Information Collection

FR 2004SD ad hoc

IC 45476 under ICR 202406-7100-003 · OMB 7100-0003.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
FR2004SDadhoc_SampleTopics.pdf	Other-Sample Topics

IC Title:

FR 2004SD ad hoc

Agency IC Tracking Number:

FR 2004SD ad hoc

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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
Other-Sample Topics					Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 24

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	624	624
Annual IC Time Burden (Hours)	1,248	1,248
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

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