Information Collection

Instructions to consumers

IC 204734 under ICR 202504-3084-004 · OMB 3084-0128.

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Information Collection (IC) Details

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IC Title:	Instructions to consumers	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 1022.136(b)(2)(iv)(A,B) 12 CFR 1022.137(a)(2)(iii)(A,B)

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: 62,475	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	62,475	-38,675	101,150
Annual IC Time Burden (Hours)	10,413	-6,445	16,858
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.

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