Issuer Survey

Issuer Survey; Government Survey

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 7100-0343 can be found here:

Documents and Forms

Document Name Document Type
Form FR 3063a Issuer Survey Form
FR 3063a Issuer Survey FR3063a_issuer survey_20140909_draft.pdf Form

Information Collection (IC) Details

IC Title:	Issuer Survey	Agency IC Tracking Number:	FR 3063a

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FR 3063a	Issuer Survey	FR3063a_issuer survey_20140909_draft.pdf		No		Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	15	-5	20
Annual IC Time Burden (Hours)	375	-625	1,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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