APPLICATION FORM THAT PRESENTS
FINANCIAL/MANAGERIAL COMPETITIVE, AND CONVENIENCE AND NEEDS
CONSIDERATIONS RELATED TO A PROPOSAL TO ACQUIRE ADDITIONAL BANK(S).
ALSO CONTAINS DETAILS OF THE PROPOSED TRANSACTION. INFORMATION IS
USED IN EVALUATING THE PROPOSAL UNDER RELEVANT STATUTORY STANDARDS.
FORM IS ALSO USED FOR ACQUISITION OF OF A BANK HOLDING COMPANY OR
THE RETENTION OF A BANK.
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.