Information Collection

Demographic Information Collected for Monitoring Purposes (1002.13 (a) & (b))

IC 228372 under ICR 201702-3064-014 · OMB 3064-0085.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0085 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Demographic Information Collected for Monitoring Purposes (1002.13 (a) & (b))	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 1002.13(a) 12 CFR 1002.13(b)

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: 3,711	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
Annual Number of Responses for this IC	1,035,369	1,035,369
Annual IC Time Burden (Hours)	17,256	17,256
Annual IC Cost Burden (Dollars)	1,184,635	1,184,635

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