Information Collection

Requesting LID outside of examination: Member Address

IC 214231 under ICR 201804-3133-002 · OMB 3133-0117.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3133-0117 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
LID Member Address Submission.docx	Instruction

IC Title:

Requesting LID outside of examination: Member Address

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 12 CFR 701.34 (2)

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
Instruction			LID Member Address Submission.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: 245

Number of Respondents for Small Entity: 100

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-245	245
Annual IC Time Burden (Hours)	-61	61
Annual IC Cost Burden (Dollars)	-1,899	1,899

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.