Information Collection

Disclosure Section 1030.5(a) Change in terms notice

IC 180727 under ICR 202304-7100-001 · OMB 7100-0271.

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IC Title:	Disclosure Section 1030.5(a) Change in terms notice	Agency IC Tracking Number:	FR DD

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 1030.5(a)

Information Collection 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: 770	Number of Respondents for Small Entity: 507

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	9,240	-780	10,020
Annual IC Time Burden (Hours)	9,240	-5,790	15,030
Annual IC Cost Burden (Dollars)	0	0	0

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