Information Collection

Interagency Charter and Federal Deposit Insurance Application

IC 19792 under ICR 201102-1550-002 · OMB 1550-0005.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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	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: 5

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5	-40	45
Annual IC Time Burden (Hours)	625	-5,000	5,625
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.