Information Collection

TCR Form

IC 251947 under ICR 202412-3235-025 · OMB 3235-0672.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form TCR TCR Form	Form and Instruction
Form Form TCR Form TCR Tip, Complaint, or Referral TCR Form	Form and Instruction
Form TCR Form TCR Tip, Complaint, or Referral formtcr.pdf	Form and Instruction
Form TCR Form TCR Tip, Complaint, or Referral formtcr.pdf	Form and Instruction

IC Title:

TCR Form

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
Form and Instruction	Form TCR				No		Paper Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title: SEC 63- Tips, Complaints, and Referrals (TCR) Records.

FR Citation: 76 FR 3021

Number of Respondents: 170

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	170	-390	560
Annual IC Time Burden (Hours)	255	-585	840
Annual IC Cost Burden (Dollars)	10,200	-23,400	33,600

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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