Information Collection

Application To Serve as a Small Entity Representative

IC 257656 under ICR 202212-3170-005 · OMB 3170-0037.

Documents and Forms

Document Name Document Type
Application To Serve as a Small Entity Representative Form
Application to Serve as a Small Entity Representative Application to Serve as a Small Entity Representative.pdf Form
Application to Serve as a Small Entity Representative Application to Serve as a Small Entity Representative.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application To Serve as a Small Entity Representative	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

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	Application to Serve as a Small Entity Representative	Application to Serve as a Small Entity Representative.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title: CFPB.016: CFPB Advisory Boards and Committees	FR Citation: 83 FR 23435

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	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.