Information Collection

Letter Agreements

IC 251222 under ICR 202211-1505-003 · OMB 1505-0267.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0267 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1a - Senior-Preferred-Securities-Purchase-Agreement.pdf	Other-Securities Purchase Agreement
1a - Senior-Preferred-Securities-Purchase-Agreement.pdf	Other-Securities Purchase Agreement
1c - Senior-Preferred-Letter-Agreement.pdf	Other-Letter Agreement
1c - Senior-Preferred-Letter-Agreement.pdf	Other-Letter Agreement
2a - Credit-Unions-Securities-Purchase-Agreement.pdf	Other-Securities Purchase Agreement
2a - Credit-Unions-Securities-Purchase-Agreement.pdf	Other-Securities Purchase Agreement
2c - Credit-Unions-Letter-Agreement.pdf	Other-Letter Agreement
2c - Credit-Unions-Letter-Agreement.pdf	Other-Letter Agreement
3a - Mutual-and-S-Corp-Securities-Purchase-Agreement.pdf	Other-Securities Purchase Agreement
3a - Mutual-and-S-Corp-Securities-Purchase-Agreement.pdf	Other-Securities Purchase Agreement
3c - Mutual-and-S-Corp-Letter-Agreement.pdf	Other-Letter Agreement
3c - Mutual-and-S-Corp-Letter-Agreement.pdf	Other-Letter Agreement

IC Title:

Letter Agreements

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Securities Purchase Agreement	1a - Senior-Preferred-Securities-Purchase-Agreement.pdf	Yes	Yes	Fillable Fileable Signable
Other-Letter Agreement	1c - Senior-Preferred-Letter-Agreement.pdf	Yes	Yes	Fillable Fileable Signable
Other-Securities Purchase Agreement	2a - Credit-Unions-Securities-Purchase-Agreement.pdf	Yes	Yes	Fillable Fileable Signable
Other-Letter Agreement	2c - Credit-Unions-Letter-Agreement.pdf	Yes	Yes	Fillable Fileable Signable
Other-Securities Purchase Agreement	3a - Mutual-and-S-Corp-Securities-Purchase-Agreement.pdf	Yes	Yes	Fillable Fileable Signable
Other-Letter Agreement	3c - Mutual-and-S-Corp-Letter-Agreement.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

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	Previously Approved
Annual Number of Responses for this IC	10	-176	186
Annual IC Time Burden (Hours)	80	-1,408	1,488
Annual IC Cost Burden (Dollars)	0	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.