Information Collection

Annual MDI Program Effectiveness Survey (2021)

IC 245327 under ICR 202003-3064-009 · OMB 3064-0198.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0198 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2021 MDI Program E Annual MDI Program Effectiveness Survey (2021)	Form and Instruction
2021 MDI Program E 2021 MDI Program Effectiveness Survey Annual MDI Program Effectiveness Survey (2021).docx	Form and Instruction
Annual MDI Program Effectiveness Survey (2021).docx Justification Memo - MDI Program Effectiveness Survey 2021	IC Document

IC Title:

Annual MDI Program Effectiveness Survey (2021)

Agency IC Tracking Number:

IC Status: New

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
Form and Instruction	2021 MDI Program Effectiveness Survey	2021 MDI Program Effectiveness Survey	Annual MDI Program Effectiveness Survey (2021).docx		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	50	50
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification Memo - MDI Program Effectiveness Survey 2021	Annual MDI Program Effectiveness Survey (2021).docx	01/13/2021

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