Information Collection

Disclosure Sections 240.5(a), 240.6, 240.10, 240.13(c) and (d), 240.15, and 240.16(a) and (b)

IC 206827 under ICR 202208-7100-001 · OMB 7100-0353.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Disclosure Sections 240.5(a), 240.6, 240.10, 240.13(c) and (d), 240.15, and 240.16(a) and (b)

Agency IC Tracking Number:

FR NN

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 240.5(a) 12 CFR 240.6 12 CFR 240.10 12 CFR 240.13(c) and (d) 12 CFR 240.15 12 CFR 240.16(a) and (b)

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

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2

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	2	2
Annual IC Time Burden (Hours)	1,574	1,574
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.