OCC Event Evaluation Form

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1557-0248 can be found here:

Documents and Forms

Document Name Document Type
OCC Event Evaluation Form Form
OCC Event Evaluation Form OCC Evaluation Form.docx Form
OMB Justification - OCC Event Evaluation Form.docx Justification IC Document

Information Collection (IC) Details

IC Title:	OCC Event Evaluation Form	Agency IC Tracking Number:

IC Status: New

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	N/A	OCC Event Evaluation Form	OCC Evaluation Form.docx		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: 3,000	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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	750	750
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification	OMB Justification - OCC Event Evaluation Form.docx	12/03/2019

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