Credit Union Diversity Equity and Inclusion Summit Feedback 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⚠️ Notice: This information collection may be referencing outdated material.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 3133-0188 can be found here:

Documents and Forms

Document Name Document Type
CU Summit Feedback Form_DRAFT_OCT2019.pdf Other-Feedback Form
FastTrack CU DEI Summit Feedback OMWI_102819.doc FastTrack CU DEI Summit Feedback IC Document

Information Collection (IC) Details

IC Title:	Credit Union Diversity Equity and Inclusion Summit Feedback 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
Other-Feedback Form			CU Summit Feedback Form_DRAFT_OCT2019.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
FastTrack CU DEI Summit Feedback	FastTrack CU DEI Summit Feedback OMWI_102819.doc	10/28/2019

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