Information Collection

Report

IC 194274 under ICR 201008-3235-014 · OMB 3235-0671.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 242.613

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	2,100	2,100
Annual IC Cost Burden (Dollars)	50,000	50,000

Documents for IC

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