Information Collection

Insurance Sales Consumer Protections

IC 31957 under ICR 201610-3064-001 · OMB 3064-0140.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0140 can be found here:

Documents and Forms

Document Name Document Type
0140 (OMB 83C).pdf Justification for Nonmaterial Change IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Insurance Sales Consumer Protections	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 343

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: 2,020	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,020	-709	2,729
Annual IC Time Burden (Hours)	10,100	-3,545	13,645
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Justification for Nonmaterial Change	0140 (OMB 83C).pdf	05/09/2012

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