CONVERSION FROM FEDERAL TO STATE CREDIT UNION AND FROM STATE TO FEDERAL CREDIT UNION -- 12 U.S.C. 1771, INSURANCE OF MEMBERS ACCOUNTS, ELIGIBILITY -- 12 U.S.C. 1781
ICR 199207-3133-003
OMB: 3133-0116
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 3133-0116 can be found here:
CONVERSION FROM FEDERAL TO
STATE CREDIT UNION AND FROM STATE TO FEDERAL CREDIT UNION -- 12
U.S.C. 1771, INSURANCE OF MEMBERS ACCOUNTS, ELIGIBILITY -- 12
U.S.C. 1781
Reinstatement with change of a previously approved collection
THE FORMS CONSTITUTE THE APPLICATION
FOR AN APPROVAL OF CREDIT UNION CONVERSIONS FROM FEDERAL TO STATE
CHARTER AND FROM STATE TO FEDERAL CHARTER. IN ADDITION, FORMS IN
THIS PACKAGE CONTAIN APPLICATION AND APPROVAL FOR FEDERAL INSURANCE
OF MEMBER ACCOUNTS IN CREDIT UNIONS.
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.