Information Collection

Proof of Concept

IC 235499 under ICR 201903-3133-003 · OMB 3133-0202.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3133-0202 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
POC_All_Screen_Shots_5-15-19.pdf	Other-Screen Shots-Web-based Applica
2019 Final Proof of Concept Application Instructions 5-15-19.pdf Proof of Concept Application Instructions	IC Document

IC Title:

Proof of Concept

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 12 CFR 701 Apx B

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
Other-Screen Shots-Web-based Application			POC_All_Screen_Shots_5-15-19.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: 24

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	24	24
Annual IC Time Burden (Hours)	96	96
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Proof of Concept Application Instructions	2019 Final Proof of Concept Application Instructions 5-15-19.pdf	05/23/2019

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