Information Collection

Interagency Appraisal Complaint Form

IC 205564 under ICR 201707-3064-004 · OMB 3064-0190.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0190 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FDIC 3064-0190 Interagency Appraisal Complaint Form	Form and Instruction
FDIC 3064-0190 Interagency Appraisal Complaint Form FDIC Interagency Appraisal Complaint Form.docx	Form and Instruction
Justification Memo 0190- Nonsubstantive Revisions to Interagency Appraisal Complaint Form.docx Justification Memorandum 3064-0190	IC Document

IC Title:

Interagency Appraisal Complaint Form

Agency IC Tracking Number:

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FDIC 3064-0190	Interagency Appraisal Complaint Form	FDIC Interagency Appraisal Complaint Form.docx		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	200	0	200
Annual IC Time Burden (Hours)	50	-50	100
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification Memorandum 3064-0190	Justification Memo 0190- Nonsubstantive Revisions to Interagency Appraisal Complaint Form.docx	07/19/2017

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