Information Collection

Quantitative Survey

IC 228810 under ICR 202001-7100-004 · OMB 7100-0374.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 7100-0374 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
FR3077_201711_SampleSurvey.pdf www.federalreserve.gov/consumerscommunities/shed.htm	Other-Sample Survey

IC Title:

Quantitative Survey

Agency IC Tracking Number:

FR 3077

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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-Sample Survey			FR3077_201711_SampleSurvey.pdf	https://www.federalreserve.gov/consumerscommunities/shed.htm	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 21,500

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	21,500	4,500	17,000
Annual IC Time Burden (Hours)	10,105	2,115	7,990
Annual IC Cost Burden (Dollars)	0	0	0

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.