Information Collection

Disclosure Sections 240.5, 240.6, 240.10, 240.13b-d, 240.15, and 240.16

IC 206827 under ICR 201605-7100-010 · OMB 7100-0353.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 7100-0353 can be found here:

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Information Collection (IC) Details

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IC Title:	Disclosure Sections 240.5, 240.6, 240.10, 240.13b-d, 240.15, and 240.16	Agency IC Tracking Number:	Reg NN

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 240

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2	2
Annual IC Time Burden (Hours)	1,574	1,574
Annual IC Cost Burden (Dollars)	0	0

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