Information Collection

Mortgage Loan Originator Disclosure

IC 200152 under ICR 201204-3170-002 · OMB 3170-0005.

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IC Title:

Mortgage Loan Originator Disclosure

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 1007

Information Collection Instruments:

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

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 12,841

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	Previously Approved
Annual Number of Responses for this IC	12,841	12,841
Annual IC Time Burden (Hours)	12,841	12,841
Annual IC Cost Burden (Dollars)	256,820	256,820

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.