Execution of Additional Disclosures - Notice to FEMA of Servicer

Loans in Areas Having Special Flood Hazards

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3133-0143 can be found here:

Documents and Forms

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no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	Execution of Additional Disclosures - Notice to FEMA of Servicer	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 760

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: 4,192	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 85 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	274,744	271,017	3,727
Annual IC Time Burden (Hours)	22,895	19,168	3,727
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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