Information Collection

MT MGA Disbursement Approval Request

IC 207882 under ICR 201307-3048-001 · OMB 3048-0049.

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Documents and Forms

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IC Title:

MT MGA Disbursement Approval Request

Agency IC Tracking Number:

EIB 12-01

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 12 CFR 404.1

Information Collection Instruments:

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Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

Number of Respondents for Small Entity: 75

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	150	150
Annual IC Time Burden (Hours)	75	75
Annual IC Cost Burden (Dollars)	1,359	1,359

Documents for IC

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