FRF Authorization Agreement for Preauthorized Payments Form

Assessment of Fees on Large Bank Holding Companies and Nonbank Financial Companies

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0245 can be found here:

Documents and Forms

Document Name Document Type
Form TDF 105.1 FRF Authorization Agreement for Preauthorized Payments Form Form and Instruction
TDF 105.1 Authorization Agreement for Preauthorized Payments TDF 105-1 rev_07-15.pdf Form and Instruction
31CFR150_77FR29884_21MAY2012.pdf 31 CFR Part 150 Final & Interim Final Rule IC Document

Information Collection (IC) Details

IC Title:	FRF Authorization Agreement for Preauthorized Payments Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 150

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	TDF 105.1	Authorization Agreement for Preauthorized Payments	TDF 105-1 rev_07-15.pdf		Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	50	2	48
Annual IC Time Burden (Hours)	13	-11	24
Annual IC Cost Burden (Dollars)	0	-600	600

Documents for IC

Title	Document	Date Uploaded
31 CFR Part 150 Final & Interim Final Rule	31CFR150_77FR29884_21MAY2012.pdf	07/30/2015

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