Information Collection

Interagency Charter and Federal Deposit Insurance Application

IC 19792 under ICR 201107-1557-021 · OMB 1557-0269.

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: 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 %

	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.