Information Collection

Single Common Bond and Multiple Common Bond Amendments

IC 209406 under ICR 201311-3133-003 · OMB 3133-0015.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3133-0015 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NCUA 4015 Single Common Bond and Multiple Common Bond Amendments	Form
NCUA 4015 Application for Field of Membership Amendment NCUA_4015-IC 2 of 3133-0015.pdf www.ncua.gov/Legal/GuidesEtc/Pages/Chartering-Manual.aspx	Form
NCUA 4015-EZ Application for Field of Membership Amendment NCUA_4015EZ-IC 2 of 3133-0015.pdf www.ncua.gov/Legal/GuidesEtc/Pages/Chartering-Manual.aspx	Form

IC Title:

Single Common Bond and Multiple Common Bond Amendments

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 701

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	NCUA 4015	Application for Field of Membership Amendment	NCUA_4015-IC 2 of 3133-0015.pdf	http://www.ncua.gov/Legal/GuidesEtc/Pages/Chartering-Manual.aspx	Yes	Yes	Fillable Fileable Signable
Form	NCUA 4015-EZ	Application for Field of Membership Amendment	NCUA_4015EZ-IC 2 of 3133-0015.pdf	http://www.ncua.gov/Legal/GuidesEtc/Pages/Chartering-Manual.aspx	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 9,915

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	9,915	9,915
Annual IC Time Burden (Hours)	4,958	4,958
Annual IC Cost Burden (Dollars)	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.