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Federal forms, ICRs, and supporting documents

Information Collection

Forms Relating to Processing Deposit Insurance Claims

IC 31961 under ICR 201301-3064-007 · OMB 3064-0143.

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Information Collection (IC) Details

View Information Collection (IC)

Forms Relating to Processing Deposit Insurance Claims
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 7200/04 Declaration for Public Unit Deposit 7200-04.doc http://fdic01/division/doa/adminservices/records/forms/7000/7200-04.doc Yes Yes Fillable Printable
Form 7200/06 Declaration of Independent Activity 7200-06.doc http://fdic01/division/doa/adminservices/records/forms/7000/7200-06.doc Yes Yes Fillable Printable
Form 7200/07 Declaration of Independent Activity for Unincorporated Association 7200-07.doc http://fdic01/division/doa/adminservices/records/forms/7000/7200-07.doc Yes Yes Fillable Printable
Form 7200-08 Declaration of Joint Ownership Deposit 7200-08.doc http://fdic01/division/doa/adminservices/records/forms/7000/7200-08.doc Yes Yes Fillable Printable
Form 7200-10 Declaration for Defined Contribution Plan 7200-10.doc http://fdic01/division/doa/adminservices/records/forms/7000/7200-10.doc Yes Yes Fillable Printable
Form 7200.11 Declaration for IRA/KEOGH Deposit 7200-11.doc http://fdic01/division/doa/adminservices/records/forms/7000/7200-11.doc Yes Yes Fillable Printable
Form 7200.12 Declaration for Defined Benefit Plan 7200-12.doc http://fdic01/division/doa/adminservices/records/forms/7000/7200-12.doc Yes Yes Fillable Printable
Form 7200.13 Declaration of Custodian Deposit 7200-13.doc http://fdic01/division/doa/adminservices/records/forms/7000/7200-13.doc Yes Yes Fillable Printable
Form 7200.14 Declaration for Health and Welfare Plan 7200-14.doc http://fdic01/division/doa/adminservices/records/forms/7000/7200-14.doc Yes Yes Fillable Printable
Form 7200-15 Declaration for Plan and Trust 7200-15.doc http://fdic01/division/doa/adminservices/records/forms/7000/7200-15.doc Yes Yes Fillable Printable
Form 7200/09 Declaration for Testamentary Deposit 7200-09.doc http://fdic01/division/doa/adminservices/records/forms/7000/7200-09.doc Yes No Fillable Printable
Form 7200/05 Declaration for Revocable Trust 7200-05.doc http://fdic01/division/doa/adminservices/records/forms/7000/7200-05.doc Yes Yes Fillable Printable

Economic Development Financial Sector Oversight

 

395 0
   
Private Sector Businesses or other for-profits
 
   34 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 395 0 0 -4,700 0 5,095
Annual IC Time Burden (Hours) 320 0 0 -2,555 0 2,875
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.