Information Collection

Designation of Low-income Status

IC 214234 under ICR 202308-3133-010 · OMB 3133-0117.

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Information Collection (IC) Details

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IC Title:	Designation of Low-income Status	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 12 CFR 701.34(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: 227	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	227	-60	287
Annual IC Time Burden (Hours)	356	-87	443
Annual IC Cost Burden (Dollars)	18,983	-5,017	24,000

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