Forms Relating to Processing Deposit Insurance Claims

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0143 can be found here:

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

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IC Title:	Forms Relating to Processing Deposit Insurance Claims	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	7200/06	Yes	Yes
Form	7200/07	Yes	Yes
Form	7200/04	Yes	Yes
Form	7200/05	Yes	Yes
Form	7200/03	Yes	Yes
Form	7200/12-7200/13	Yes	Yes
Form	7200/08-7200/09	Yes	Yes
Form	7200/10-7200/11	Yes	Yes
Form	7200/14-7200/15	Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,095	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 34 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,095	5,025	70
Annual IC Time Burden (Hours)	2,875	2,735	140
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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