Information Collection

Licensing Survey

IC 235307 under ICR 201911-1557-002 · OMB 1557-0248.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1557-0248 can be found here:

Documents and Forms

Document Name Document Type
SurveyLetter.docx Other-Cover Letter
Licensing Survey survey2019.pdf Form
OMB Justification Memo LIC Survey 3.12.19.docx Supporting Statement IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Licensing Survey	Agency IC Tracking Number:

IC Status: Unchanged

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
Other-Cover Letter			SurveyLetter.docx		Yes	No	Printable Only
Form	N/A	Licensing Survey	survey2019.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 97	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	97	97
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement	OMB Justification Memo LIC Survey 3.12.19.docx	03/13/2019

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