Information Collection

New Periodic Statement (Depository Institutions)

IC 204934 under ICR 201610-3170-002 · OMB 3170-0028.

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IC Title:	New Periodic Statement (Depository Institutions)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 1026

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: 130	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-18,704,400	18,704,400
Annual IC Time Burden (Hours)	-56,113	56,113
Annual IC Cost Burden (Dollars)	-2,051,418	2,051,418

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