Information Collection

Initial Supplemental Report

IC 252466 under ICR 202203-1505-003 · OMB 1505-0275.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0275 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
5. ECIP Reporting ISR instructions Banks and HoldCos - final 3.30.2022.docx	Instruction
5. ECIP Reporting ISR instructions - Credit Unions 3.30.22.docx	Instruction
Interim Summary Report Summary - Credit Union Template ECIPSummaryCUTemplate.xlsx	Form
Interim Summary Report Summary - Banks & Holding Compani ECIPSummaryBHCTemplate.xlsx	Form
ECIP Disaggregate Qualified Lending Data (Credit Unions) ECIP_DQLD_CU_Template.xlsx	Form
ECIP Disaggregate Qualified Lending Data (Banks & Holdin ECIP_DQLD_BHC_Template.xlsx	Form

IC Title:

Initial Supplemental Report

Agency IC Tracking Number:

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			5. ECIP Reporting ISR instructions Banks and HoldCos - final 3.30.2022.docx	Yes	Yes	Fillable Fileable
Instruction			5. ECIP Reporting ISR instructions - Credit Unions 3.30.22.docx	Yes	Yes	Fillable Fileable
Form	N/A	Interim Summary Report Summary - Credit Union Template	ECIPSummaryCUTemplate.xlsx	Yes	Yes	Fillable Fileable
Form	N/A	Interim Summary Report Summary - Banks & Holding Companies Template	ECIPSummaryBHCTemplate.xlsx	Yes	Yes	Fillable Fileable
Form	N/A	ECIP Disaggregate Qualified Lending Data (Credit Unions)	ECIP_DQLD_CU_Template.xlsx	Yes	Yes	Fillable Fileable
Form	N/A	ECIP Disaggregate Qualified Lending Data (Banks & Holding Companies)	ECIP_DQLD_BHC_Template.xlsx	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 186

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, 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	186	186
Annual IC Time Burden (Hours)	29,760	29,760
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.