OFFICER'S QUESTIONNAIRE

ICR 198405-7100-001

OMB: 7100-0050

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
161069 Migrated
ICR Details
7100-0050 198405-7100-001
Historical Active 198207-7100-007
FRS
OFFICER'S QUESTIONNAIRE
Revision of a currently approved collection   No
Regular
Approved without change 06/08/1984
Retrieve Notice of Action (NOA) 05/07/1984
  Inventory as of this Action Requested Previously Approved
06/30/1987 06/30/1987 09/30/1984
715 0 615
72 0 62
0 0 0

QUESTIONNAIRE IS COMPLETED BY AN OFFICIAL OF A STATE MEMBER BANK AND PROVIDES INFORMATION REGARDING PAST, PRESENT, OR POTENTIAL LAWSUITS THAT THE BANK HAS BEEN OR MAY BECOME INVOLVED IN REGARDING CONSUMER CREDIT PROTECTION LAWS AND REGULATIONS.

None
None


No

1
IC Title Form No. Form Name
OFFICER'S QUESTIONNAIRE FR 410

  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 715 615 0 0 100 0
Annual Time Burden (Hours) 72 62 0 0 10 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$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.
05/07/1984


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