CRIMINAL REFERRAL FORM

ICR 198806-3133-001

OMB: 3133-0094

Federal Form Document

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
154719 Migrated
ICR Details
3133-0094 198806-3133-001
Historical Active 198507-3133-001
NCUA
CRIMINAL REFERRAL FORM
Revision of a currently approved collection   No
Regular
Approved without change 06/27/1988
Retrieve Notice of Action (NOA) 06/16/1988
Approved with the condition that the form be revised to indicate that Section 1 consist of items 1 thru 10 and should be completed for crimes less than $10,000. The remainder of the form (items 10 thru 16) need only be completed for crimes over $10,000 and those involving an elected or appointed offical.
  Inventory as of this Action Requested Previously Approved
03/31/1991 03/31/1991 07/31/1988
720 0 180
1,080 0 405
0 0 0

ALL FEDERALLY INSURED CREDIT UNIONS ARE REQUIRED TO COMPLETE AND WITHI SEVEN BUSINESS DAYS REPORT SUSPECTED CRIMINAL ACTIVITY ON NCUA REGIONAL DIRECTOR, THE U.S. ATTORNEY AND THE FBI. THIS REQUIREMENT PROVIDES FOR TIMELY AND SPECIFIC INFORMATION NEEDED FOR DECISIONS REGARDING PROSECUTION.

None
None


No

1
IC Title Form No. Form Name
CRIMINAL REFERRAL FORM NCUA 2362

  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 720 180 0 0 540 0
Annual Time Burden (Hours) 1,080 405 0 0 675 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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:
 
 
 
 
 
 
 
    (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.
06/16/1988


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