Information Collection

Golden Parachute and Indemnification Payments under 12 CFR Part 750

IC 197686 under ICR 201412-3133-005 · OMB 3133-0183.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3133-0183 can be found here:

Documents and Forms

Document Name Document Type
750 - Written Request and Appeals.docx Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Golden Parachute and Indemnification Payments under 12 CFR Part 750	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 12 CFR 750.6

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			750 - Written Request and Appeals.docx		No		Paper Only

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: 99 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	5	-10	15
Annual IC Time Burden (Hours)	20	-40	60
Annual IC Cost Burden (Dollars)	800	-1,600	2,400

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.