Information Collection

Information collection to provide additional information

IC 217775 under ICR 201804-3133-001 · OMB 3133-0121.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3133-0121 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Information collection to provide additional information	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 701.14 12 CFR 741.205

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: 127	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 80 %

	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-127	127
Annual IC Time Burden (Hours)	-127	127
Annual IC Cost Burden (Dollars)	-4,008	4,008

Documents for IC

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