Information Collection

Ongoing Sections 372.5 and 372.11 (Levels 1 and 2)

IC 222581 under ICR 201607-3064-008 · OMB 3064-0206.

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IC Title:	Ongoing Sections 372.5 and 372.11 (Levels 1 and 2)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 372.5 12 CFR 372.11

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: 13	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	13	13
Annual IC Time Burden (Hours)	260	260
Annual IC Cost Burden (Dollars)	0	0

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