Information Collection

Withdrawals From Membership

IC 180119 under ICR 200705-3069-001 · OMB 3069-0004.

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Information Collection (IC) Details

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IC Title:	Withdrawals From Membership	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 12 CFR 925

Information Collection 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: 14	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	14	14
Annual IC Time Burden (Hours)	49	49
Annual IC Cost Burden (Dollars)	6,468	6,468

Documents for IC

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