Information Collection

Request To Convert From A Mutual Institution To A Stock Institution, Form Ac (application For Conversion) And Exhibits (form Ps, Proxy Statement, & Form Oc, Offering....)

IC 132212 under ICR 199208-1550-001 · OMB 1550-0014.

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Information Collection (IC) Details

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IC Title:	REQUEST TO CONVERT FROM A MUTUAL INSTITUTION TO A STOCK INSTITUTION, FORM AC (APPLICATION FOR CONVERSION) AND EXHIBITS (FORM PS, PROXY STATEMENT, & FORM OC, OFFERING....)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 70	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	70	-20	90
Annual IC Time Burden (Hours)	35,000	-10,000	45,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.