Information Collection

Statement of Purpose for an Extension of Credit by a Creditor

IC 35993 under ICR 201010-7100-005 · OMB 7100-0019.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 7100-0019 can be found here:

Documents and Forms

Document Name Document Type
Form FR T-4 Statement of Purpose for an Extension of Credit by a Creditor Form and Instruction
FR T-4 Statement of Purpose for an Extension of Credit by a Cre FR_T-4_20110113_f_i.pdf www.federalreserve.gov/reportforms/default.cfm Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Statement of Purpose for an Extension of Credit by a Creditor	Agency IC Tracking Number:	FR T-4

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

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	FR T-4	Statement of Purpose for an Extension of Credit by a Creditor	FR_T-4_20110113_f_i.pdf	http://www.federalreserve.gov/reportforms/default.cfm	Yes	No	Printable Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 135	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	Previously Approved
Annual Number of Responses for this IC	2,700	2,700
Annual IC Time Burden (Hours)	459	459
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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