Single Common Bond and Multiple Common Bond Amendments

Chartering and Field of Membership Manual, 12 CFR 701.1, App. B to Part 701

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.