Information Collection

Minority Bank Deposit Program (MBDP) Certification Form for Admission

IC 15417 under ICR 202306-1530-001 · OMB 1530-0001.

Documents and Forms

Document Name Document Type
Form FS Form 3144 Minority Bank Deposit Program (MBDP) Certification Form for Admission Form and Instruction
FS Form 3144 Minority Bank Deposit Program - Certification for Admiss FS_Form_3144_Apr_2016_w_fields.pdf www.fiscal.treasury.gov/mbdp/annual-recertification.html Form and Instruction
FS Form 3144 Minority Bank Deposit Program - Certification for Admiss FS_Form_3144_Apr_2016_w_fields.pdf www.fiscal.treasury.gov/mbdp/annual-recertification.html Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Minority Bank Deposit Program (MBDP) Certification Form for Admission	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FS Form 3144	Minority Bank Deposit Program - Certification for Admission	FS_Form_3144_Apr_2016_w_fields.pdf	https://www.fiscal.treasury.gov/mbdp/annual-recertification.html	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 72	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 31 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	72	-13	85
Annual IC Time Burden (Hours)	54	-10	64
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.