Information Collection

Designation of Low Income Status - Sampling Method

IC 208950 under ICR 201412-3133-002 · OMB 3133-0117.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3133-0117 can be found here:

Documents and Forms

Document Name Document Type
LID Survey and Sampling Methods.docx Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Designation of Low Income Status - Sampling Method	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 701.34 (3)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			LID Survey and Sampling Methods.docx		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5	5
Annual IC Time Burden (Hours)	600	600
Annual IC Cost Burden (Dollars)	60,000	60,000

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.