Assessment Account Designation and Indepenent Bank Receivable Form

ICR 201209-1505-002

OMB: 1505-0245

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2012-07-27
IC Document Collections
IC ID
Document
Title
Status
200585 Modified
ICR Details
1505-0245 201209-1505-002
Historical Active 201205-1505-003
TREAS/DO
Assessment Account Designation and Indepenent Bank Receivable Form
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 09/12/2012
Retrieve Notice of Action (NOA) 09/12/2012
  Inventory as of this Action Requested Previously Approved
07/31/2015 36 Months From Approved
48 0 0
24 0 0
600 0 0

The Financial Research Fund (FRF) Preauthorized Payment Agreement Form will collect information with respect to the final rule on the assessment of fees on large bank holding companies and nonbank financial companies supervised by the FRB to cover the expenses of the FRF.

PL: Pub.L. 111 - 203 155 Name of Law: Wall Street Reform and Consumer Protection Act
  
PL: Pub.L. 111 - 203 155 Name of Law: Wall Street Reform and Consumer Protection Act

1505-AC42 Final or interim final rulemaking 77 FR 29884 05/21/2012

No

1
IC Title Form No. Form Name
FRF Agreement Form TD F 105.1 FRF Assessment Agreement

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 48 0 48 0 0 0
Annual Time Burden (Hours) 24 0 24 0 0 0
Annual Cost Burden (Dollars) 600 0 600 0 0 0
No
No
This is a new collection.

No
No
No
Yes
No
Uncollected
Daniel Ballard 202 674-1781

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
05/10/2012


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