APPLICATION FOR MUTUAL TO STOCK CONVERSION

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
152672	APPLICATION FOR MUTUAL TO STOCK CONVERSION	Migrated

ICR Details

OMB Control No: 3069-0053	ICR Reference No: 198112-3069-001
Status: Historical Active	Previous ICR Reference No: 198204-3068-007
Agency/Subagency: FHFB	Agency Tracking No:
Title: APPLICATION FOR MUTUAL TO STOCK CONVERSION
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/07/1982
	Date Received in OIRA: 12/30/1981
Terms of Clearance: This request for clearance is approved for use through April 1982. While this supporting statement is more complete than the one previously submitted, it still fails to address several issues raised by OMB in the last review. For extension or revision of this approval the Bank Board is to provide: 1. a more detailed analysis of the alternatives for reducing the paperwork burden associated with conversion. This analysis should focus on the need for each exhibit in Form AC as well as each item in the offering circular and the proxy statement, 2. a detailed explanation of the method of estimating and calculating the reporting burden. The Bank Board should indicate the burden for each of the three main components of the package. All time spent by any parties in completing the application, the proxy statement or the offering circular is to be included. Before resubmitting this package, the Bank Board should contact its desk officer for additional comments.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/1982	04/30/1982
Responses	50	0	0
Time Burden (Hours)	18,750	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: MUTUAL TO STOCK CONVERSION APPLICATION IS A ONE TIME SUBMISSION BY MUTUAL ASSOCIATIONS WHO WISH TO CONVERT TO STOCK FORM. THE DISCLOSURE REQUIRED IS FOR THE BENEFIT OF THE INVESTING PUBLIC TO ASSURE A FAIR AND EQUITABLE PLAN OF CONVERSION AND ADEQUATE DISCLOSURE.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
APPLICATION FOR MUTUAL TO STOCK CONVERSION

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	50	0	0	0	50	0
Annual Time Burden (Hours)	18,750	0	0	0	18,750	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 12/30/1981

---