Comptroller's Licensing Manual

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Reduction of Permanent Capital and Capital Distribution Notice	Form	New	Available
After the Fact Notice: FSA Branch/Relocation	Form and Instruction	Unchanged	Available
Agency Office Additional Services Application	Form and Instruction	Unchanged	Available
Merger of a National Bank With a Nonbank Affiliate Resulting in a Nonbank Affiliate Application	Form and Instruction	Unchanged	Available
Equity Investment in Statutory Subsidiary—National Banks After-the-Fact Notice	Form and Instruction	Unchanged	Available
Other Equity Investments—National Banks Pass-Through Investments—Federal Savings Associations Application	Form and Instruction	Unchanged	Available
Subsidiary Redesignation Notice Federal Savings Association	Form and Instruction	Unchanged	Available
12 USC 1828(m) Investment Application Federal Savings Associations	Form and Instruction	Unchanged	Available
After-the-Fact Notice—Satisfaction of DPC Other Equity Investments—National Banks Pass-Through Investments—Federal Savings Associations	Form	Unchanged	Available
Voluntary Liquidation - Liquidation Plan	Form and Instruction	Unchanged	Available
Charter and Bylaw Amendments	Form and Instruction	Unchanged	Available
Bylaws - Federal Stock Association	Form	Unchanged	Available
Charter - Federal Mutual Association	Form	Unchanged	Available
Bylaws - Mutual Savings Associations	Form	Unchanged	Available
Charter - Federal Stock Association	Form	Unchanged	Available
Form 1583 Notice or Application for Capital Distribution	Form	Unchanged	Available
Form 1582 Application for Conversion of a Depository Institution to a Federal Stock or Mutual Savings Association	Form	Unchanged	Available
Form 1623 Interagency Biographical and Financial Report	Form	Unchanged	Available
Form 1622 Interagency Notice of Change in Control	Form	Unchanged	Available
Form 1561 Notice for Issuance of Subordinated Debt or Mandatorily Redeemable Preferred Stock	Form	Unchanged	Available
Form 1584 Notice of Filing Pursuant to 12 CFR Section 563.22(c) for Institutions that Qualify for Expedited Treatment	Form	Unchanged	Available
Form 1639 Interagency Bank Merger Act Application	Form and Instruction	Unchanged	Available
Form 1680, 1681, 1682, Mutual to Stock Conversion Application	Form	Unchanged	Available
Form 1623 Interagency Biographical and Financial Report	Form	Unchanged	Available
Form 138 Interagency Charter and Federal Deposit Insurance Application	Form	Unchanged	Available
Non-Controlling Equity Investment Application	Form and Instruction	Unchanged	Available
Senior Management Resolution or Conversion of a Federal Branch or Agency to a State-Licensed Operation of a Foreign Bank	Form and Instruction	Unchanged	Available
Notice for a Change in Control	Form and Instruction	Unchanged	Available
Notice of a Change in Activities or Operations	Form and Instruction	Unchanged	Available
Capital Equivalency Deposit Agreement	Form	Unchanged	Available
Liquidation - Final Report	Form	Unchanged	Available
Liquidation - Interim Progress Report	Form	Unchanged	Available
Voluntary Liquidation - Sample Public Notice	Form and Instruction	Unchanged	Available
Resolution to Voluntary Liquidate	Form	Unchanged	Available
Notice Letter - Standard Voluntary Liquidation	Form and Instruction	Unchanged	Available
Senior Management Resolution on Surrender of Fiduciary	Form and Instruction	Unchanged	Available
Notice of Effective Date for Relocation	Form and Instruction	Unchanged	Available
Federal Branch & Agency Relocation Application	Form	Unchanged	Available
Application for a Change of Status of an Office of a Foreign Bank	Form	Unchanged	Available
Application to Acquire a Federal Branch or Agency	Form	Unchanged	Available
After-the-Fact Notice Acquisitions	Form and Instruction	Unchanged	Available
Request for After-the-Fact Notice Acquisitions	Form	Unchanged	Available
Request for After-the-Fact Approval	Form	Unchanged	Available
Financial Data	Form	Unchanged	Available
Application to Establish an Initial-Additional Federal Branch or Agency	Form	Unchanged	Available
149 - Notice of Intent - Voluntary Liquidation	Form	Unchanged	Available
148 - Notice upon Commencement of Voluntary Liquidation	Form	Unchanged	Available
147 - Final Notice of Merger or Consolidation Out and Notice of Intent - Merger or Consolidation	Form	Unchanged	Available
146 - Final Notice of Conversion Out	Form	Unchanged	Available
145 - Notice of Intent - Expedited Liquidation	Form and Instruction	Unchanged	Available
144 - Final Notice - Expedited Liquidation	Form and Instruction	Unchanged	Available
143 - Voluntary Liquidation - Annual Report	Form	Unchanged	Available
142 - Voluntary Liquidation - Report of Condition at Commencement of Liquidation	Form	Unchanged	Available
141 - Voluntary Liquidation - Board of Directors' and Shareholders' Resolution	Form	Unchanged	Available
Public Notice of Voluntary Liquidation	Form and Instruction	Unchanged	Available
139 - Notice of Intent of Conversion Out	Form and Instruction	Unchanged	Available
138 - Voluntary Liquidation Final Report	Form	Unchanged	Available
Notice of Debt Issuance	Form and Instruction	Unchanged	Available
Application to Prepay Subordinated Debt	Form	Unchanged	Available
Application to Issue Subordinated Debt	Form	Unchanged	Available
130-131-132 - Management Interlocks Application	Form and Instruction	Unchanged	Available
Application for Increase	Form and Instruction	Unchanged	Available
After the Fact Notice	Form and Instruction	Unchanged	Available
Investment in Bank Premises	Form	Unchanged	Available
125 - Residency Waiver Request	Form and Instruction	Unchanged	Available
124 - Citizenship Waiver Request	Form and Instruction	Unchanged	Available
Change of Address	Form and Instruction	Unchanged	Available
Notification of Change of Corporate Title	Form and Instruction	Unchanged	Available
Interagency Notice of Change in Control	Form and Instruction	Unchanged	Available
Affidavit	Form	Unchanged	Available
Notice - Increase in Stock for Cash	Form and Instruction	Unchanged	Available
Application - Reverse Stock Split	Form	Unchanged	Available
Application - Quasi-Reorganization	Form	Unchanged	Available
Application - Reduction of Permanent Capital	Form	Unchanged	Available
Application - Increase in Capital for Other than Cash	Form and Instruction	Unchanged	Available
Sample Customer Notice of Branch Closing	Form and Instruction	Unchanged	Available
Advance Branch Closing & Downgrade Notice	Form and Instruction	Unchanged	Available
Financial Subsidiary Notice & Certification	Form	Unchanged	Available
Financial Subsidiary Certification	Form	Unchanged	Available
Financial Subsidiary Notice	Form	Unchanged	Available
Bank Service Company Application	Form	Unchanged	Available
Operating Subsidiary Application	Form	Unchanged	Available
Annual Report on Operating Subsidiaries	Form	Unchanged	Available
After-the-Fact Notice-Equity Investment	Form	Unchanged	Available
After-the-Fact Notice-Subsidiary	Form	Unchanged	Available
Investments in Subsidiaries & Equities	Form	Unchanged	Available
Commencement of Fiduciary Activities Notice	Form	Unchanged	Available
Surrender of Fiduciary Powers	Form	Unchanged	Available
After-the-Fact Notice	Form	Unchanged	Available
Application	Form	Unchanged	Available
Secretary's Certificate of Shareholders' Approval of Combination	Form	Unchanged	Available
Secretary's Certificate of Board of Directors' Approval of Combination	Form	Unchanged	Available
Notice of Shareholders' Meeting to Vote on Combination	Form and Instruction	Unchanged	Available
Notice of Consummation	Form and Instruction	Unchanged	Available
Emergency Processing Request	Form	Unchanged	Available
Board of Directors' Waiver of Notice of Board Meeting and Written Consent of Business Combination	Form	Unchanged	Available
Shareholders' Waiver of Notice of Shareholders' Meeting and Written Consent of Business Combination	Form	Unchanged	Available
Stock Payment Certificate and Oaths of Directors and Officers	Form	Unchanged	Available
Application - Reorganization - Subsidiary of a BHC	Form	Unchanged	Available
Application - Interim National Bank Charter	Form	Unchanged	Available
Merger with Nonbank Subsidiary or Affliliate	Form	Unchanged	Available
Bank Merger Screen	Form and Instruction	Unchanged	Available
Branches Requiring Authorization	Form	Unchanged	Available
Interagency Bank Merger Act Application	Form and Instruction	Unchanged	Available
Business Combination Application - Streamlined	Form and Instruction	Unchanged	Available
Business Combination Application - Checklist and Community Reinvestment Commitments	Form	Unchanged	Available
Opening Date for Relocation of Main Office to Branch Site within the Same Town, City or Village	Form	Unchanged	Available
Opening Date of Branch Office	Form	Unchanged	Available
Main Office Relocation to Existing Branch Site within the Same City	Form	Unchanged	Available
Branch and Relocation Application	Form and Instruction	Unchanged	Available
Bylaws	Form	Unchanged	Available
Organization Certificate	Form	Unchanged	Available
Oaths of Bank Directors	Form and Instruction	Unchanged	Available
Letter Certifying Conversion Completion	Form	Unchanged	Available
Letter Certifying Conversion Completion	Form and Instruction	Unchanged	Available
Authority for Conversion to National Bank	Form	Unchanged	Available
41 - Conversion Application	Form and Instruction	Unchanged	Available
Preopening Checklist for Organizers	Form	Unchanged	Available
Organization Completed	Form	Unchanged	Available
First Meeting of Directors	Form	Unchanged	Available
Waiver of Notice of the First Board Meeting	Form and Instruction	Unchanged	Available
Minutes of Subsequent Organizing Board Meetings	Form	Unchanged	Available
Minutes of the First Shareholder's Meeting	Form	Unchanged	Available
Notice of First Shareholder's Meeting	Form	Unchanged	Available
Proxy Card	Form	Unchanged	Available
Corporate Resolution	Form	Unchanged	Available
Capital Stock Payment Certificate	Form	Unchanged	Available
Subscription	Form	Unchanged	Available
Bylaws	Form and Instruction	Unchanged	Available
Joint Oath of Bank Directors	Form	Unchanged	Available
Individual Oath of Bank Director	Form	Unchanged	Available
Organizing Board's First Meeting	Form	Unchanged	Available
Waiver of Notice of Organizing Board's First Meeting	Form	Unchanged	Available
Contact Person	Form	Unchanged	Available
Organization Certificate	Form	Unchanged	Available
Articles of Association	Form	Unchanged	Available
First Meeting of Organizers	Form	Unchanged	Available
Charter Application	Form and Instruction	Unchanged	Available
IRS Tax Check Waiver	Form	Unchanged	Available
Appointment of Agent	Form	Unchanged	Available
Corporate Background & Financial Report	Form and Instruction	Unchanged	Available
Interagency Biographical and Financial Report	Form and Instruction	Unchanged	Available
Consent Form for DEA Background Investigations	Form	Unchanged	Available
Background Investigations	Form and Instruction	Unchanged	Available
Change in Assets Application	Form and Instruction	Unchanged	Available
Justification.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2017-01-23	Available
1557-0014 9-6-16.docx	Supporting Statement A	Uploaded 2016-09-13	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
226304	Reduction in Permanent Capital	Form	New	Reduction of Permanent Capital and Capital Distribution Notice
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	After the Fact Notice: FSA Branch/Relocation
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Agency Office Additional Services Application
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Merger of a National Bank With a Nonbank Affiliate Resulting in a Nonbank Affiliate Application
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Equity Investment in Statutory Subsidiary—National Banks After-the-Fact Notice
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Other Equity Investments—National Banks Pass-Through Investments—Federal Savings Associations Application
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Subsidiary Redesignation Notice Federal Savings Association
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	12 USC 1828(m) Investment Application Federal Savings Associations
19996	Comptroller's Licensing Manual	Form	Unchanged	After-the-Fact Notice—Satisfaction of DPC Other Equity Investments—National Banks Pass-Through Investments—Federal Savings Associations
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Voluntary Liquidation - Liquidation Plan
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Charter and Bylaw Amendments
19996	Comptroller's Licensing Manual	Form	Unchanged	Bylaws - Federal Stock Association
19996	Comptroller's Licensing Manual	Form	Unchanged	Charter - Federal Mutual Association
19996	Comptroller's Licensing Manual	Form	Unchanged	Bylaws - Mutual Savings Associations
19996	Comptroller's Licensing Manual	Form	Unchanged	Charter - Federal Stock Association
19996	Comptroller's Licensing Manual	Form	Unchanged	Notice or Application for Capital Distribution
19996	Comptroller's Licensing Manual	Form	Unchanged	Application for Conversion of a Depository Institution to a Federal Stock or Mutual Savings Association
19996	Comptroller's Licensing Manual	Form	Unchanged	Interagency Biographical and Financial Report
19996	Comptroller's Licensing Manual	Form	Unchanged	Interagency Notice of Change in Control
19996	Comptroller's Licensing Manual	Form	Unchanged	Notice for Issuance of Subordinated Debt or Mandatorily Redeemable Preferred Stock
19996	Comptroller's Licensing Manual	Form	Unchanged	Notice of Filing Pursuant to 12 CFR Section 563.22(c) for Institutions that Qualify for Expedited Treatment
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Interagency Bank Merger Act Application
19996	Comptroller's Licensing Manual	Form	Unchanged	Mutual to Stock Conversion Application
19996	Comptroller's Licensing Manual	Form	Unchanged	Interagency Biographical and Financial Report
19996	Comptroller's Licensing Manual	Form	Unchanged	Interagency Charter and Federal Deposit Insurance Application
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Non-Controlling Equity Investment Application
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Senior Management Resolution or Conversion of a Federal Branch or Agency to a State-Licensed Operation of a Foreign Bank
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Notice for a Change in Control
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Notice of a Change in Activities or Operations
19996	Comptroller's Licensing Manual	Form	Unchanged	Capital Equivalency Deposit Agreement
19996	Comptroller's Licensing Manual	Form	Unchanged	Liquidation - Final Report
19996	Comptroller's Licensing Manual	Form	Unchanged	Liquidation - Interim Progress Report
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Voluntary Liquidation - Sample Public Notice
19996	Comptroller's Licensing Manual	Form	Unchanged	Resolution to Voluntary Liquidate
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Notice Letter - Standard Voluntary Liquidation
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Senior Management Resolution on Surrender of Fiduciary
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Notice of Effective Date for Relocation
19996	Comptroller's Licensing Manual	Form	Unchanged	Federal Branch & Agency Relocation Application
19996	Comptroller's Licensing Manual	Form	Unchanged	Application for a Change of Status of an Office of a Foreign Bank
19996	Comptroller's Licensing Manual	Form	Unchanged	Application to Acquire a Federal Branch or Agency
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	After-the-Fact Notice Acquisitions
19996	Comptroller's Licensing Manual	Form	Unchanged	Request for After-the-Fact Notice Acquisitions
19996	Comptroller's Licensing Manual	Form	Unchanged	Request for After-the-Fact Approval
19996	Comptroller's Licensing Manual	Form	Unchanged	Financial Data
19996	Comptroller's Licensing Manual	Form	Unchanged	Application to Establish an Initial-Additional Federal Branch or Agency
19996	Comptroller's Licensing Manual	Form	Unchanged	149 - Notice of Intent - Voluntary Liquidation
19996	Comptroller's Licensing Manual	Form	Unchanged	148 - Notice upon Commencement of Voluntary Liquidation
19996	Comptroller's Licensing Manual	Form	Unchanged	147 - Final Notice of Merger or Consolidation Out and Notice of Intent - Merger or Consolidation
19996	Comptroller's Licensing Manual	Form	Unchanged	146 - Final Notice of Conversion Out
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	145 - Notice of Intent - Expedited Liquidation
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	144 - Final Notice - Expedited Liquidation
19996	Comptroller's Licensing Manual	Form	Unchanged	143 - Voluntary Liquidation - Annual Report
19996	Comptroller's Licensing Manual	Form	Unchanged	142 - Voluntary Liquidation - Report of Condition at Commencement of Liquidation
19996	Comptroller's Licensing Manual	Form	Unchanged	141 - Voluntary Liquidation - Board of Directors' and Shareholders' Resolution
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Public Notice of Voluntary Liquidation
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	139 - Notice of Intent of Conversion Out
19996	Comptroller's Licensing Manual	Form	Unchanged	138 - Voluntary Liquidation Final Report
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Notice of Debt Issuance
19996	Comptroller's Licensing Manual	Form	Unchanged	Application to Prepay Subordinated Debt
19996	Comptroller's Licensing Manual	Form	Unchanged	Application to Issue Subordinated Debt
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	130-131-132 - Management Interlocks Application
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Application for Increase
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	After the Fact Notice
19996	Comptroller's Licensing Manual	Form	Unchanged	Investment in Bank Premises
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	125 - Residency Waiver Request
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	124 - Citizenship Waiver Request
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Change of Address
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Notification of Change of Corporate Title
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Interagency Notice of Change in Control
19996	Comptroller's Licensing Manual	Form	Unchanged	Affidavit
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Notice - Increase in Stock for Cash
19996	Comptroller's Licensing Manual	Form	Unchanged	Application - Reverse Stock Split
19996	Comptroller's Licensing Manual	Form	Unchanged	Application - Quasi-Reorganization
19996	Comptroller's Licensing Manual	Form	Unchanged	Application - Reduction of Permanent Capital
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Application - Increase in Capital for Other than Cash
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Sample Customer Notice of Branch Closing
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Advance Branch Closing & Downgrade Notice
19996	Comptroller's Licensing Manual	Form	Unchanged	Financial Subsidiary Notice & Certification
19996	Comptroller's Licensing Manual	Form	Unchanged	Financial Subsidiary Certification
19996	Comptroller's Licensing Manual	Form	Unchanged	Financial Subsidiary Notice
19996	Comptroller's Licensing Manual	Form	Unchanged	Bank Service Company Application
19996	Comptroller's Licensing Manual	Form	Unchanged	Operating Subsidiary Application
19996	Comptroller's Licensing Manual	Form	Unchanged	Annual Report on Operating Subsidiaries
19996	Comptroller's Licensing Manual	Form	Unchanged	After-the-Fact Notice-Equity Investment
19996	Comptroller's Licensing Manual	Form	Unchanged	After-the-Fact Notice-Subsidiary
19996	Comptroller's Licensing Manual	Form	Unchanged	Investments in Subsidiaries & Equities
19996	Comptroller's Licensing Manual	Form	Unchanged	Commencement of Fiduciary Activities Notice
19996	Comptroller's Licensing Manual	Form	Unchanged	Surrender of Fiduciary Powers
19996	Comptroller's Licensing Manual	Form	Unchanged	After-the-Fact Notice
19996	Comptroller's Licensing Manual	Form	Unchanged	Application
19996	Comptroller's Licensing Manual	Form	Unchanged	Secretary's Certificate of Shareholders' Approval of Combination
19996	Comptroller's Licensing Manual	Form	Unchanged	Secretary's Certificate of Board of Directors' Approval of Combination
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Notice of Shareholders' Meeting to Vote on Combination
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Notice of Consummation
19996	Comptroller's Licensing Manual	Form	Unchanged	Emergency Processing Request
19996	Comptroller's Licensing Manual	Form	Unchanged	Board of Directors' Waiver of Notice of Board Meeting and Written Consent of Business Combination
19996	Comptroller's Licensing Manual	Form	Unchanged	Shareholders' Waiver of Notice of Shareholders' Meeting and Written Consent of Business Combination
19996	Comptroller's Licensing Manual	Form	Unchanged	Stock Payment Certificate and Oaths of Directors and Officers
19996	Comptroller's Licensing Manual	Form	Unchanged	Application - Reorganization - Subsidiary of a BHC
19996	Comptroller's Licensing Manual	Form	Unchanged	Application - Interim National Bank Charter
19996	Comptroller's Licensing Manual	Form	Unchanged	Merger with Nonbank Subsidiary or Affliliate
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Bank Merger Screen
19996	Comptroller's Licensing Manual	Form	Unchanged	Branches Requiring Authorization
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Interagency Bank Merger Act Application
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Business Combination Application - Streamlined
19996	Comptroller's Licensing Manual	Form	Unchanged	Business Combination Application - Checklist and Community Reinvestment Commitments
19996	Comptroller's Licensing Manual	Form	Unchanged	Opening Date for Relocation of Main Office to Branch Site within the Same Town, City or Village
19996	Comptroller's Licensing Manual	Form	Unchanged	Opening Date of Branch Office
19996	Comptroller's Licensing Manual	Form	Unchanged	Main Office Relocation to Existing Branch Site within the Same City
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Branch and Relocation Application
19996	Comptroller's Licensing Manual	Form	Unchanged	Bylaws
19996	Comptroller's Licensing Manual	Form	Unchanged	Organization Certificate
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Oaths of Bank Directors
19996	Comptroller's Licensing Manual	Form	Unchanged	Letter Certifying Conversion Completion
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Letter Certifying Conversion Completion
19996	Comptroller's Licensing Manual	Form	Unchanged	Authority for Conversion to National Bank
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	41 - Conversion Application
19996	Comptroller's Licensing Manual	Form	Unchanged	Preopening Checklist for Organizers
19996	Comptroller's Licensing Manual	Form	Unchanged	Organization Completed
19996	Comptroller's Licensing Manual	Form	Unchanged	First Meeting of Directors
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Waiver of Notice of the First Board Meeting
19996	Comptroller's Licensing Manual	Form	Unchanged	Minutes of Subsequent Organizing Board Meetings
19996	Comptroller's Licensing Manual	Form	Unchanged	Minutes of the First Shareholder's Meeting
19996	Comptroller's Licensing Manual	Form	Unchanged	Notice of First Shareholder's Meeting
19996	Comptroller's Licensing Manual	Form	Unchanged	Proxy Card
19996	Comptroller's Licensing Manual	Form	Unchanged	Corporate Resolution
19996	Comptroller's Licensing Manual	Form	Unchanged	Capital Stock Payment Certificate
19996	Comptroller's Licensing Manual	Form	Unchanged	Subscription
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Bylaws
19996	Comptroller's Licensing Manual	Form	Unchanged	Joint Oath of Bank Directors
19996	Comptroller's Licensing Manual	Form	Unchanged	Individual Oath of Bank Director
19996	Comptroller's Licensing Manual	Form	Unchanged	Organizing Board's First Meeting
19996	Comptroller's Licensing Manual	Form	Unchanged	Waiver of Notice of Organizing Board's First Meeting
19996	Comptroller's Licensing Manual	Form	Unchanged	Contact Person
19996	Comptroller's Licensing Manual	Form	Unchanged	Organization Certificate
19996	Comptroller's Licensing Manual	Form	Unchanged	Articles of Association
19996	Comptroller's Licensing Manual	Form	Unchanged	First Meeting of Organizers
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Charter Application
19996	Comptroller's Licensing Manual	Form	Unchanged	IRS Tax Check Waiver
19996	Comptroller's Licensing Manual	Form	Unchanged	Appointment of Agent
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Corporate Background & Financial Report
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Interagency Biographical and Financial Report
19996	Comptroller's Licensing Manual	Form	Unchanged	Consent Form for DEA Background Investigations
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Background Investigations
19996	Comptroller's Licensing Manual	Form and Instruction	Unchanged	Change in Assets Application
19996	Comptroller's Licensing Manual	Instruction	Unchanged

ICR Details

OMB Control No: 1557-0014	ICR Reference No: 201704-1557-002
Status: Historical Active	Previous ICR Reference No: 201608-1557-004
Agency/Subagency: TREAS/OCC	Agency Tracking No:
Title: Comptroller's Licensing Manual
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/19/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/06/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2018	06/30/2018	06/30/2018
Responses	3,865	0	3,863
Time Burden (Hours)	12,221	0	12,220
Cost Burden (Dollars)	0	0	0

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Abstract: The Comptroller's Licensing Manual explains the OCC's policies and procedures for the formation of a new national bank or Federal savings association, entry into the banking system by other institutions, and corporate expansion and structural changes by existing national banks and Federal savings associations. The OCC is merging the Reduction in Permanent Capital ICR (1557-0338) into this collection without change.

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Authorizing Statute(s): US Code: 12 USC 1 et. seq. Name of Law: National Bank Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1557-AD80	Final or interim final rulemaking	80 FR 28346	05/18/2015

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Comptroller's Licensing Manual	N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, 1623, 1623, 138, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, 1639, 1584, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, 1680, 1681, 1682, 1683, 1561, 1622, 1583, 1582, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A	Change in Assets Application ,   Background Investigations ,   Consent Form for DEA Background Investigations ,   Interagency Biographical and Financial Report ,   Corporate Background & Financial Report ,   Appointment of Agent ,   IRS Tax Check Waiver ,   Charter Application ,   First Meeting of Organizers ,   Articles of Association ,   Organization Certificate ,   Contact Person ,   Waiver of Notice of Organizing Board's First Meeting ,   Organizing Board's First Meeting ,   Individual Oath of Bank Director ,   Joint Oath of Bank Directors ,   Bylaws ,   Subscription ,   Capital Stock Payment Certificate ,   Corporate Resolution ,   Proxy Card ,   Notice of First Shareholder's Meeting ,   Minutes of the First Shareholder's Meeting ,   Minutes of Subsequent Organizing Board Meetings ,   Waiver of Notice of the First Board Meeting ,   First Meeting of Directors ,   Organization Completed ,   Preopening Checklist for Organizers ,   41 - Conversion Application ,   Authority for Conversion to National Bank ,   Letter Certifying Conversion Completion ,   Letter Certifying Conversion Completion ,   Oaths of Bank Directors ,   Organization Certificate ,   Bylaws ,   Branch and Relocation Application ,   Main Office Relocation to Existing Branch Site within the Same City ,   Opening Date of Branch Office ,   Opening Date for Relocation of Main Office to Branch Site within the Same Town, City or Village ,   Business Combination Application - Checklist and Community Reinvestment Commitments ,   Business Combination Application - Streamlined ,   Interagency Bank Merger Act Application ,   Branches Requiring Authorization ,   Bank Merger Screen ,   Merger with Nonbank Subsidiary or Affliliate ,   Application - Interim National Bank Charter ,   Application - Reorganization - Subsidiary of a BHC ,   Stock Payment Certificate and Oaths of Directors and Officers ,   Shareholders' Waiver of Notice of Shareholders' Meeting and Written Consent of Business Combination ,   Board of Directors' Waiver of Notice of Board Meeting and Written Consent of Business Combination ,   Emergency Processing Request ,   Notice of Consummation ,   Notice of Shareholders' Meeting to Vote on Combination ,   Secretary's Certificate of Board of Directors' Approval of Combination ,   Secretary's Certificate of Shareholders' Approval of Combination ,   Application ,   After-the-Fact Notice ,   Surrender of Fiduciary Powers ,   Commencement of Fiduciary Activities Notice ,   Investments in Subsidiaries & Equities ,   After-the-Fact Notice-Subsidiary ,   After-the-Fact Notice-Equity Investment ,   Annual Report on Operating Subsidiaries ,   Operating Subsidiary Application ,   Bank Service Company Application ,   Financial Subsidiary Notice ,   Financial Subsidiary Certification ,   Financial Subsidiary Notice & Certification ,   Advance Branch Closing & Downgrade Notice ,   Sample Customer Notice of Branch Closing ,   Application - Increase in Capital for Other than Cash ,   Application - Reduction of Permanent Capital ,   Application - Quasi-Reorganization ,   Application - Reverse Stock Split ,   Notice - Increase in Stock for Cash ,   Affidavit ,   Interagency Notice of Change in Control ,   Notification of Change of Corporate Title ,   Change of Address ,   124 - Citizenship Waiver Request ,   125 - Residency Waiver Request ,   Investment in Bank Premises ,   After the Fact Notice ,   Application for Increase ,   130-131-132 - Management Interlocks Application ,   Application to Issue Subordinated Debt ,   Application to Prepay Subordinated Debt ,   Notice of Debt Issuance ,   138 - Voluntary Liquidation Final Report ,   139 - Notice of Intent of Conversion Out ,   Public Notice of Voluntary Liquidation ,   141 - Voluntary Liquidation - Board of Directors' and Shareholders' Resolution ,   142 - Voluntary Liquidation - Report of Condition at Commencement of Liquidation ,   143 - Voluntary Liquidation - Annual Report ,   144 - Final Notice - Expedited Liquidation ,   145 - Notice of Intent - Expedited Liquidation ,   146 - Final Notice of Conversion Out ,   147 - Final Notice of Merger or Consolidation Out and Notice of Intent - Merger or Consolidation ,   148 - Notice upon Commencement of Voluntary Liquidation ,   149 - Notice of Intent - Voluntary Liquidation ,   Application to Establish an Initial-Additional Federal Branch or Agency ,   Financial Data ,   Request for After-the-Fact Approval ,   Request for After-the-Fact Notice Acquisitions ,   After-the-Fact Notice Acquisitions ,   Application to Acquire a Federal Branch or Agency ,   Application for a Change of Status of an Office of a Foreign Bank ,   Federal Branch & Agency Relocation Application ,   Notice of Effective Date for Relocation ,   Senior Management Resolution on Surrender of Fiduciary ,   Notice Letter - Standard Voluntary Liquidation ,   Resolution to Voluntary Liquidate ,   Voluntary Liquidation - Sample Public Notice ,   Liquidation - Interim Progress Report ,   Liquidation - Final Report ,   Capital Equivalency Deposit Agreement ,   Notice of a Change in Activities or Operations ,   Notice for a Change in Control ,   Senior Management Resolution or Conversion of a Federal Branch or Agency to a State-Licensed Operation of a Foreign Bank ,   Non-Controlling Equity Investment Application ,   Interagency Charter and Federal Deposit Insurance Application ,   Interagency Biographical and Financial Report ,   Mutual to Stock Conversion Application ,   Interagency Bank Merger Act Application ,   Notice of Filing Pursuant to 12 CFR Section 563.22(c) for Institutions that Qualify for Expedited Treatment ,   Notice for Issuance of Subordinated Debt or Mandatorily Redeemable Preferred Stock ,   Interagency Notice of Change in Control ,   Interagency Biographical and Financial Report ,   Application for Conversion of a Depository Institution to a Federal Stock or Mutual Savings Association ,   Notice or Application for Capital Distribution ,   Charter - Federal Stock Association ,   Bylaws - Mutual Savings Associations ,   Charter - Federal Mutual Association ,   Bylaws - Federal Stock Association ,   Charter and Bylaw Amendments ,   Voluntary Liquidation - Liquidation Plan ,   After-the-Fact Notice—Satisfaction of DPC Other Equity Investments—National Banks Pass-Through Investments—Federal Savings Associations ,   12 USC 1828(m) Investment Application Federal Savings Associations ,   Subsidiary Redesignation Notice Federal Savings Association ,   Other Equity Investments—National Banks Pass-Through Investments—Federal Savings Associations Application ,   Equity Investment in Statutory Subsidiary—National Banks After-the-Fact Notice ,   Merger of a National Bank With a Nonbank Affiliate Resulting in a Nonbank Affiliate Application ,   Agency Office Additional Services Application ,   After the Fact Notice: FSA Branch/Relocation
Reduction in Permanent Capital	N/A	Reduction of Permanent Capital and Capital Distribution Notice

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	3,865	3,863	0	2	0	0
Annual Time Burden (Hours)	12,221	12,220	0	1	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The increase in burden is due to the merger of two information collections.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Yes

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/06/2017

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