Information Collection

Disclosure or Intent of Information Collected for Monitoring Purposes

IC 255214 under ICR 202608-3170-001 · OMB 3170-0013.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Disclosure or Intent of Information Collected for Monitoring Purposes

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 1002.13(c)

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

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,100

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	10,361,400	10,361,400
Annual IC Time Burden (Hours)	43,518	43,518
Annual IC Cost Burden (Dollars)	1,349,058	1,349,058

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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