Annual Voluntary Credit Union Diversity Self-Assessment

Joint Standards for Assessing the Diversity Policies and Practices

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3133-0193 can be found here:

Documents and Forms

Document Name Document Type
Form NCUA 15004 Annual Voluntary Credit Union Diversity Self-Assessment Form and Instruction
NCUA 15004 Annual Voluntary Credit Union Diversity Self-Assessment NCUA 15004_JUN18.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Annual Voluntary Credit Union Diversity Self-Assessment	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NCUA 15004	Annual Voluntary Credit Union Diversity Self-Assessment	NCUA 15004_JUN18.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 325	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	325	0	-42	367
Annual IC Time Burden (Hours)	2,600	-1,300	-504	4,404
Annual IC Cost Burden (Dollars)	0	0	-409,572	409,572

Documents for IC

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.