Information Collection

Annual notice and change in terms

IC 203472 under ICR 201207-3064-002 · OMB 3064-0136.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0136 can be found here:

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Information Collection (IC) Details

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IC Title:	Annual notice and change in terms	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 332.5(a)

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: 5,156	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	5,156	5,156
Annual IC Time Burden (Hours)	41,248	41,248
Annual IC Cost Burden (Dollars)	0	0

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