Information Collection

Minority Thrift Certification Form

IC 19962 under ICR 200803-1550-001 · OMB 1550-0096.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OTS Form 1661 Minority Thrift Certification Form	Form
OTS Form 1661 Minority Thrift Certification Form 1550.0096.OTS Form 1661.doc	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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
Form	OTS Form 1661	Minority Thrift Certification Form	1550.0096.OTS Form 1661.doc		No		Printable Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 22

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	22	-4	26
Annual IC Time Burden (Hours)	11	-2	13
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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