Information Collection

12 CFR 27.3(a); 128; and 1003 Quarterly Recordkeeping

IC 20046 under ICR 202101-1557-002 · OMB 1557-0159.

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Information Collection (IC) Details

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IC Title:	12 CFR 27.3(a); 128; and 1003 Quarterly Recordkeeping	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 128 12 CFR 1003 12 CFR 27

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 702	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Previously Approved
Annual Number of Responses for this IC	702	702
Annual IC Time Burden (Hours)	2,808	2,808
Annual IC Cost Burden (Dollars)	0	0

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