Information Collection

Initial Notice

IC 200112 under ICR 201410-3170-003 · OMB 3170-0010.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3170-0010 can be found here:

Documents and Forms

Document Name Document Type
Forms from GLBA.doc Other-Model Forms contained in Regul

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Initial Notice	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 1016

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Model Forms contained in Regulation			Forms from GLBA.doc		No		Printable Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,055	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-1,055	1,055
Annual IC Time Burden (Hours)	-15,298	15,298
Annual IC Cost Burden (Dollars)	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.