Information Collection

Recordkeeping and Disclosure Requirements

IC 200150 under ICR 202410-3170-002 · OMB 3170-0007.

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Information Collection (IC) Details

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IC Title:	Recordkeeping and Disclosure Requirements	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 1015

Information Collection 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: 120	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	120	2	118
Annual IC Time Burden (Hours)	360	5	355
Annual IC Cost Burden (Dollars)	33,000	550	32,450

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