Information Collection

Disclosure to consumers - IDSMs

IC 183058 under ICR 202212-3084-005 · OMB 3084-0113.

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Information Collection (IC) Details

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IC Title:	Disclosure to consumers - IDSMs	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 16 CFR 703

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: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,484	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 40 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,484	36	2,448
Annual IC Time Burden (Hours)	207	3	204
Annual IC Cost Burden (Dollars)	29,560	26,092	3,468

Documents for IC

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