Information Collection

Interagency Appraisal Complaint Form

IC 205564 under ICR 201512-3064-008 · OMB 3064-0190.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0190 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Interagency Appraisal Complaint Form	Form and Instruction
Interagency Appraisal Complaint Form Appraisal Complaint Form 01-24-2013.docx www5.fdic.gov/starsmail/ACF/INDEX.ASP	Form and Instruction

IC Title:

Interagency Appraisal Complaint Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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 and Instruction	NA	Interagency Appraisal Complaint Form	Appraisal Complaint Form 01-24-2013.docx	https://www5.fdic.gov/starsmail/ACF/INDEX.ASP	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	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.