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Federal forms, ICRs, and supporting documents

Information Collection

Contractor Representations and Certifications (Form 3700/04A)

IC 187308 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
Information Collection (IC) Details

View Information Collection (IC)

Contractor Representations and Certifications (Form 3700/04A)
 
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 3700/04A Contractor Representations and Certifications 3700-04A; 20181220.doc 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) 1 0 0 0 0 1
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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