Information Collection

Mlr/rsf

IC 20141 under ICR 202208-1557-003 · OMB 1557-0231.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1557-0231 can be found here:

Documents and Forms

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	MLR/RSF	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	MLR/RSF	2022 New RSF.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 970	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	970	-118	1,088
Annual IC Time Burden (Hours)	7,760	1,232	6,528
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.