Information Collection

Disclosure on Part II of Form SCIR and Website

IC 259609 under ICR 202304-3235-010 · OMB 3235-0808.

Documents and Forms

Document Name Document Type
Form Form SCIR Disclosure on Part II of Form SCIR and Website Form
Form SCIR Form SCIR Form SCIR Only (2023 Proposal).pdf Form
Form SCIR Form SCIR Form SCIR Only (2023 Proposal).pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Disclosure on Part II of Form SCIR and Website	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 249.624

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form SCIR	Form SCIR	Form SCIR Only (2023 Proposal).pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,989	Number of Respondents for Small Entity: 353

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,989	1,989
Annual IC Time Burden (Hours)	7,300	7,300
Annual IC Cost Burden (Dollars)	2,959,632	2,959,632

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.