Information Collection

Telephone Survey

IC 207201 under ICR 201306-3170-001 · OMB 3170-0046.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3170-0046 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2014_08_28_CLEAN APPX A.pdf	Other-Survey
2014_08_28_CLEAN APPX C.pdf	Other-Pre-notification Letter
2014_08_28_CLEAN APPX B- Questions_Justification.pdf Justification of Questions	IC Document
2014_08_28_CLEAN REV APPX D.pdf FAQs	IC Document

IC Title:

Telephone 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
Other-Pre-notification Letter			2014_08_28_CLEAN APPX C.pdf		No		Paper Only
Other-Survey			2014_08_28_CLEAN APPX A.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 9,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10,500	10,500
Annual IC Time Burden (Hours)	645	645
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification of Questions	2014_08_28_CLEAN APPX B- Questions_Justification.pdf	09/04/2014
FAQs	2014_08_28_CLEAN REV APPX D.pdf	09/04/2014

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.