Information Collection

Disclosure Section 1030.5(a) Change in terms notice

IC 180727 under ICR 202403-7100-003 · 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: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 1030.5(a)

Information Collection Instruments:

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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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	9,240	9,240
Annual IC Time Burden (Hours)	9,240	9,240
Annual IC Cost Burden (Dollars)	0	0

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