Information Collection

HMDA Reporting

IC 200106 under ICR 201111-3170-002 · OMB 3170-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3170-0008 can be found here:

Documents and Forms

Document Name Document Type
Forms from HMDA.docx Other-Model Forms listed in Reg C

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	HMDA Reporting	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 1003

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Model Forms listed in Reg C			Forms from HMDA.docx		No		Printable Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 180	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	720	720
Annual IC Time Burden (Hours)	22,000	22,000
Annual IC Cost Burden (Dollars)	128,311	128,311

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.