Information Collection

Summary Schedule Template

IC 209184 under ICR 201412-1557-002 · OMB 1557-0319.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1557-0319 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Summary Schedule Template	Form
Summary Schedule Cover Sheet DFAST14A_SUMMARY_20141118.xlsx	Form
Bank Balance Sheet Worksheet DFAST14A_SUMMARY.xlsx	Form

IC Title:

Summary Schedule Template

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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	N/A	Summary Schedule Cover Sheet	DFAST14A_SUMMARY_20141118.xlsx		Yes	Yes	Fillable Fileable Signable
Form	N/A	Bank Balance Sheet Worksheet	DFAST14A_SUMMARY.xlsx		Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 23

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	69	0	69
Annual IC Time Burden (Hours)	13,609	1,775	11,834
Annual IC Cost Burden (Dollars)	0	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.