Information Collection

2021 Outreach Evaluation Form

IC 247812 under ICR 202108-1557-002 · OMB 1557-0248.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1557-0248 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2021 Outreach Evaluation Form	Form
2021 Outreach Evaluation Form Proposed OCC Outreach Form 081821 with Future Events DropDown.docx	Form
2021 Outreach Evaluation Form Proposed OCC Outreach Form 081821 with Future Events DropDown.docx	Form
OMB Justification - 2021 Outreach Evaluation Form 8-18-21.docx Justification for Non Material Change	IC Document
OMB Justification - 2021 Outreach Evaluation Form 8-18-21.docx Justification for Non Material Change	IC Document

IC Title:

2021 Outreach Evaluation Form

Agency IC Tracking Number:

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
Form	N/A	2021 Outreach Evaluation Form	Proposed OCC Outreach Form 081821 with Future Events DropDown.docx		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: 3,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	501	501
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification for Non Material Change	OMB Justification - 2021 Outreach Evaluation Form 8-18-21.docx	08/18/2021

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