Information Collection

Libor Self-Assessment Tool

IC 245291 under ICR 202201-1557-001 · OMB 1557-0349.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Libor Self-Assessment Tool	Form
Libor Self-Assessment Tool Self-assessment tool.docx	Form
Libor Self-Assessment Tool Self-assessment tool.docx	Form
Libor Self-Assessment Tool - Additional Questions.docx	Form
Libor Self-Assessment Tool - Additional Questions.docx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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	Libor Self-Assessment Tool	Self-assessment tool.docx		Yes	No	Fillable Printable
Form	N/A	N/A	Libor Self-Assessment Tool - Additional Questions.docx		Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,096

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
	Approved	Previously Approved
Annual Number of Responses for this IC	1,096	1,096
Annual IC Time Burden (Hours)	8,768	8,768
Annual IC Cost Burden (Dollars)	0	0

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.