Information Collection

Interagency Notice of Change in Control

IC 19861 under ICR 201102-1550-003 · OMB 1550-0032.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1622 Interagency Notice of Change in Control Interagency Notice of Change in Control	Form
1550.0032.Handbook.pdf	Instruction
1622 Interagency Notice of Change in Control 1550.0032.form1622.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 574

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	1622				No		Printable Only
Instruction					No		Printable Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 45

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	45	25	20
Annual IC Time Burden (Hours)	1,673	975	698
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.

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