Charter Conversions

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

OMB: 3133-0015

IC ID: 209409

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form
Form and Instruction
Form
Form
Form
Form
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Charter Conversions
 
No Unchanged
 
Mandatory
 
12 CFR 701

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NCUA 4401 Application to Convert from a State to a Federal Credit Union NCUA_4401-IC 5 of 3133-0015.pdf http://www.ncua.gov/Legal/GuidesEtc/Pages/Chartering-Manual.aspx Yes Yes Fillable Fileable Signable
Form NCUA 4505 Affidavit - Proof of Results of Membership Vote -- Proposed Conversion from a Federal Credit Union to State Credit Union NCUA_4505-IC 5 of 3133-0015.pdf http://www.ncua.gov/Legal/GuidesEtc/Pages/Chartering-Manual.aspx Yes Yes Fillable Fileable
Form NCUA 4506 Federal to State Conversion Ballot for Conversion Proposal NCUA_4506-IC 5 of 3133-0015.pdf http://www.ncua.gov/Legal/GuidesEtc/Pages/Chartering-Manual.aspx Yes Yes Fillable Fileable Signable
Form NCUA 9500 Application and Agreements for Insurance of Accounts NCUA_9500-IC 5 of 3133-0015.pdf http://www.ncua.gov/Legal/GuidesEtc/Pages/Chartering-Manual.aspx Yes Yes Fillable Fileable
Form NCUA 9501 Certification of Resolutions NCUA_9501-IC 5 of 3133-0015.pdf http://www.ncua.gov/Legal/GuidesEtc/Pages/Chartering-Manual.aspx Yes Yes Fillable Fileable
Form and Instruction NCUA 9600 Information to be Provided in Support of the Application of a State Chartered Credit Union for Insurance of Accounts NCUA_9600-IC 5 of 3133-0015.pdf http://www.ncua.gov/Legal/GuidesEtc/Pages/Chartering-Manual.aspx Yes Yes Fillable Fileable Signable
Form and Instruction NCUA 4000 Conversion of State Charter to Federal Charter NCUA_4000-IC 5 of 3133-0015.pdf http://www.ncua.gov/Legal/GuidesEtc/Pages/Chartering-Manual.aspx Yes Yes Fillable Fileable Signable
Form NCUA 4221 Notice of Meeting of Members to Convert from a Federal to a State Chartered Credit Union NCUA_4221-IC 5 of 3133-0015.pdf http://www.ncua.gov/Legal/GuidesEtc/Pages/Chartering-Manual.aspx Yes Yes Fillable Fileable Signable

Economic Development Business and Industry Development

 

13 0
   
Private Sector Not-for-profit institutions
 
   90 %

  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 13 0 0 0 0 13
Annual IC Time Burden (Hours) 520 0 0 0 0 520
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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