Information Collection

Quarterly Supplemental Reports

IC 196205 under ICR 201412-1505-004 · OMB 1505-0228.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0228 can be found here:

Documents and Forms

Document Name Document Type
TD_F_102.4_QSR_banks_and_savings_associations_20130503_v6.pdf www.treasury.gov/resource-center/sb-programs/Pages/Supplemental-Reporting-Requirements.aspx Other-report
TD_F_102.4_QSR_holding_companies_20130503_v6.pdf www.treasury.gov/resource-center/sb-programs/Pages/Supplemental-Reporting-Requirements.aspx Other-report
TD_F_102.3A_QSR_CDLFs_2012_v5.pdf www.treasury.gov/resource-center/sb-programs/Pages/Supplemental-Reporting-Requirements.aspx Other-report
Instructions_for_QSR_banks_and_savings_associations_v6.pdf Instruction
Instructions_for_QSR_holding_companies_v6.pdf Instruction
Instructions_for_QSR_CDLFs_v5.pdf Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Quarterly Supplemental Reports	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-report	TD_F_102.4_QSR_banks_and_savings_associations_20130503_v6.pdf	http://www.treasury.gov/resource-center/sb-programs/Pages/Supplemental-Reporting-Requirements.aspx	Yes	No	Fillable Printable
Other-report	TD_F_102.4_QSR_holding_companies_20130503_v6.pdf	http://www.treasury.gov/resource-center/sb-programs/Pages/Supplemental-Reporting-Requirements.aspx	Yes	No	Fillable Printable
Other-report	TD_F_102.3A_QSR_CDLFs_2012_v5.pdf	http://www.treasury.gov/resource-center/sb-programs/Pages/Supplemental-Reporting-Requirements.aspx	Yes	No	Fillable Printable
Instruction	Instructions_for_QSR_banks_and_savings_associations_v6.pdf		Yes	No	Printable Only
Instruction	Instructions_for_QSR_holding_companies_v6.pdf		Yes	No	Printable Only
Instruction	Instructions_for_QSR_CDLFs_v5.pdf		Yes	No	Printable Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 288	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,152	-176	1,328
Annual IC Time Burden (Hours)	4,032	-1,280	5,312
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.