Information Collection Request

Written Reimbursement Policy, 12 CFR 701.33

ICR 202604-3133-002 · OMB 3133-0130 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
3133-0130 SS as of 1.2026 CLEAN.docx Supporting Statement A Uploaded 2026-04-15 Available
12CFR701-33_(1-1-19 ED).pdf Supplementary Document Uploaded 2019-12-26 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
279972 Establish Dependent Care Costs New
209071 Maintain Written Reimbursement Policy Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 10/31/2026
3,620 2,931
2,263 1,466
0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Establish Dependent Care Costs
Maintain Written Reimbursement Policy

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 3,620 2,931 0 905 -216 0
Annual Time Burden (Hours) 2,263 1,466 0 905 -108 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No