Golden Parachute and Indemnification Payments, 12 CFR Part 750

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IC Title:	Golden Parachute and Indemnification Payments, 12 CFR Part 750	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 12 CFR 750.6

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

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

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	6	1	5
Annual IC Time Burden (Hours)	21	1	20
Annual IC Cost Burden (Dollars)	0	-800	800

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