Information Collection

Minority Bank Deposit Program (MBDP) Certification Form for Admission

IC 15417 under ICR 201210-1510-001 · OMB 1510-0048.

Documents and Forms

Document Name Document Type
Form FMS 3144 Minority Bank Deposit Program (MBDP) Certification Form for Admission Form and Instruction
FMS 3144 Minority Bank Deposit Program - Certification for Admiss FMS 3114_Minority_Bank_Deposit_Program-Certification for Adminission.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Minority Bank Deposit Program (MBDP) Certification Form for Admission	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FMS 3144	Minority Bank Deposit Program - Certification for Admission	FMS 3114_Minority_Bank_Deposit_Program-Certification for Adminission.doc		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 136	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 31 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	136	-14	150
Annual IC Time Burden (Hours)	68	-7	75
Annual IC Cost Burden (Dollars)	0	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.