Information Collection

Interagency Charter and Federal Deposit Insurance Application

IC 31732 under ICR 201301-3064-008 · OMB 3064-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0001 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Interagency Charter and Federal Deposit Insurance Application	Form and Instruction
Interagency Charter and Federal Deposit Insurance Applic InteragencyCharter-InsuranceApplication.doc www.fdic.gov/formsdocuments/InteragencyCharter-InsuranceApplication.doc	Form and Instruction

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: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	none	Interagency Charter and Federal Deposit Insurance Application	InteragencyCharter-InsuranceApplication.doc	http://www.fdic.gov/formsdocuments/InteragencyCharter-InsuranceApplication.doc	Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 143

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	143	-74	217
Annual IC Time Burden (Hours)	17,875	-9,250	27,125
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.