Information Collection

Diversity Assessment Report

IC 218876 under ICR 202007-3235-018 · OMB 3235-0740.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0740 can be found here:

Documents and Forms

Document Name Document Type
Form 3235-0740 Diversity Assessment Report Form and Instruction
3235-0740 Diversity Assessment Form OMWI-Diversity Assessment Report to OMB PRA Extension.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Diversity Assessment Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Form and Instruction	3235-0740	Diversity Assessment Form	OMWI-Diversity Assessment Report to OMB PRA Extension.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: 130	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	130	-1,370	1,500
Annual IC Time Burden (Hours)	1,300	-6,200	7,500
Annual IC Cost Burden (Dollars)	146,900	146,900	0

Documents for IC

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.