Information Collection

Uniform Application/Uniform Termination for Municipal Securities Principal or Representative

IC 31758 under ICR 200809-3064-003 · OMB 3064-0022.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0022 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form MSD-5 Uniform Application/Uniform Termination for Municipal Securities Principal or Representative	Form and Instruction
MSD-4 Uniform Application for Municipal Securities Principal o FR_MSD-420070401_f.pdf	Form and Instruction
MSD-5 Uniform Termination Notice for Municipal Securities Prin FR_MSD-520070401_f.pdf	Form and Instruction
FR_MSD-420070401_f.pdf Uniform Application for Municipal Securities Principal or Municipal Securities representative Associated with a Bank Securities	IC Document
FR_MSD-520070401_f.pdf Uniform Termination Notice for Municipal Securities Principal or Municiple Securities representative Associated with a Bank Muni	IC Document

IC Title:

Uniform Application/Uniform Termination for Municipal Securities Principal or Representative

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	MSD-5	Uniform Termination Notice for Municipal Securities Principal or Municipal Securities representative Associated with a Bank Municipal Securities Dealer	FR_MSD-520070401_f.pdf		No		Paper Only
Form and Instruction	MSD-4	Uniform Application for Municipal Securities Principal or Municipal Securities Representative Associated with a Bank Municipal Securities Dealer	FR_MSD-420070401_f.pdf		No		Paper Only

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 75

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	75	75
Annual IC Time Burden (Hours)	75	75
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Uniform Application for Municipal Securities Principal or Municipal Securities representative Associated with a Bank Securities Dealer	FR_MSD-420070401_f.pdf	12/15/2008
Uniform Termination Notice for Municipal Securities Principal or Municiple Securities representative Associated with a Bank Municipal Securities dealer	FR_MSD-520070401_f.pdf	12/15/2008

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