Information Collection

Reporting Requirements (Appendix A, Tables A and B)

IC 185690 under ICR 201504-3064-005 · OMB 3064-0163.

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IC Title:	Reporting Requirements (Appendix A, Tables A and B)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 12 CFR Part 371, Appendix A (To search for a specific CFR, visit the Code of Federal Regulations.)

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: 190	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	Previously Approved
Annual Number of Responses for this IC	2,280	2,280
Annual IC Time Burden (Hours)	4,560	4,560
Annual IC Cost Burden (Dollars)	0	0

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