Minority Bank Deposit Program (MBDP) Certification Form for Admission

ICR 200904-1510-002

OMB: 1510-0048

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2009-04-28
IC Document Collections
ICR Details
1510-0048 200904-1510-002
Historical Active 200602-1510-001
TREAS/FMS
Minority Bank Deposit Program (MBDP) Certification Form for Admission
Extension without change of a currently approved collection   No
Regular
Approved with change 10/22/2009
Retrieve Notice of Action (NOA) 04/29/2009
At the request of OMB, Agency modified information collection to be in line with OMB Standards for Data on Race and Ethnicity.
  Inventory as of this Action Requested Previously Approved
10/31/2012 36 Months From Approved 10/31/2009
150 0 150
75 0 75
0 0 0

A financial institution who wants to participate in the MBDP must complete this form. The approved application certifies the institution as minority and is admitted into the program.

None
None

Not associated with rulemaking

  74 FR 14188 03/30/2009
74 FR 19123 04/27/2009
No

  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 150 150 0 0 0 0
Annual Time Burden (Hours) 75 75 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$2,625
No
No
Uncollected
Uncollected
No
Uncollected
Mary Bailey 202 874-7055 [email protected]

  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.
04/29/2009


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