Information Collection

Designation of Low Income Status - Sampling Method

IC 208950 under ICR 201310-3133-010 · OMB 3133-0117.

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Information Collection (IC) Details

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IC Title:	Designation of Low Income Status - Sampling Method	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 701.34

Information Collection Instruments:

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

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 95 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5	5
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	20,000	20,000

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