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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Information Collection (IC) Details

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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:

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 %

	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

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