Information Collection

Insurance Sales Consumer Protections

IC 31957 under ICR 202307-3064-008 · OMB 3064-0140.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0140 (OMB 83C).pdf Justification for Nonmaterial Change	IC Document
0140 (OMB 83C).pdf Justification for Nonmaterial Change	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 343

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

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,146

Number of Respondents for Small Entity: 1,557

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	2,146	2,146
Annual IC Time Burden (Hours)	10,730	10,730
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification for Nonmaterial Change	0140 (OMB 83C).pdf	05/09/2012

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.