Information Collection

Disclosure - Section _.20(c)(1)(xiv), (d)(1)(xi): Ongoing

IC 209722 under ICR 202309-3064-001 · OMB 3064-0153.

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Information Collection (IC) Details

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IC Title:	Disclosure - Section _.20(c)(1)(xiv), (d)(1)(xi): Ongoing	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 324.20

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: 9	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	9	8	1
Annual IC Time Burden (Hours)	18	-22	40
Annual IC Cost Burden (Dollars)	0	0	0

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