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Consumer Complaint Form
Consumer Complaint Form
OMB: 1557-0291
IC ID: 186326
OMB.report
TREAS/OCC
OMB 1557-0291
ICR 201107-1557-043
IC 186326
( )
Documents and Forms
Document Name
Document Type
Form OTS Form 1723
Consumer Complaint Form
Form
OTS Form 1723 Consumer Complaint Form
1550.0NEWCustomer Information.2doc.doc
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Consumer Complaint Form
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
OTS Form 1723
Consumer Complaint Form
1550.0NEWCustomer Information.2doc.doc
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Financial Sector Oversight
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,180
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,180
0
1,180
0
0
0
Annual IC Time Burden (Hours)
295
0
295
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.
