Information Collection

Annual Voluntary Credit Union Diversity Self-Assessment

IC 219173 under ICR 202408-3133-001 · OMB 3133-0193.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NCUA CUDSA questionnaire screen-shots 7-2024.docx	Other-Screenshot
NCUA CUDSA questionnaire screen-shots 7-2024.docx	Other-Screenshot

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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-Screenshot			NCUA CUDSA questionnaire screen-shots 7-2024.docx		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: 500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	500	175	325
Annual IC Time Burden (Hours)	1,000	-1,600	2,600
Annual IC Cost Burden (Dollars)	0	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.