Information Collection

Interagency Appraisal Complaint Form

IC 205564 under ICR 202507-3064-004 · OMB 3064-0190.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FDIC 3064-0190 Interagency Appraisal Complaint Form	Form and Instruction
Form FDIC 3064-0190 Interagency Appraisal Complaint Form Interagency Appraisal Complaint Form	Form and Instruction
FDIC 3064-0190 Interagency Appraisal Complaint Form FDIC Interagency Appraisal Complaint Form.docx	Form and Instruction
FDIC 3064-0190 Interagency Appraisal Complaint Form FDIC Interagency Appraisal Complaint Form.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

3064-0190

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	FDIC 3064-0190				Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title: Consumer Complaint and Inquiry Records

FR Citation: 80 FR 66982

Number of Respondents: 62

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	62	-54	116
Annual IC Time Burden (Hours)	31	-27	58
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.

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