Information Collection

Transaction Receipts

IC 224545 under ICR 202503-3170-001 · OMB 3170-0014.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
102016_cfpb_PrepaidDisclosures.pdf	Other-Model FOrm and Disclosure-prep
102016_cfpb_PrepaidDisclosures.pdf	Other-Model FOrm and Disclosure-prep
Model Forms and disclosures for remittances.pdf	Other-Model Forms and disclosures re
Model Forms and disclosures for remittances.pdf	Other-Model Forms and disclosures re

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 1005

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-Model FOrm and Disclosure-prepaid rule					Yes	No	Printable Only
Other-Model Forms and disclosures remittances					Yes	No	Printable Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100,000

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	Previously Approved
Annual Number of Responses for this IC	4,000,000	4,000,000
Annual IC Time Burden (Hours)	80,000	80,000
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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