Information Collection

New Account Disclosures

IC 199846 under ICR 201204-3170-004 · OMB 3170-0004.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3170-0004 can be found here:

Documents and Forms

Document Name Document Type
Forms from TISA.doc Other-Model Disclosures

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	New Account Disclosures	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 1030

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Model Disclosures			Forms from TISA.doc		No		Paper Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,725	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	Previously Approved
Annual Number of Responses for this IC	1,725	1,725
Annual IC Time Burden (Hours)	10,000	10,000
Annual IC Cost Burden (Dollars)	51,750	51,750

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.