Information Collection

OCC Event Evaluation Form

IC 238756 under ICR 201702-1557-004 · OMB 1557-0248.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1557-0248 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
OCC Event Evaluation Form	Form
OCC Event Evaluation Form OCC Evaluation Form.docx	Form
OMB Justification - OCC Event Evaluation Form.docx Justification	IC Document

IC Title:

OCC Event Evaluation Form

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	OCC Event Evaluation Form	OCC Evaluation Form.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: 3,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	750	750
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification	OMB Justification - OCC Event Evaluation Form.docx	12/03/2019

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.