There was a similar scam directed at Yahoo! Wallet users, which was very similar to this one.
You got a mail claiming that your information had expired and they asked you to go to "
www.yahoo-wallet.com" (now taken down by the ISP or similar). That page contained a form similar to the picture above. If you submitted any information it loaded an invisible frameset containing the Yahoo front page. The page was loaded from 200.171.29.133, a computer in brazil. Is the same computer involved in the scam above?