Information Collection

FICU Disclosure Requirements

IC 223403 under ICR 202603-3133-005 · OMB 3133-0163.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
REG P_Axp_Model Privacy Forms_(1-1-19 ED).pdf	Other-Model Privacy Forms
REG P_12CFR1016_Privacy Consumer Fin Info_(1-1-19 ED).pdf REG P 12 CFR 1016 - Privacy of Consumer Financial Information (1-1-19 ED)	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 1016.4, 1016.5, 1016.7-1016.9

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 Privacy Forms					Yes	No	Printable Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,144

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,288	-472	4,760
Annual IC Time Burden (Hours)	34,844	-3,776	38,620
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
REG P 12 CFR 1016 - Privacy of Consumer Financial Information (1-1-19 ED)		01/27/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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