Information Collection

Section 249.4(a)

IC 267296 under ICR 202404-7100-013 · OMB 7100-0367.

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IC Title:

Section 249.4(a)

Agency IC Tracking Number:

FR WW

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 249.4(a)

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: 20

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

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