Business Assistance Form

Customer Assistance Forms

OMB: 3064-0134

IC ID: 202928

Information Collection (IC) Details

View Information Collection (IC)

Business Assistance Form
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 6422/11 Business Assistance Form Business Assistance Form (1).docx https://ask.fdic.gov/FDICBusinessAssistanceForm Yes Yes Fillable Fileable
Form and Instruction 6422/11 Business Assistance Form (Spanish) Business Assistance Sp (1).docx https://ask.fdic.gov/FDICBusinessAssistanceForm?lang=esp_ES Yes Yes Fillable Fileable

Economic Development Financial Sector Oversight

 

200 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 200 0 0 -250 0 450
Annual IC Time Burden (Hours) 50 0 0 -63 0 113
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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