Application to Serve on Advisory Board

Consumer Advisory Boards, Groups and Committees

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3170-0037 can be found here:

Documents and Forms

Document Name Document Type
Form 3170-XXXX Application to Serve on Advisory Board Form and Instruction
3170-XXXX Application to Serve on Advisory Board Application to Serve on Advisory Board.pdf Form and Instruction
Application to Serve on Advisory Board Revised CAB Application Proposed Form.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Application to Serve on Advisory Board	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

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	3170-XXXX	Application to Serve on Advisory Board	Application to Serve on Advisory Board.pdf		Yes	Yes	Fillable Printable
Form and Instruction	N/A	Application to Serve on Advisory Board	Revised CAB Application Proposed Form.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title: Advisory Boards and Committees	FR Citation: 77 FR 12034

Number of Respondents: 1,700	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,700	0	1,700
Annual IC Time Burden (Hours)	1,275	-425	1,700
Annual IC Cost Burden (Dollars)	0	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.