OMB control number

Affidavit by Individual Surety

OMB 1530-0047 · TREAS/FISCAL.

OMB 1530-0047

The information is requested to support a request to serve as surety for an indemnification agreement on a Bond of Indemnity.

The latest form for Affidavit by Individual Surety expires 2023-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form FS Form 4094 Affidavit By Individual Surety Form and Instruction
1530-0047 Supporting Statement 2019.docx Supporting Statement A
Affidavit By Individual Surety Form and Instruction

All Historical Document Collections

201904-1530-008 Approved without change	Reinstatement with change of a previously approved collection	2019-12-03
201511-1530-009 Approved without change	Revision of a currently approved collection	2015-11-30
201409-1530-011 Approved without change	Extension without change of a currently approved collection	2014-09-10