Information Collection

Proxy Statement

IC 219600 under ICR 201601-7100-009 · OMB 7100-0335.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form 1681 Proxy Statement	Form and Instruction
Form 1681 Proxy Statement Form1680_Form1681_Form1682_Form1683_20150731_f.pdf www.federalreserve.gov/apps/reportforms/default.aspx	Form and Instruction

IC Title:

Proxy Statement

Agency IC Tracking Number:

Form 1681

Is this a Common Form? No

IC Status: New

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 and Instruction	Form 1681	Proxy Statement	Form1680_Form1681_Form1682_Form1683_20150731_f.pdf	http://www.federalreserve.gov/apps/reportforms/default.aspx	Yes	No	Printable Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	500	500
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.