Information Collection

Exit Survey

IC 207130 under ICR 201305-1557-005 · OMB 1557-0199.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1557-0199 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Exit Survey	Form and Instruction
Exit Survey OCC Exit Survey 053013 _OMB Mary Gottlieb.doc	Form and Instruction

IC Title:

Exit Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	Exit Survey	OCC Exit Survey 053013 _OMB Mary Gottlieb.doc		Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	13	13
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.