Execution of Additional Disclosures - Notice to FEMA of Change in 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type

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Information Collection (IC) Details

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

Is this a Common Form? No		IC Status: New

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
Annual Number of Responses for this IC	137,372	137,372
Annual IC Time Burden (Hours)	11,448	11,448
Annual IC Cost Burden (Dollars)	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.