Information Collection

Government Survey

IC 199494 under ICR 201409-7100-013 · OMB 7100-0343.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FR 3063b Government Survey	Form
FR 3063b Government Survey FR3063b_government survey _20140909_draft.pdf	Form

IC Title:

Government Survey

Agency IC Tracking Number:

FR 3063b

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FR 3063b	Government Survey	FR3063b_government 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: 180

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	180	180
Annual IC Time Burden (Hours)	2,700	2,700
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.