Information Collection

Application Pursuant to Secton 19 of the Federal Deposit Insurance Act

IC 44169 under ICR 202407-3064-005 · OMB 3064-0018.

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Information Collection (IC) Details

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IC Title:	Application Pursuant to Secton 19 of the Federal Deposit Insurance Act	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	6710-07	FDIC Application Pursuant to Section 19 of the FDI Act			Yes	Yes	Fillable Printable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title: FDIC-30--64--0002: Financial Institution Investigative and Enforcement Records.	FR Citation: 80 FR 66981

Number of Respondents: 43	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to New Statute	Previously Approved
Annual Number of Responses for this IC	43	-30	73
Annual IC Time Burden (Hours)	688	-480	1,168
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.