Information Collection

Minority Bank Deposit Program (MBDP) Certification Form for Admission

IC 15417 under ICR 200904-1510-002 · OMB 1510-0048.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1510-0048 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3144 Minority Bank Deposit Program (MBDP) Certification Form for Admission	Form and Instruction
3144 Minority Bank Deposit Program Financial Institution Cert Minority Bank Deposit Form (Revised).docx	Form and Instruction

IC Title:

Minority Bank Deposit Program (MBDP) Certification Form for Admission

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Form and Instruction	3144	Minority Bank Deposit Program Financial Institution Certification Form for Admission	Minority Bank Deposit Form (Revised).docx		Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 31 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	75	75
Annual IC Cost Burden (Dollars)	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.