Information Collection

Interagency Charter and Federal Deposit Insurance Application

IC 19792 under ICR 200801-1550-003 · OMB 1550-0005.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1550-0005 can be found here:

Documents and Forms

Document Name Document Type
Form 138 Interagency Charter and Federal Deposit Insurance Application Form
1550.0005.Form138.Handbook.pdf Instruction
138 Interagency Charter and Federal Deposit Insurance Applic 1550-0005.Form138.pdf Form
1623 Interagency Biographical and Financial Report 1550-0005.Form1623.pdf Form
12CFR543.mht 12 C.F.R. 543 IC Document
12CFR552.mht 12 C.F.R. 552 IC Document
12CFR516.50.60and70.mht 12 C.F.R. 516 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Interagency Charter and Federal Deposit Insurance Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	138	Interagency Charter and Federal Deposit Insurance Application	1550-0005.Form138.pdf	No	Printable Only
Form	1623	Interagency Biographical and Financial Report	1550-0005.Form1623.pdf	No	Printable Only
Instruction			1550.0005.Form138.Handbook.pdf	No	Printable Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 45	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	45	25	20
Annual IC Time Burden (Hours)	5,625	3,125	2,500
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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