Information Collection

Diversity Assessment Report

IC 218876 under ICR 201610-3235-026 · OMB 3235-0740.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0740 can be found here:

Documents and Forms

Document Name Document Type
Form DRAFT DRAFT Diversity Assesment Form Diversity Assessment Report Form and Instruction
Final Interagency Policy Statement.pdf Other-Policy Statement
DRAFT DRAFT Diversity Assesment Form 2017.09.25 Diversity Assessment Report DV11.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Diversity Assessment Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Policy Statement			Final Interagency Policy Statement.pdf		Yes	Yes	Fillable Fileable Signable
Form and Instruction	DRAFT	DRAFT Diversity Assesment Form	2017.09.25 Diversity Assessment Report DV11.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,500	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,500	250	1,250
Annual IC Time Burden (Hours)	7,500	-7,500	15,000
Annual IC Cost Burden (Dollars)	0	-520,000	520,000

Documents for IC

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.

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