Information Collection

Advanced Approach - Disclosure Section 217.173 Tables 4, 5, 9, and 12 (One-Time)

IC 210469 under ICR 201708-7100-026 · OMB 7100-0313.

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Information Collection (IC) Details

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IC Title:	Advanced Approach - Disclosure Section 217.173 Tables 4, 5, 9, and 12 (One-Time)	Agency IC Tracking Number:	FR 4200

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 217

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: 1	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1	-24	25
Annual IC Time Burden (Hours)	280	-3,001	3,281
Annual IC Cost Burden (Dollars)	0	0	0

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