Information Collection Request

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

ICR 201602-3133-006 · OMB 3133-0015 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 4001 Chartering and Field of Membership Manual Form and Instruction Modified Available
Form NCUA 4000 Charter Conversions Form and Instruction Removed Available
Form NCUA 4015 Single Common Bond and Multiple Common Bond Amendments Form Removed Available
NPRM_3133-0015_Supporting Statement_102416.doc Supporting Statement A Uploaded 2016-10-26 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
32675 Chartering and Field of Membership Manual Form and Instruction Modified
209409 Charter Conversions Form and Instruction Removed
209408 Application to Add an Underserved Area Removed
209407 Community Charter Conversion and Expansion Applications Removed
209406 Single Common Bond and Multiple Common Bond Amendments Form Removed

ICR Details

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  Inventory as of this Action Requested Previously Approved
02/28/2017 36 Months From Approved 08/31/2017
9,990 0 9,990
15,398 0 15,398
0 0 0





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table that charts list of burden
IC Title Form No. Form Name
Chartering and Field of Membership Manual NCUA 4015, 4001, NCUA 4015-A, NCUA 4000, NCUA 4221, NCUA 4505, NCUA 4506, NCUA 4012, NCUA 4008, NCUA 9500, NCUA 9501, NCUA 4015-EZ, NCUA 4401 FCU Investigation Report ,   Organization Certification ,   Report of Official and Agreement to Serve ,   Application and Agreements for Insurance of Accounts ,   Certification of Resolutions ,   Application FOM Amendment (Multiple Common Bond Expansion Groups of 3,000 or more) ,   Application FOM Amendment (Multiple Common Bond Expansions less than 3,000 and All Single Common Bond Expansions) ,   Application FOM Amendment (Multiple Common Bond Expansion Groups of 3,000 to 4,999) ,   Conversions of State Charter to Federal Charter (FCU Investigation Report) ,   Notice of Meeting of Members to Convert from a Federal to a State Chartered CU ,   Application to Convert From a State to a Federal CU ,   Affidavit - Proof of Results Membership Vote ,   Federal to State Conversion - Ballot for Conversion Proposal
Single Common Bond and Multiple Common Bond Amendments NCUA 4015, NCUA 4015-EZ Application for Field of Membership Amendment ,   Application for Field of Membership Amendment
Community Charter Conversion and Expansion Applications
Application to Add an Underserved Area
Charter Conversions NCUA 4000, NCUA 4221, NCUA 4401, NCUA 4505, NCUA 4506, NCUA 9500, NCUA 9501, NCUA 9600 Conversion of State Charter to Federal Charter ,   Notice of Meeting of Members to Convert from a Federal to a State Chartered Credit Union ,   Application to Convert from a State to a Federal Credit Union ,   Affidavit - Proof of Results of Membership Vote -- Proposed Conversion from a Federal Credit Union to State Credit Union ,   Federal to State Conversion Ballot for Conversion Proposal ,   Application and Agreements for Insurance of Accounts ,   Certification of Resolutions ,   Information to be Provided in Support of the Application of a State Chartered Credit Union for Insurance of Accounts



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