Information Collection

Disclosure to Servicer

IC 228386 under ICR 201702-3064-015 · OMB 3064-0120.

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Information Collection (IC) Details

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IC Title:	Disclosure to Servicer	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 339.9

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: 3,718	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	111,540	111,540
Annual IC Time Burden (Hours)	25,097	25,097
Annual IC Cost Burden (Dollars)	790,289	790,289

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