Information Collection

Savings Initiative Survey

IC 256060 under ICR 202207-3170-001 · OMB 3170-0036.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Savings Initiative Survey	Form
Savings Initiative Survey Savings Initiative Survey.docx	Form
Savings Initiative Survey Savings Initiative Survey.docx	Form
3170-0036 (Savings Initiative Survey) supporting statement.docx 3170-0036 (Saving Initiative Survey) supporting statement	IC Document
3170-0036 (Savings Initiative Survey) supporting statement.docx 3170-0036 (Saving Initiative Survey) supporting statement	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 12 CFR 1011

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	Savings Initiative Survey	Savings Initiative Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,000

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	10,000	10,000
Annual IC Time Burden (Hours)	1,660	1,660
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
3170-0036 (Saving Initiative Survey) supporting statement	3170-0036 (Savings Initiative Survey) supporting statement.docx	09/21/2022

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