Information Collection

Ad Hoc Payment Systems Survey (FR 3054a)

IC 195988 under ICR 201701-7100-006 · OMB 7100-0332.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 7100-0332 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FR 3054a Ad Hoc Payment Systems Survey (FR 3054a)	Form
Govt Prepaid Card Survey - Depository Institutions Survey Instructions.docx	Instruction
Govt Prepaid Card Survey - State Government Survey Instructions.docx	Instruction
FR 3054a Government Prepaid Card Survey - Depository Institutions Govt Prepaid Card Survey - Depository Institutions Survey.xlsx	Form
FR 3054a Government Prepaid Card Survey - State Government Survey Govt Prepaid Card Survey - State Government Survey.xlsx	Form

IC Title:

Ad Hoc Payment Systems Survey (FR 3054a)

Agency IC Tracking Number:

FR 3054a

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	FR 3054a	Government Prepaid Card Survey - Depository Institutions Survey	Govt Prepaid Card Survey - Depository Institutions Survey.xlsx	No	Paper Only
Form	FR 3054a	Government Prepaid Card Survey - State Government Survey	Govt Prepaid Card Survey - State Government Survey.xlsx	No	Paper Only
Instruction			Govt Prepaid Card Survey - Depository Institutions Survey Instructions.docx	No	Paper Only
Instruction			Govt Prepaid Card Survey - State Government Survey Instructions.docx	No	Paper Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	20,000	8,000	12,000
Annual IC Time Burden (Hours)	15,000	6,000	9,000
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.