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		| Paperwork Reduction Act | 
		PAGE ________ OF ________ | 
	
	
		| INVENTORY OF INFORMATION COLLECTION REQUIREMENTS | 
		DATE OF SUBMISSION | 
	
	
		| ASSOCIATED WITH SF 83 SUBMISSION | 
		
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		RESPONDENT BURDEN (1 =  Previous         2 = Adjusted) | 
		
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		| A | 
		B | 
		C | 
		D | 
		E | 
		F | 
		G | 
		H | 
		I | 
		J | 
		K | 
		
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		TITLE/DESCRIPTION | 
		CURRENT/FORMER | 
		ACTION BEING | 
		
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		NUMBER ANNUAL | 
		TOTAL NUMBER | 
		NUMBER OF | 
		TOTAL | 
		AVERAGE | 
		TOTAL | 
		
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		AND AGENCY/OTHER | 
		OMB NUMBER AND | 
		TAKEN THIS | 
		NUMBER | 
		RESPONSES PER | 
		OF YEARLY | 
		HOURS PER | 
		NUMBER | 
		COST PER | 
		YEARLY | 
		
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		| ITEM | 
		FORM NUMBER (If Any) | 
		EXPIRATION DATE | 
		SUBMISSION 1/  | 
		RESPONDENT | 
		RESPONDENT | 
		RESPONSES | 
		RESPONSE | 
		HOURS YEARLY | 
		HOUR | 
		COST | 
		REMARKS | 
	
	
		
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		(12, 18) | 
		(7) | 
		
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		(15c) | 
		(15d) | 
		(15e) | 
		(15f) | 
		(15g) | 
		
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		(16) | 
		
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		| 1 | 
		Application for Bulk Purchase/Sale of Assets/Liabilities                      (Form 1589) | 
		1550-0025            | 
		
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		1 | 
		3 | 
		1 | 
		1 | 
		1 | 
		3 | 
		1 | 
		24.0 | 
		1 | 
		72.0 | 
		1 | 
		50 | 
		1 | 
		3,600 | 
		Previous | 
	
	
		
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		2 | 
		8 | 
		2 | 
		1 | 
		2 | 
		8 | 
		2 | 
		24.0 | 
		2 | 
		192.0 | 
		2 | 
		50 | 
		2 | 
		9,600 | 
		Current | 
	
	
		| 2 | 
		Notice of Bulk Purchase/Sale of Assets/Liabilities (Form 1584) | 
		
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		0 | 
		
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		1 | 
		
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		0 | 
		
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		24.0 | 
		
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		0.0 | 
		
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		50 | 
		
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		0 | 
		Previous | 
	
	
		
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		7 | 
		
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		1 | 
		
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		7 | 
		
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		24.0 | 
		
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		168.0 | 
		
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		50 | 
		
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		8,400 | 
		Current | 
	
	
		| 3 | 
		Notification of Combination w/Banks   (Form 1585) | 
		
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		18 | 
		
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		1 | 
		
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		18 | 
		
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		24.0 | 
		
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		432.0 | 
		
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		50 | 
		
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		21,600 | 
		Previous | 
	
	
		
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		8 | 
		
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		1 | 
		
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		8 | 
		
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		24.0 | 
		
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		192.0 | 
		
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		50 | 
		
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		9,600 | 
		Current | 
	
	
		| 4 | 
		Application for Sale of Branch to Bank (Form 1589) | 
		
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		2 | 
		
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		1 | 
		
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		2 | 
		
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		24.0 | 
		
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		48.0 | 
		
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		50 | 
		
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		2,400 | 
		Previous | 
	
	
		
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		6 | 
		
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		1 | 
		
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		6 | 
		
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		24.0 | 
		
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		144.0 | 
		
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		50 | 
		
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		7,200 | 
		Current | 
	
	
		| 5 | 
		Notification of Conversion to Commercial Bank (SASSER)           (Form 1584) | 
		
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		11 | 
		
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		1 | 
		
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		11 | 
		
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		24.0 | 
		
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		264.0 | 
		
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		50 | 
		
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		13,200 | 
		Previous | 
	
	
		
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		8 | 
		
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		1 | 
		
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		8 | 
		
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		24.0 | 
		
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		192.0 | 
		
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		50 | 
		
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		9,600 | 
		Current | 
	
	
		| 6 | 
		Application for Conversion to Commercial Bank (SASSER)            (Form 1589) | 
		
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		0 | 
		
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		1 | 
		
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		0 | 
		
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		24.0 | 
		
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		0.0 | 
		
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		50 | 
		
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		0 | 
		Previous | 
	
	
		
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		3 | 
		
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		1 | 
		
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		3 | 
		
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		24.0 | 
		
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		72.0 | 
		
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		50 | 
		
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		3,600 | 
		Current | 
	
	
		
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		Application Filing Fees | 
		
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		83,200 | 
		Previous | 
	
	
		
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		111,200 | 
		Current | 
	
	
		
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		41 | 
		
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		41 | 
		
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		984.0 | 
		
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		132,400 | 
		Previous | 
	
	
		
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		Grand Total | 
		
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		40 | 
		
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		40 | 
		
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		960.0 | 
		
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		159,200 | 
		Current | 
	
	
		
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		1/  Such as:  Added, Revised, Eliminated, Burden Being Corrected, Etc. | 
		
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		FOR RECORDKEEPING REQUIREMENTS: | 
		
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