Information Collection

Deposit Account Replenishment

IC 187206 under ICR 201409-0651-001 · OMB 0651-0043.

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Information Collection (IC) Details

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IC Title:	Deposit Account Replenishment	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 37 CFR 2.6, 2.208 37 CFR 1.21(b), 1.25

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: Intellectual Property Protection

Privacy Act System of Records
Title: Deposit Accounts and Electronic Funds Transfer Profiles	FR Citation: 71 FR 38387

Number of Respondents: 29,210	Number of Respondents for Small Entity: 6,256

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	29,210	-2,071	31,281
Annual IC Time Burden (Hours)	974	36	938
Annual IC Cost Burden (Dollars)	20,564	-100,025	120,589

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