THE FINANCIAL REPORT, CONTAINING A
DETAILED FINANCIL STATEMENT AND MISCELLANEOUS BACKGROUND
INFORMATION, IS REQUIRED FROM EACH PROPOSED DIRECTOR, OFFICER, OR
5% OR MORE SHAREHOLDER, OF A PROPOSED NEW BANK AND DIRECTOR OR
OFFICER OF AN EXISTING NONINSURED BANK APPLYING FOR FEDERAL DEPOSIT
INSURANCE. THE INFORMATION IS USED TO EVALUATE THE INDIVIDUAL'S
EXPERIENCE AND QUALIFICATIONS FOR THE POSITION IN WHICH HE MAY
SERVE AND ALSO TO ASCERTAIN POTENTIAL FUTURE
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.