Information Collection

FR 3054a

IC 195988 under ICR 202504-7100-001 · OMB 7100-0332.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 7100-0332 can be found here:

Documents and Forms

Document Name Document Type
FR3054a_Sample_Survey.pdf Other-Sample Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	FR 3054a	Agency IC Tracking Number:	FR 3054a

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Sample Survey			FR3054a_Sample_Survey.pdf		No		Paper Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,000	Number of Respondents for Small Entity: 480

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	20,000	20,000
Annual IC Time Burden (Hours)	15,000	15,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.