OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Integrity and Fitness Representations (Form 1600/12)

IC 185892 under ICR 202503-3064-001 · OMB 3064-0072.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Integrity and Fitness Representations (Form 1600/12)
 
No Modified
 
Required to Obtain or Retain Benefits
 
12 CFR 366

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 3700/12 Integrity and Fitness Representations and Certifications 3700-12; 20230328 (AA).pdf https://www.fdic.gov Yes No Fillable Printable

Economic Development Financial Sector Oversight

FDIC 30–64–0012 Financial Information Management Records   80 FR 66981

1 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1 0 0 0 0 1
Annual IC Time Burden (Hours) 0 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Justification for Non-Substantive Change 3064-0072 Justification for Non-Substantive Forms Revision Procurement Certs 2023 Certifications.docx 08/08/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].