Information Collection

Consumer Complaint Form

IC 186326 under ICR 201107-1557-043 · OMB 1557-0291.

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

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 Agency Discretion
Annual Number of Responses for this IC	1,180	1,180
Annual IC Time Burden (Hours)	295	295
Annual IC Cost Burden (Dollars)	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.