APPLICATION(S) FOR APPROVAL TO BECOME A BANK HOLDING CO U/ S3(A) (1) OF THE AHC ACT AND IF APPLICABLE FOR APPROVAL O ACQUISITION/RETENTION U/S4(C)(8) OF THE ACT
ICR 198104-7100-092
OMB: 7100-0119
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 7100-0119 can be found here:
APPLICATION(S) FOR APPROVAL
TO BECOME A BANK HOLDING CO U/ S3(A) (1) OF THE AHC ACT AND IF
APPLICABLE FOR APPROVAL O ACQUISITION/RETENTION U/S4(C)(8) OF THE
ACT
APPLICATION FORM THAT PRESENTS
FINANCIAL/MANAGERIAL, COMPETITIVE AND CONVENIENCE AND NEEDS/PUBLIC
BENEFITS CONSIDERATIONS RELATED TO A PROPOSAL TO FORM A BANK
HOLDING COMPANY. ALSO CONTAINS DETAILS OF THE PROPOSED TRANSACTION.
INFORMATION IS USED IN EVALUATING THE PROPOSAL UNDER RELEVANT
STATUTORY STANDARDS. IF APPLICABLE, ALSO COVERS PROPOSAL TO ENGAGE
IN NONBANKING ACTIVITIES.
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.