Information Collection

Minority Bank Deposit Program (MBDP) Certification Form for Admission

IC 15417 under ICR 201604-1530-002 · OMB 1530-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1530-0001 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FS Form 3144 Minority Bank Deposit Program (MBDP) Certification Form for Admission	Form and Instruction
FS Form 3144 Minority Bank Deposit Program - Certification for Admiss FS_Form_3144_Apr_2016_w_fields.pdf www.fiscal.treasury.gov/fsservices/gov/rvnColl/mnrtyBankDep/rvnColl_mbdp_recertification_form.htm	Form and Instruction

IC Title:

Minority Bank Deposit Program (MBDP) Certification Form for Admission

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	FS Form 3144	Minority Bank Deposit Program - Certification for Admission	FS_Form_3144_Apr_2016_w_fields.pdf	https://www.fiscal.treasury.gov/fsservices/gov/rvnColl/mnrtyBankDep/rvnColl_mbdp_recertification_form.htm	Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 85

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 31 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	85	-51	136
Annual IC Time Burden (Hours)	64	-4	68
Annual IC Cost Burden (Dollars)	0	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.