STATEMENT OF PURPOSE OF EXTENSION OF CREDIT BY A CREDITOR

ICR 198304-7100-001

OMB: 7100-0019

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
7100-0019 198304-7100-001
Historical Active 198005-7100-003
FRS
STATEMENT OF PURPOSE OF EXTENSION OF CREDIT BY A CREDITOR
Revision of a currently approved collection   No
Regular
Approved without change 04/15/1983
Retrieve Notice of Action (NOA) 04/05/1983
  Inventory as of this Action Requested Previously Approved
05/31/1986 05/31/1986 07/31/1983
200 0 6,750
33 0 1,687
0 0 0

TO HAVE A WRITTEN RECORD OF THE AMOUNT OF "NON-PURPOSE" CREDIT BEING EXTENDED, THE PURPOSE FOR WHICH THE MONEY IS TO BE USED, AND A LISTING AND VALUATION OF COLLATERAL, AS WELL AS ENSURING THAT BROKER/DEALERS COMPLY WITH THE LAW.

None
None


No

1
IC Title Form No. Form Name
STATEMENT OF PURPOSE OF EXTENSION OF CREDIT BY A CREDITOR FR T-4

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 200 6,750 0 -6,550 0 0
Annual Time Burden (Hours) 33 1,687 0 -1,654 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/05/1983


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