Information Collection

MTU Intake Questionnaire

IC 245386 under ICR 202101-3015-001 · OMB 3015-0016.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DFC-015 MTU Intake Questionnaire	Form and Instruction
DFC-015 MTU Intake Questionnaire (for Financial Institutions) DFC-015 MTU Intake Questionnaire FIs..docx	Form and Instruction
DFC-015 MTU Intake Questionnaire (for Financial Institutions) DFC-015 MTU Intake Questionnaire FIs..docx	Form and Instruction
DFC-015 MTU Intake Questionnaire (for Non-Financial Institutions DFC-015 MTU Intake Questionnaire Non-FI..docx	Form and Instruction
DFC-015 MTU Intake Questionnaire (for Non-Financial Institutions DFC-015 MTU Intake Questionnaire Non-FI..docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

DFC-015

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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	DFC-015	MTU Intake Questionnaire (for Financial Institutions)	DFC-015 MTU Intake Questionnaire FIs..docx		Yes	Yes	Fillable Fileable Signable
Form and Instruction	DFC-015	MTU Intake Questionnaire (for Non-Financial Institutions)	DFC-015 MTU Intake Questionnaire Non-FI..docx		Yes	Yes	Fillable Fileable Signable

Line of Business: International Affairs and Commerce

Subfunction: International Development and Humanitarian Aid

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 130

Number of Respondents for Small Entity: 130

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

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	130	130
Annual IC Time Burden (Hours)	130	130
Annual IC Cost Burden (Dollars)	9,750	9,750

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.