Information Collection

Application For Approval To Increase Total Liabilities Within Any 2-quarter Period At A Rate Greater Than 12.5 Percent

IC 152628 under ICR 198807-3068-001 · OMB 3068-0513.

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IC Title:

APPLICATION FOR APPROVAL TO INCREASE TOTAL LIABILITIES WITHIN ANY 2-QUARTER PERIOD AT A RATE GREATER THAN 12.5 PERCENT

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 75

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	75	19	56
Annual IC Time Burden (Hours)	600	155	445
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.