Information Collection

FR 1413a

IC 278732 under ICR 202601-7100-004 · OMB 7100-0388.

Documents and Forms

Document Name Document Type
FR1413a_2026_f_draft.pdf Other-Draft Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	FR 1413a	Agency IC Tracking Number:	FR 1413a

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 12 CFR 268.103 12 CFR 268.104 12 CFR 268.105

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Draft Form			FR1413a_2026_f_draft.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title: BGFRS-5 EEO Discrimination Complaint File	FR Citation: 87 FR 34269

Number of Respondents: 1	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	1	1
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.

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