Information Collection

Attestation - Implementation

IC 219626 under ICR 201606-7100-012 · OMB 7100-0341.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 7100-0341 can be found here:

Documents and Forms

Document Name Document Type
Form Y-14A Attestation - Implementation Form
Y-14A Y-14A Attestation for 12312016 FR Y-14A_Attestation 123116.pdf Form
Y-14A Y-14A Attestation for 12312017 FR Y-14A_Attestation_123117.pdf Form
Y-14AQM Y-14AQM semiannual attestation FR Y-14QMAsemiannual_Attestation.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Attestation - Implementation	Agency IC Tracking Number:	FR Y-14AQM

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Y-14A	Y-14A Attestation for 12312016	FR Y-14A_Attestation 123116.pdf	Yes	Yes	Fillable Fileable
Form	Y-14A	Y-14A Attestation for 12312017	FR Y-14A_Attestation_123117.pdf	Yes	Yes	Fillable Fileable
Form	Y-14AQM	Y-14AQM semiannual attestation	FR Y-14QMAsemiannual_Attestation.pdf	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 9	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	9	9
Annual IC Time Burden (Hours)	43,200	43,200
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.