Information Collection

Annual Survey to Advisory Committee Members

IC 250891 under ICR 202112-3170-003 · OMB 3170-0024.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3170-0024 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Annual Survey to Advisory Committee Members	Form and Instruction
Advisory Commitee solicitation email.docx	Other-solicitation email
Advisory Commitee solicitation email.docx	Other-solicitation email
Advisory Committee Annual Survey Advisory Committee Annual Survey.docx	Form and Instruction
Advisory Committee Annual Survey Advisory Committee Annual Survey.docx	Form and Instruction
3170-0024 (Annual Survey to Advisory Committee Members) supporting statement.docx 3170-0024 (Annual Survey to Advisory Committee Members) supporting statement	IC Document
3170-0024 (Annual Survey to Advisory Committee Members) supporting statement.docx 3170-0024 (Annual Survey to Advisory Committee Members) supporting statement	IC Document

IC Title:

Annual Survey to Advisory Committee Members

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	N/A	Advisory Committee Annual Survey	Advisory Committee Annual Survey.docx		Yes	Yes	Fillable Fileable
Other-solicitation email			Advisory Commitee solicitation email.docx		No		Printable Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 35

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	35	35
Annual IC Time Burden (Hours)	6	6
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
3170-0024 (Annual Survey to Advisory Committee Members) supporting statement	3170-0024 (Annual Survey to Advisory Committee Members) supporting statement.docx	12/21/2021

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