Information Collection

Retrieve and Submit Diversity Information

IC 219173 under ICR 201511-3133-001 · OMB 3133-0193.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3133-0193 can be found here:

Documents and Forms

Document Name Document Type
CU Self Assessment Checklist v7 120815FINAL.pdf Other-Checklist

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Retrieve and Submit Diversity Information	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Checklist			CU Self Assessment Checklist v7 120815FINAL.pdf		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: 367	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
Annual Number of Responses for this IC	367	367
Annual IC Time Burden (Hours)	4,404	4,404
Annual IC Cost Burden (Dollars)	409,572	409,572

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.