~:oi~F~L~~c:~~ 
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: 1B COPY Org. Abbrev: FRB 
Retain: 7 yrs O mths 
CUT OFF FILES YEARLY. DESTROY 7 YRS AFTER CUTOFF. 

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Request For Record Disposition Authority Page: 47 
Item No. 
lNl-53-97-03-0005.014 
Item No. 
~1-53-97-03-0005.015 
Description of Item Authority 
PAYROLL SALES DEBIT ADVICES{;, f iflJ NEWdilR 
'fflOl§C2..PQP¥<S'S 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 org. Abbrev: FRB 
Retain: 2 yrs O mths 
CUT OFF FILES YEARLY. DESTROY 2 YEARS AFTER CUT OFF. 
Description of Item A..P-~. aA-rc.H- c..AA..t>• (A.,eeru::>h,&./... PEL.I Vlf.12...'( S"fS~thority 
Tlll"IN9M& JAL; .u.'i97i'Oll ~--,Ofgue,RlrFDRPI.S""...:6QGQ:9:lc NEW Wit 
THIS FORM IS TO TRANSMIT THE FRB, ORDER FORMS PDF 5263, ORDER FOR SERIES 
EE U.S. SAVINGS BONDS. 
Form No: PDF 5255 Series No: !A COPY Org. Abbrev: FRB 
Retain: 2 yrs 0 mths 
CUT OFF FILES YEARLY. DESTROY 2 YRS AFTER CUTOFF. 

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Request For Record Disposition Authority Page: 48 
Item No. 
Nl-53-97-03-00O6.O01 
Item No. 
Nl-53-97-03-0006.002 
;: 
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. 
Form No: Series No: I Org. Abbrev: FRB 
Retain: 5 yrs O mths 
CUT OFF FILES YEARLY. DESTROY 5 YEARS AFTER CUT OFF. 
Description of Item 
NOTICE OF IRREGULARITY IN REGISTRATION BOND STUes.ri~a•=•,~·~ 
e,w,:os l:iER#l~'HJ\mmla,dPO.=tlO?., ~ DflOfNID.~. 
Form No: Series No: Org. Abbrev: FRB 
Retain: 3 yrs O mths 
CUT OFF FILES YEARLY. DESTROY 3 YRS AFTER CUT OFF. 
~£11Jf"iON ci!~i:~:2~, ~~ 
Authority 
NEW 
Authority 
NEW 

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Request For Record Disposition Authority Page: 49 
Item No. 
Nl-53-97-03-0006.003 
Description of Item 
AGENT QUALIFIED TO ISSUE/REDEEM BONDS AND 
A MONTHLY REPORT OF QUALIFIED AGENTS. 
NOTESAi-lffilid'J 
Authority 
NEW -
Form No: 
Retain: 6 yrs 
DESTROY 6 YRS. 
Series No: ! 
3 mths 
3 MOS. AFTER TERMINATION AS AN 
Org. Abbrev: 
AGENT. 
FRB 
Item No. 
1Nl-53-97-03-0006.004 
Description of Item /lE.t-4T-I/V(:r- 70 1'2..c::H,1TtN£. l+-IYD 
CORRESPONDENCE WITH ISSUING AGENT~D.~FOR GENERAL INFORMATION•
~dm.g_tJEs:IsFoR;:sntMtL INf'oRl4in 1eH. ( FPi~ 
~M:";~, ~-
Authority 
NEW 
Form No: series No: I 
Retain: 1 yrs O mths 
CUT OFF FILES YEARLY. DESTROY 1 YR AFTER 
org. 
CUT OFF. 
Abbrev: FRB 

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Request For Record Disposition Authority Page: SO 
Item No. 
Nl-53-97-03-0006.005 
Item No. 
,Nl-53-97-03-0006.006 
Description of Item /(.#i..t../r.,.IN/r -ro P..EQ.'11c,~;:; Authority 
CORRESPONDENCE WITH ISSUING AGENT~ FOR SUPPLIES NEW 302 
m~~;,~Na REQlJ!!SfS l'vR SUI PLIES. (PAC$ !!IERVICB MANUAL, PG.-.. 
Form No: Series No: 1 Org. Abbrev: FRB 
Retain: 0 yrs 2 mths 
CUTOFF FILES EVERY MONTH AND DESTROY 2 MONTHS LATER. 
Description of Item ({6.L/'rrlN6- ro A.E'..Ql(f.Z!.r.5 Authority 
CORRESPONDENCE WITH PAYING AGENTS~ FOR GENERAL INFORMATION NEW 300 
DOC\:.JHBN!l!B COHCBRHING GEl~EML INEORMATloN. (PACS SBRYICE MANUAL, PG, Ne. 
,s4, ITEM He. 18): 
Form No: Series No: Org. Abbrev: FRB 
Retain: 1 yrs O mths 
CUT OFF FILES YEARLY. DESTROY 1 YR AFTER CUT OFF 

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Request For Record Disposition Authority Page: 51 
Item No. 
Nl-53-97-03-0006.007 
Item No. 
'Nl-53-97-03-0006.008 
Description of Item Authority 
UNDELIVERABLE BONDS FORWARDED TO BPD BY FR'ft-diliHiiffi NEW 
THIS FORM IS USED FOR BONDS THAT ARE TO BE FORWARDED UNDER THE COVER OF PD 
F 4581 OF OWNER'S 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 
Ql®<Mii<i~WASbO dJliip a>NND 2.l~~ 
Description of Item 
SCHEDULE OF SERIAL NUMBERS-.--~ 
'flll3 PURPOSE OF 'i'IIIS POR:H IS TO RECORQ SERIAL HUHBERS". 
Aut
NEW 
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. 

PDF page 61

Request For Record Disposition Authority Page: 52 
Description of Item 
STOCK SHIPMENT UNI,:_ED STATES SAVINGS BONDS RECORD*SliA'AA:h 
THIS IS A RECORD OF,'SAVINGS BONDS BEFORE BEING 
0 THE DIFFERENT AGENCIES/BANKS. 
series .:~~'COPY Org.',,
etain: 5 yrs O mths ,, 
CUT OFF FILE YEARLY. DESTROY 5 YRS AFTER CUT OFF. 
~~EO l!!IN2:ffl'll>-18~09 !>'M. 
,' 
Item No. Description of Item (JAflK:E. _ 1,AS5.B Authority 
~l-53-97-03-0006.010 CHANGE TO LIST ISSUING/PAYING AGENTS AND CORRESPONDENT MEMBER ~: .NEW Biil:II. 
MONTHLY REPORT OF ADDRESS, DELETIONS AND CHANGES TO MATERFILE OF ENTITIES 
PAY BONDS & NOTES. (~~~tj::l!"Z;,M.Afflffi.LJ'i" .-<;.~QUALIFIED TO ISSUE AND 
Form No: PDF 2497 Series No: !B COPY Org. Abbrev: FRB 
Retain: 2 yrs O mths 
CUT OFF FILES YEARLY. DESTROY 2 YRS AFTER CUT OFF. 

PDF page 62

Request For Record Disposition Authority Page: 53 
Item No. Discription of Item Authority 
Nl-S3-97-03-0006.01l1~GENT ~AGREEMENT~ (u.6-~1+v1Nr,,,-s 8e>tto/1Ye>ne..s)., NEW 
APPLICATION AGREEMENT TO MAKE PAYMENTS IN CONNECTION WITH THE REDEMPTION OF 
SAVINGS BONDS. (-PACS SERJJ:I~i: KA!II!Al. 1 P6. 9!:S6, H'BH ii!fii 
Form No: PDF 3880 Series No: #A COPY Org. Abbrev: FRB 
Retain: 6 yrs 3 mths 
A"8 L8tf6 AS THg INSTITUTION SERVES AS AH ft6!!1U. IJILSTP..O'r t r,u,./.l.5, '?J/"1'10/ITN:S AFrE.A. 
RE'i'ENTIOlf 1:11\Sl!'!D OH HOl 53 81 82, 01. Tl!A.M11V,11;,r,0A1 oF- Qr.,ut1-1A G,.,,.rlDN. 
Item No. Descriptioiof Item Authority 
Nl-53-97-03-0006.012 CERTIFICATQ!Jt OF QUALIFICATION - PAYING AGENTb!!1ifp:1q (u S,./',Ai/lN'6'-5 '-'"'.-Y.O!. - .... l~\,4&,1/. ~ l"VOTe s) 
AGREEMENT TO ESTABLISH ELGIBILITY OF A QUALIFIED PAYING AGENT TO HANDLE W 
SAVINGS BONDS. 
Form No: PDF 3881 Series No: !Al COPY Org. Abbrev: FRB 
Retain: 6 yrs 3 mths 
c;:H~B!;;; ::uN~l~~= :!:~~,::~INlif!O~I 

PDF page 63

Request For Record Disposition Authority Page: 54 
Item No. 
Nl-53-97-03-0006.013 
Description of Item 
INFORMATION INQUIRY ~tAS.e.f> 
TO REQUEST INFORMATION ABOUT REGISTRATION 
SECURITIES. 
AND/OR 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-53-97-03-0006.014 
Description of Item Authority 
NOTICE OF WITHHOLDING ON REDEMPTION OF U.S. RETIREMENT PLAN~ NEW 
~l k-EU.EEMIN8 BOHDOHHERS OF 'fllS HICOH:S 41tm HHHH• •Lb ING REQIIIIW.1f!l~TS. 
t>R. U.S. 11/Dff//{)UA'- l<.E..T1A..-am&-Ni BoM,l)~ . 
Form No: PDF 5063 Series No: Org. Abbrev: FRB 
Retain: 2 yrs O mths 
f) e, f.7/J-O ~ A-F rea.. CURRENT YEAR PLUS ONE YEAR. 

PDF page 64

Request For Record Disposition Authority Page: 55 
Item No. Description of Itemp,4-,0 w.s. SAVINC:,-5 P.,O/y(J F/(-C.'-//11/l../E_ S t,(P.,Sr, Tl,fT/ON Fti'C.#1, Authority 
Nl-53-97-03-0006.015 PACSI:MII F &YBS'PI'i'U'fTOM gpego; FQR PUP BOHPS t =i'ltB • 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. 

PDF page 65

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 U.S. 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 U.S. 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 U.S. 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 3.25 X 7.375 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 
U.S. Government. PARS also maintains an inventory of securities that affect the public 
dept of the U.S. 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 U.S. Government, 
including savings bonds, savings notes, savings stamps, retirement plan bonds, and 
individual retirement bonds 

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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 
and/or 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.