Information Collection

Examination Survey

IC 20077 under ICR 202403-1557-006 · OMB 1557-0199.

Documents and Forms

Document Name Document Type
Examination Survey Form and Instruction
Examination and Supervisory Survey Examination and Supervisory Survey - Currently Approved.pdf Form and Instruction
Examination and Supervisory Survey Examination and Supervisory Survey - Currently Approved.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Examination Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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 and Instruction	N/A	Examination and Supervisory Survey	Examination and Supervisory Survey - Currently Approved.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 542	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 20 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	542	-1,172	1,714
Annual IC Time Burden (Hours)	90	-196	286
Annual IC Cost Burden (Dollars)	0	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.