Information Collection

Reporting

IC 220242 under ICR 202211-7100-005 · OMB 7100-0368.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 7100-0368 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FR 2100 Reporting	Form
FR2100_20200831_f_draft.pdf www.federalreserve.gov/aboutthefed/omwi-regulated-entities-self-assessments.htm	Other-Draft Form
FR 2100 Diversity Self-Assessment Template for the Federal Reser FR2100_20170228_f.pdf www.federalreserve.gov/aboutthefed/omwi-regulated-entities-self-assessments.htm	Form

IC Title:

Reporting

Agency IC Tracking Number:

FR 2100

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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	FR 2100	Diversity Self-Assessment Template for the Federal Reserve Board Regulated Entities	FR2100_20170228_f.pdf	https://www.federalreserve.gov/aboutthefed/omwi-regulated-entities-self-assessments.htm	Yes	Yes	Fillable Fileable
Other-Draft Form			FR2100_20200831_f_draft.pdf	https://www.federalreserve.gov/aboutthefed/omwi-regulated-entities-self-assessments.htm	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 156

Number of Respondents for Small Entity: 151

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	156	31	125
Annual IC Time Burden (Hours)	1,092	217	875
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.