Information Collection

Comptroller's Licensing Manual

IC 19996 under ICR 201704-1557-002 · OMB 1557-0014.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Change in Assets Application Comptroller's Licensing Manual Form and Instruction
Background Investigations Comptroller's Licensing Manual Form and Instruction
Consent Form for DEA Background Investigations Comptroller's Licensing Manual Form
Interagency Biographical and Financial Report Comptroller's Licensing Manual Form and Instruction
Corporate Background & Financial Report Comptroller's Licensing Manual Form and Instruction
Appointment of Agent Comptroller's Licensing Manual Form
IRS Tax Check Waiver Comptroller's Licensing Manual Form
Charter Application Comptroller's Licensing Manual Form and Instruction
First Meeting of Organizers Comptroller's Licensing Manual Form
Articles of Association Comptroller's Licensing Manual Form
Organization Certificate Comptroller's Licensing Manual Form
Contact Person Comptroller's Licensing Manual Form
Waiver of Notice of Organizing Board's First Meeting Comptroller's Licensing Manual Form
Organizing Board's First Meeting Comptroller's Licensing Manual Form
Individual Oath of Bank Director Comptroller's Licensing Manual Form
Joint Oath of Bank Directors Comptroller's Licensing Manual Form
Bylaws Comptroller's Licensing Manual Form and Instruction
Subscription Comptroller's Licensing Manual Form
Capital Stock Payment Certificate Comptroller's Licensing Manual Form
Corporate Resolution Comptroller's Licensing Manual Form
Proxy Card Comptroller's Licensing Manual Form
Notice of First Shareholder's Meeting Comptroller's Licensing Manual Form
Minutes of the First Shareholder's Meeting Comptroller's Licensing Manual Form
Minutes of Subsequent Organizing Board Meetings Comptroller's Licensing Manual Form
Waiver of Notice of the First Board Meeting Comptroller's Licensing Manual Form and Instruction
First Meeting of Directors Comptroller's Licensing Manual Form
Organization Completed Comptroller's Licensing Manual Form
Preopening Checklist for Organizers Comptroller's Licensing Manual Form
41 - Conversion Application Comptroller's Licensing Manual Form and Instruction
Authority for Conversion to National Bank Comptroller's Licensing Manual Form
Letter Certifying Conversion Completion Comptroller's Licensing Manual Form and Instruction
Letter Certifying Conversion Completion Comptroller's Licensing Manual Form
Oaths of Bank Directors Comptroller's Licensing Manual Form and Instruction
Organization Certificate Comptroller's Licensing Manual Form
Bylaws Comptroller's Licensing Manual Form
Branch and Relocation Application Comptroller's Licensing Manual Form and Instruction
Main Office Relocation to Existing Branch Site within the Same City Comptroller's Licensing Manual Form
Opening Date of Branch Office Comptroller's Licensing Manual Form
Opening Date for Relocation of Main Office to Branch Site within the Same Town, City or Village Comptroller's Licensing Manual Form
Business Combination Application - Checklist and Community Reinvestment Commitments Comptroller's Licensing Manual Form
Business Combination Application - Streamlined Comptroller's Licensing Manual Form and Instruction
Interagency Bank Merger Act Application Comptroller's Licensing Manual Form and Instruction
Branches Requiring Authorization Comptroller's Licensing Manual Form
Bank Merger Screen Comptroller's Licensing Manual Form and Instruction
Merger with Nonbank Subsidiary or Affliliate Comptroller's Licensing Manual Form
Application - Interim National Bank Charter Comptroller's Licensing Manual Form
Application - Reorganization - Subsidiary of a BHC Comptroller's Licensing Manual Form
Stock Payment Certificate and Oaths of Directors and Officers Comptroller's Licensing Manual Form
Shareholders' Waiver of Notice of Shareholders' Meeting and Written Consent of Business Combination Comptroller's Licensing Manual Form
Board of Directors' Waiver of Notice of Board Meeting and Written Consent of Business Combination Comptroller's Licensing Manual Form
Emergency Processing Request Comptroller's Licensing Manual Form
Notice of Consummation Comptroller's Licensing Manual Form and Instruction
Notice of Shareholders' Meeting to Vote on Combination Comptroller's Licensing Manual Form and Instruction
Secretary's Certificate of Board of Directors' Approval of Combination Comptroller's Licensing Manual Form
Secretary's Certificate of Shareholders' Approval of Combination Comptroller's Licensing Manual Form
Application Comptroller's Licensing Manual Form
After-the-Fact Notice Comptroller's Licensing Manual Form
Surrender of Fiduciary Powers Comptroller's Licensing Manual Form
Commencement of Fiduciary Activities Notice Comptroller's Licensing Manual Form
Investments in Subsidiaries & Equities Comptroller's Licensing Manual Form
After-the-Fact Notice-Subsidiary Comptroller's Licensing Manual Form
After-the-Fact Notice-Equity Investment Comptroller's Licensing Manual Form
Annual Report on Operating Subsidiaries Comptroller's Licensing Manual Form
Operating Subsidiary Application Comptroller's Licensing Manual Form
Bank Service Company Application Comptroller's Licensing Manual Form
Financial Subsidiary Notice Comptroller's Licensing Manual Form
Financial Subsidiary Certification Comptroller's Licensing Manual Form
Financial Subsidiary Notice & Certification Comptroller's Licensing Manual Form
Advance Branch Closing & Downgrade Notice Comptroller's Licensing Manual Form and Instruction
Sample Customer Notice of Branch Closing Comptroller's Licensing Manual Form and Instruction
Application - Increase in Capital for Other than Cash Comptroller's Licensing Manual Form and Instruction
Application - Reduction of Permanent Capital Comptroller's Licensing Manual Form
Application - Quasi-Reorganization Comptroller's Licensing Manual Form
Application - Reverse Stock Split Comptroller's Licensing Manual Form
Notice - Increase in Stock for Cash Comptroller's Licensing Manual Form and Instruction
Affidavit Comptroller's Licensing Manual Form
Interagency Notice of Change in Control Comptroller's Licensing Manual Form and Instruction
Notification of Change of Corporate Title Comptroller's Licensing Manual Form and Instruction
Change of Address Comptroller's Licensing Manual Form and Instruction
124 - Citizenship Waiver Request Comptroller's Licensing Manual Form and Instruction
125 - Residency Waiver Request Comptroller's Licensing Manual Form and Instruction
Investment in Bank Premises Comptroller's Licensing Manual Form
After the Fact Notice Comptroller's Licensing Manual Form and Instruction
Application for Increase Comptroller's Licensing Manual Form and Instruction
130-131-132 - Management Interlocks Application Comptroller's Licensing Manual Form and Instruction
Application to Issue Subordinated Debt Comptroller's Licensing Manual Form
Application to Prepay Subordinated Debt Comptroller's Licensing Manual Form
Notice of Debt Issuance Comptroller's Licensing Manual Form and Instruction
138 - Voluntary Liquidation Final Report Comptroller's Licensing Manual Form
139 - Notice of Intent of Conversion Out Comptroller's Licensing Manual Form and Instruction
Public Notice of Voluntary Liquidation Comptroller's Licensing Manual Form and Instruction
141 - Voluntary Liquidation - Board of Directors' and Shareholders' Resolution Comptroller's Licensing Manual Form
142 - Voluntary Liquidation - Report of Condition at Commencement of Liquidation Comptroller's Licensing Manual Form
143 - Voluntary Liquidation - Annual Report Comptroller's Licensing Manual Form
144 - Final Notice - Expedited Liquidation Comptroller's Licensing Manual Form and Instruction
145 - Notice of Intent - Expedited Liquidation Comptroller's Licensing Manual Form and Instruction
146 - Final Notice of Conversion Out Comptroller's Licensing Manual Form
147 - Final Notice of Merger or Consolidation Out and Notice of Intent - Merger or Consolidation Comptroller's Licensing Manual Form
148 - Notice upon Commencement of Voluntary Liquidation Comptroller's Licensing Manual Form
149 - Notice of Intent - Voluntary Liquidation Comptroller's Licensing Manual Form
Application to Establish an Initial-Additional Federal Branch or Agency Comptroller's Licensing Manual Form
Financial Data Comptroller's Licensing Manual Form
Request for After-the-Fact Approval Comptroller's Licensing Manual Form
Request for After-the-Fact Notice Acquisitions Comptroller's Licensing Manual Form
After-the-Fact Notice Acquisitions Comptroller's Licensing Manual Form and Instruction
Application to Acquire a Federal Branch or Agency Comptroller's Licensing Manual Form
Application for a Change of Status of an Office of a Foreign Bank Comptroller's Licensing Manual Form
Federal Branch & Agency Relocation Application Comptroller's Licensing Manual Form
Notice of Effective Date for Relocation Comptroller's Licensing Manual Form and Instruction
Senior Management Resolution on Surrender of Fiduciary Comptroller's Licensing Manual Form and Instruction
Notice Letter - Standard Voluntary Liquidation Comptroller's Licensing Manual Form and Instruction
Resolution to Voluntary Liquidate Comptroller's Licensing Manual Form
Voluntary Liquidation - Sample Public Notice Comptroller's Licensing Manual Form and Instruction
Liquidation - Interim Progress Report Comptroller's Licensing Manual Form
Liquidation - Final Report Comptroller's Licensing Manual Form
Capital Equivalency Deposit Agreement Comptroller's Licensing Manual Form
Notice of a Change in Activities or Operations Comptroller's Licensing Manual Form and Instruction
Notice for a Change in Control Comptroller's Licensing Manual Form and Instruction
Senior Management Resolution or Conversion of a Federal Branch or Agency to a State-Licensed Operation of a Foreign Bank Comptroller's Licensing Manual Form and Instruction
Non-Controlling Equity Investment Application Comptroller's Licensing Manual Form and Instruction
Form 138
Interagency Charter and Federal Deposit Insurance Application Comptroller's Licensing Manual
Form
Form 1623
Interagency Biographical and Financial Report Comptroller's Licensing Manual
Form
Form 1680, 1681, 1682,
Mutual to Stock Conversion Application Comptroller's Licensing Manual
Form
Form 1639
Interagency Bank Merger Act Application Comptroller's Licensing Manual
Form and Instruction
Form 1584
Notice of Filing Pursuant to 12 CFR Section 563.22(c) for Institutions that Qualify for Expedited Treatment Comptroller's Licensing Manual
Form
Form 1561
Notice for Issuance of Subordinated Debt or Mandatorily Redeemable Preferred Stock Comptroller's Licensing Manual
Form
Form 1622
Interagency Notice of Change in Control Comptroller's Licensing Manual
Form
Form 1623
Interagency Biographical and Financial Report Comptroller's Licensing Manual
Form
Form 1582
Application for Conversion of a Depository Institution to a Federal Stock or Mutual Savings Association Comptroller's Licensing Manual
Form
Form 1583
Notice or Application for Capital Distribution Comptroller's Licensing Manual
Form
Charter - Federal Stock Association Comptroller's Licensing Manual Form
Bylaws - Mutual Savings Associations Comptroller's Licensing Manual Form
Charter - Federal Mutual Association Comptroller's Licensing Manual Form
Bylaws - Federal Stock Association Comptroller's Licensing Manual Form
Charter and Bylaw Amendments Comptroller's Licensing Manual Form and Instruction
Voluntary Liquidation - Liquidation Plan Comptroller's Licensing Manual Form and Instruction
After-the-Fact Notice—Satisfaction of DPC Other Equity Investments—National Banks Pass-Through Investments—Federal Savings Associations Comptroller's Licensing Manual Form
12 USC 1828(m) Investment Application Federal Savings Associations Comptroller's Licensing Manual Form and Instruction
Subsidiary Redesignation Notice Federal Savings Association Comptroller's Licensing Manual Form and Instruction
Other Equity Investments—National Banks Pass-Through Investments—Federal Savings Associations Application Comptroller's Licensing Manual Form and Instruction
Equity Investment in Statutory Subsidiary—National Banks After-the-Fact Notice Comptroller's Licensing Manual Form and Instruction
Merger of a National Bank With a Nonbank Affiliate Resulting in a Nonbank Affiliate Application Comptroller's Licensing Manual Form and Instruction
Agency Office Additional Services Application Comptroller's Licensing Manual Form and Instruction
After the Fact Notice: FSA Branch/Relocation Comptroller's Licensing Manual Form and Instruction
1 - General Policies & Procedures.pdf Instruction
3 - Survey Letter.pdf Other-Form Letter
4 - Significant Deviation Policy.pdf Instruction
11 - Charters.pdf Instruction
13 - Business Plan.pdf Instruction
14 - Financial Projections.pdf Instruction
15 - Application Ammendments.pdf Other-Form Letter
16 - Public Notice Sample.pdf Instruction
17 - Minority-Owned National Banks Policy Statement.pdf Instruction
20 - Instructions - Articles of Association.pdf Instruction
27 - Oaths of Bank Directors Instructions.pdf Instruction
40 - Conversions.pdf Instruction
45 - Instructions - Organization Certificate.pdf Instruction
47 - Articles of Association 2.pdf Instruction
49 - Branches & Relocations.pdf Instruction
54 - Business Combinations.pdf Instruction
69 - Public Notice and Instructions.pdf Instruction
72 - Sample Agreements - Consolidation.pdf Instruction
73 - Sample Agreements - Merger.pdf Instruction
74 - Sample Agreements - Purchase & Assumption.pdf Instruction
75 - Fiduciary Powers.pdf Instruction
79 - Fiduciary Operating Plan-Instructions.pdf Instruction
86 - OS Annual Report Instructions 5.2015 FINALOMB.docx Instruction
92 - Branch Closings.pdf Instruction
94 - Final Branch Closing, Consolidation, Relocation, Or Downgrade Notice.pdf Instruction
96 - Capital And Dividends.pdf Instruction
114 - Change In Bank Control.pdf Instruction
117 - Publication Notice.pdf Instruction
118 - Changes In Directors & Senior Executive Officers.pdf Instruction
119 - Notification Of Change Of Corporate Titile.pdf Instruction
120 - Change Of Corporate Title & Address.pdf Instruction
123 - Director Waivers.pdf Instruction
129 - Management Interlocks.pdf Instruction
133 - Issuance of Sub Debt Notice 5.2015 FINALOMB.docx Instruction
137 - Termination Of National Bank Status.pdf Instruction
150 - Federal Branches & Agencies.pdf Instruction
152 - Initial and Additional Establishments - Sample Public Notice.pdf Instruction
153 - Conditions for Initial and Additional Establishments.pdf Instruction
159 - Acquisitions - Sample Public Notice.pdf Instruction
161 - Notice of Contraction of Activities.pdf Instruction
163 - Relocations - Sample Public Notice.pdf Instruction
165 - Application Letter - Fiduciary Powers.pdf Instruction
166 - Fiduciary Operating Plan - Instructions.pdf Instruction
167 - Notice of Commencement of Fiduciary Activities.pdf Instruction
1550.0005.Form138.Handbook[1].pdf Instruction
1550.0032.Handbook[1].pdf Instruction
Change in Assets Application
2 - Change In Assets Applications.pdf
Form and Instruction
Background Investigations
5 - Background Investigations.pdf
Form and Instruction
Consent Form for DEA Background Investigations
6 - Consent Form for DEA Background Investigations.pdf
Form
Interagency Biographical and Financial Report
7 - Interagency Biographical and Financial Report.pdf
Form and Instruction
Corporate Background & Financial Report
8 - Corporate Background & Financial Report.pdf
Form and Instruction
Appointment of Agent
9 - Appointment Of Agent.pdf
Form
IRS Tax Check Waiver
10 - IRS Tax Check Waiver.pdf
Form
Charter Application
12 - Charter Application.pdf
Form and Instruction
First Meeting of Organizers
18 - First Meeting of Organizers.pdf
Form
Articles of Association
19 - Articles of Association.pdf
Form
Organization Certificate
21 - Organization Certificate.pdf
Form
Contact Person
22 - Contact Person.pdf
Form
Waiver of Notice of Organizing Board's First Meeting
23 - Waiver of Notice of Organizing Board's First Meeting.pdf
Form
Organizing Board's First Meeting
24 - Organizing Board's First Meeting.pdf
Form
Individual Oath of Bank Director
25 - Individual Oath of Bank Director.pdf
Form
Joint Oath of Bank Directors
26 - Joint Oath of Bank Directors.pdf
Form
Bylaws
28 - Bylaws.pdf
Form and Instruction
Subscription
29 - Subscription.pdf
Form
Capital Stock Payment Certificate
30 - Capital Stock Payment Certificate.pdf
Form
Corporate Resolution
31 - Corporate Resolution.pdf
Form
Proxy Card
32 - Proxy Card.pdf
Form
Notice of First Shareholder's Meeting
33 - Notice Of First Shareholder's Meeting.pdf
Form
Minutes of the First Shareholder's Meeting
34 - Minutes of the First Shareholder's Meeting.pdf
Form
Minutes of Subsequent Organizing Board Meetings
35 - Minutes of Subsequent Organizing Board Meetings.pdf
Form
Waiver of Notice of the First Board Meeting
36 - Waiver of Notice of the First Board Meeting.pdf
Form and Instruction
First Meeting of Directors
37 - First Meeting of Directors.pdf
Form
Organization Completed
38 - Organization Completed.pdf
Form
Preopening Checklist for Organizers
39 - Preopening Checklist for Organizers.pdf
Form
41 - Conversion Application
Conversion Application 4.2015 FINALOMB.docx
Form and Instruction
Authority for Conversion to National Bank
42 - Authority for Conversion to National Bank.pdf
Form
Letter Certifying Conversion Completion
43 - Letter Certifying Conversion Completion.pdf
Form and Instruction
Letter Certifying Conversion Completion
43 - Letter Certifying Conversion Completion.pdf
Form
Oaths of Bank Directors
44 - Oaths of Bank Directors.pdf
Form and Instruction
Organization Certificate
46 - Organization Certificate 2.pdf
Form
Bylaws
48 - Bylaws 2.pdf
Form
Branch and Relocation Application
50 - Branch and Relocation App 5.2015 FINALOMB.docx
Form and Instruction
Main Office Relocation to Existing Branch Site within th
51 - Main Office Relocation to Existing Branch Site within the Same City, Town or Village.pdf
Form
Opening Date of Branch Office
52 - Opening Date of Branch Office.pdf
Form
Opening Date for Relocation of Main Office to Branch Sit
53 - Opening Date for Relocation of Main Office to Branch Site within the Same Town, City or Village.pdf
Form
Business Combination Application - Checklist and Communi
55 - Business Combination Application - Checklist and Community Reinvestment Commitments.pdf
Form
Business Combination Application - Streamlined
56 - Business Combination Application - Streamlined.pdf
Form and Instruction
Interagency Bank Merger Act Application
57 - Interagency Bank Merger Act Application.pdf
Form and Instruction
Branches Requiring Authorization
58 - Branches Requiring Authorization.pdf
Form
Bank Merger Screen
59 - Bank Merger Screen.pdf
Form and Instruction
Merger with Nonbank Subsidiary or Affliliate
60 - Merger of NB with Nonbank affiliate - NB Results 5.2015 FINALOMB.docx
Form
Application - Interim National Bank Charter
61 - Interim Bank Charter App 5.2015 FINALOMB.docx
Form
Application - Reorganization - Subsidiary of a BHC
62 - NB Reorg to Sub of BHC 5.2015 FINALOMB.docx
Form
Stock Payment Certificate and Oaths of Directors and Off
63 - Stock Payment Certificate and Oaths of Directors and Officers.pdf
Form
Shareholders' Waiver of Notice of Shareholders' Meeting
64 - Shareholders' Waiver of Notice of Shareholders' Meeting and Written Consent of Business Combination.pdf
Form
Board of Directors' Waiver of Notice of Board Meeting an
65 - Board of Directors' Waiver of Noticve of Board Meeting and Written Consent of Business Combination.pdf
Form
Emergency Processing Request
66 - Emergency Processing Request.pdf
Form
Notice of Consummation
67 - Notice of Consummation.pdf
Form and Instruction
Notice of Shareholders' Meeting to Vote on Combination
68 - Notice of Shareholders' Meeting to Vote on Combination.pdf
Form and Instruction
Secretary's Certificate of Board of Directors' Approval
70 - Secretary's Certificate of Board of Directors' Approval of Combination.pdf
Form
Secretary's Certificate of Shareholders' Approval of Com
71 - Secretary's Certificate of Shareholders' Approval of Combination.pdf
Form
Application
76 - Fiduciary Powers Application 5.6.2015 FINALOMB.docx
Form
After-the-Fact Notice
77 - ATF Notice of Fiduciary Powers 5.6.2015 FINALOMB.docx
Form
Surrender of Fiduciary Powers
78- Surrender of Fiduciary Powers Notice 5.6.2015 FINALOMB.docx
Form
Commencement of Fiduciary Activities Notice
80 - Commencement of Fiduciary Activities Notice 5.6.2015 FINALOMB.docx
Form
Investments in Subsidiaries & Equities
81 - Investments in Subsidiaries & Equities.pdf
Form
After-the-Fact Notice-Subsidiary
82 - NB ATF Notice Op Sub 5.2015 FINALOMB.docx
Form
After-the-Fact Notice-Equity Investment
84 - ATF OE and Pass-Thru Notice 5.2015 FINALOMB.docx
Form
Annual Report on Operating Subsidiaries
85 OS Annual Report Form 5.2015 FINALOMB.docx
Form
Operating Subsidiary Application
87 - NB and FSA Op Sub App 5.2015 FINALOMB.docx
Form
Bank Service Company Application
NB and FSA Bank SVC CO Notice 5.2015 FINALOMB.docx
Form
Financial Subsidiary Notice
89 - NB Fin Sub Notice 5.2015 FINALOMB.docx
Form
Financial Subsidiary Certification
90 - NB Fin Sub Cert 5.2015 FINALOMB.docx
Form
Financial Subsidiary Notice & Certification
91 - Financial Subsidiary Notice & Certification.pdf
Form
Advance Branch Closing & Downgrade Notice
93 - Advance Branch Closing & Downgrade Notice.pdf
Form and Instruction
Sample Customer Notice of Branch Closing
95 - Sample Customer Notice of Branch CLosing.pdf
Form and Instruction
Application - Increase in Capital for Other than Cash
97 - Increase in Permanent Capital Application 5.2015 FINALOMB.docx
Form and Instruction
Application - Reduction of Permanent Capital
99 - Reduction of Permanent Capital Appl 5.2015 FINALOMB.docx
Form
Application - Quasi-Reorganization
100 - Quasi-reorganization Application 5.2015 FINALOMB.docx
Form
Application - Reverse Stock Split
103 - Reverse Stock Split Application 5.2015 FINALOMB.docx
Form
Notice - Increase in Stock for Cash
104 - Increase in Permanent Capital Notice 5.2015 FINALOMB.docx
Form and Instruction
Affidavit
115 - Affidavit.pdf
Form
Interagency Notice of Change in Control
116 - Interagency Notice of Change In Control.pdf
Form and Instruction
Notification of Change of Corporate Title
121 - Change in Corporate Title 5.2015 FINALOMB.docx
Form and Instruction
Change of Address
122 - Change of Address 5.2015 FINALOMB.docx
Form and Instruction
124 - Citizenship Waiver Request
Citizenship Waiver Request.docx
Form and Instruction
125 - Residency Waiver Request
Residency Waiver Request.docx
Form and Instruction
Investment in Bank Premises
126 - Investment In Bank Premises.pdf
Form
After the Fact Notice
127 - After The Fact Notice.pdf
Form and Instruction
Application for Increase
128 - Application For Increase.pdf
Form and Instruction
130-131-132 - Management Interlocks Application
Management Interlock Application 4.2015 FINALOMB.docx
Form and Instruction
Application to Issue Subordinated Debt
134 - Issuance of Subordinated Debt Application 5.2015 FINALOMB.docx
Form
Application to Prepay Subordinated Debt
135 - Prepayment of Sub Debt Application 5.2015 FINALOMB.docx
Form
Notice of Debt Issuance
136 - Notice of Debt Issuance.pdf
Form and Instruction
138 - Voluntary Liquidation Final Report
Vol Liq Final Report 4.2015 FINALOMB.docx
Form
139 - Notice of Intent of Conversion Out
Conversions Out Prelim Notice 4.2015 FINALOMB.docx
Form and Instruction
Public Notice of Voluntary Liquidation
140 - Public Notice of Voluntary Liquidation.pdf
Form and Instruction
141 - Voluntary Liquidation - Board of Directors' and Sh
Vol Liq BoardShareholder Resolution 4.2015 FINALOMB (2).docx
Form
142 - Voluntary Liquidation - Report of Condition at Com
Vol Liq Report of Cond Commence 4.2015 FINALOMB.docx
Form
143 - Voluntary Liquidation - Annual Report
Vol Liq Annual Report 4.2015 FINALOMB (2).docx
Form
144 - Final Notice - Expedited Liquidation
Final Notice Exp Liq 4.2015 FINALOMB.docx
Form and Instruction
145 - Notice of Intent - Expedited Liquidation
Notice of Intent of Exp Liq 4.2015 FINALOMB.docx
Form and Instruction
146 - Final Notice of Conversion Out
Conversions Out Final Notice 4.2015 FINALOMB.docx
Form
147 - Final Notice of Merger or Consolidation Out and No
Final Notice of Merger or Consolidation Out and Notice of Intent - Merger or Consolidation Out.docx
Form
148 - Notice upon Commencement of Voluntary Liquidation
Vol Liq Final Notice 4.2015 FINALOMB.docx
Form
149 - Notice of Intent - Voluntary Liquidation
Vol Liq Prelim Notice 4.2015 FINALOMB.docx
Form
Application to Establish an Initial-Additional Federal B
151 - Application to Establish an Initial-Additional Federal Branch or Agency W Instructions.pdf
Form
Financial Data
154 - Financial Data.pdf
Form
Request for After-the-Fact Approval
155 - Request for After-The-Fact Approval.pdf
Form
Request for After-the-Fact Notice Acquisitions
156 - Request for After-The-Fact Notice Acquisitions.pdf
Form
After-the-Fact Notice Acquisitions
157 - After-The-Fact Notice Acquisitions.pdf
Form and Instruction
Application to Acquire a Federal Branch or Agency
158 - Application to Acquire a Federal Branch or Agency.pdf
Form
Application for a Change of Status of an Office of a For
160 - Application for a Change of Status of an Office of a Foreign Bank.pdf
Form
Federal Branch & Agency Relocation Application
162 - Federal Branch & Agency Relocation Application.pdf
Form
Notice of Effective Date for Relocation
164 - Notice Of Effective Date for Relocation.pdf
Form and Instruction
Senior Management Resolution on Surrender of Fiduciary
168 - Senior Management Resolution on Surrender of Fiduciary.pdf
Form and Instruction
Notice Letter - Standard Voluntary Liquidation
169 - Notice Letter - Standard Voluntary Liquidation.pdf
Form and Instruction
Resolution to Voluntary Liquidate
170 - Resolution to Voluntary Liquidate.pdf
Form
Voluntary Liquidation - Sample Public Notice
171 - Voluntary Liquidation - Sample Public Notice.pdf
Form and Instruction
Liquidation - Interim Progress Report
172 - Liqudiation - Interim Progress Report.pdf
Form
Liquidation - Final Report
173 - Liqudiation - Final Report.pdf
Form
Capital Equivalency Deposit Agreement
174 - Capital Equivalency Deposit Agreement.pdf
Form
Notice of a Change in Activities or Operations
175 - Notice Of Change In Activities Or Operations.pdf
Form and Instruction
Notice for a Change in Control
176 - Notice For a Change In Control.pdf
Form and Instruction
Senior Management Resolution or Conversion of a Federal
177 - Senior Management Resolution or Conversion of a Federal Branch or Agency to a State-Licensed Operation of a Foreign Bank.p
Form and Instruction
Non-Controlling Equity Investment Application
178 - Non-Controlling Equity Investment Application.pdf
Form and Instruction
138 Interagency Charter and Federal Deposit Insurance Applic
1550-0005.Form138[1].pdf
Form
1623 Interagency Biographical and Financial Report
1550-0005.Form1623[1].pdf
Form
1680, 1681, 1682, Mutual to Stock Conversion Application
Form 1680.2011[1].pdf
Form
1639 Interagency Bank Merger Act Application
1550.0016. Bank_MergerApplication.08.01.08[1].doc
Form and Instruction
1584 Notice of Filing Pursuant to 12 CFR Section 563.22(c) fo
Form .1584.2010[1].pdf
Form
1561 Notice for Issuance of Subordinated Debt or Mandatorily
1550.0030.Form1561.2[1].pdf
Form
1622 Interagency Notice of Change in Control
1550.0032.form1622[1].pdf
Form
1623 Interagency Biographical and Financial Report
1550-0005.Form1623[1].pdf
Form
1582 Application for Conversion of a Depository Institution t
1550-0007 (Revised Form 1582)[1].pdf
Form
1583 Notice or Application for Capital Distribution
1550.0059.Form1583[1].pdf
Form
Charter - Federal Stock Association
Model Stock FSA charter 4.2015 FINALOMB.docx
Form
Bylaws - Mutual Savings Associations
Model Mutual FSA bylaws 4.2015 FINALOMB.docx
Form
Charter - Federal Mutual Association
Model Mutual FSA charter 4.2015 FINALOMB.docx
Form
Bylaws - Federal Stock Association
Model Stock FSA bylaws 4.2015 FINALOMB.docx
Form
Charter and Bylaw Amendments
Notice FSA Charter Bylaw Amendments 4.2015 FINALOMB.docx
Form and Instruction
Voluntary Liquidation - Liquidation Plan
Vol Liq Liq Plan 4.2015 FINALOMB.docx
Form and Instruction
After-the-Fact Notice—Satisfaction of DPC Other Equity I
ATF OE and Pass-Thru for DPC Notice 5.2015 FINALOMB.docx
Form
12 USC 1828(m) Investment Application Federal Savings As
FSA Pass-Thru 1828m and 5.58f2 5.2015 FINALOMB.docx
Form and Instruction
Subsidiary Redesignation Notice Federal Savings Associat
FSA Redesignation Notice 5.2015 FINALOMB.docx
Form and Instruction
Other Equity Investments—National Banks Pass-Through Inv
NB and FSA OE and Pass-Thru App 5.2015 FINALOMB.docx
Form and Instruction
Equity Investment in Statutory Subsidiary—National Banks
NB ATF Notice Stat Subs 5.2015 FINALOMB.docx
Form and Instruction
Merger of a National Bank With a Nonbank Affiliate Resul
Merger of NB with Nonbank Affiliate - Nonbank Results 5.2015 FINALOMB.docx
Form and Instruction
Agency Office Additional Services Application
Agency Office Additional Services 5.2015 FINALOMB.docx
Form and Instruction
After the Fact Notice: FSA Branch/Relocation
Branch and Relocation ATF Notice FSA 5.2015 FINALOMB.docx
Form and Instruction

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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
Instruction Yes No Printable Only
Form and Instruction N/A Yes Yes Fillable Fileable
Other-Form Letter Yes Yes Fillable Fileable
Instruction Yes No Printable Only
Form and Instruction N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form and Instruction N/A Yes Yes Fillable Fileable
Form and Instruction N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Instruction Yes No Printable Only
Form and Instruction N/A Yes Yes Fillable Fileable
Instruction Yes No Printable Only
Instruction Yes No Printable Only
Other-Form Letter Yes Yes Fillable Fileable
Instruction Yes No Printable Only
Instruction Yes No Printable Only
Form N/A Yes No Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Instruction Yes No Printable Only
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes No Fillable Fileable
Form N/A Yes No Fillable Fileable
Form N/A Yes No Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Instruction Yes No Printable Only
Form and Instruction N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form and Instruction N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Instruction Yes No Printable Only
Form and Instruction N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form and Instruction N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form and Instruction N/A Yes Yes Fillable Fileable
Instruction Yes No Printable Only
Form N/A Yes Yes Fillable Fileable
Instruction Yes No Printable Only
Form N/A Yes Yes Fillable Fileable
Instruction Yes No Printable Only
Form and Instruction N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Instruction Yes No Printable Only
Form N/A Yes Yes Fillable Fileable
Form and Instruction N/A Yes Yes Fillable Fileable
Form and Instruction N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form and Instruction N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form and Instruction N/A Yes Yes Fillable Fileable
Form and Instruction N/A Yes Yes Fillable Fileable
Instruction Yes No Printable Only
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Instruction Yes No Printable Only
Instruction Yes No Printable Only
Instruction Yes No Printable Only
Instruction Yes No Printable Only
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Instruction Yes No Printable Only
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Instruction Yes No Printable Only
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Instruction Yes No Printable Only
Form and Instruction N/A Yes Yes Fillable Fileable
Instruction Yes No Fillable Printable
Form and Instruction N/A Yes Yes Fillable Fileable
Instruction Yes No Printable Only
Form and Instruction N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form and Instruction N/A Yes Yes Fillable Fileable
Instruction Yes No Printable Only
Form N/A Yes Yes Fillable Fileable
Form and Instruction N/A Yes Yes Fillable Fileable
Instruction Yes No Printable Only
Instruction Yes No Printable Only
Instruction Yes No Printable Only
Instruction Yes No Printable Only
Form and Instruction N/A Yes Yes Fillable Fileable
Form and Instruction N/A Yes No Fillable Fileable
Instruction Yes No Printable Only
Form and Instruction N/A Yes Yes Fillable Fileable
Form and Instruction N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form and Instruction N/A Yes Yes Fillable Fileable
Form and Instruction N/A Yes Yes Fillable Fileable
Instruction Yes No Printable Only
Form and Instruction N/A Yes Yes Fillable Printable
Instruction Yes No Printable Only
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form and Instruction N/A Yes Yes Fillable Fileable
Instruction Yes No Printable Only
Form N/A Yes Yes Fillable Fileable
Form and Instruction N/A Yes Yes Fillable Fileable
Form and Instruction N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form and Instruction N/A Yes Yes Fillable Printable
Form and Instruction N/A Yes Yes Fillable Printable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Instruction Yes No Printable Only
Form N/A Yes Yes Fillable Fileable
Instruction Yes No Printable Only
Instruction Yes No Printable Only
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form and Instruction N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Instruction Yes No Printable Only
Form N/A Yes Yes Fillable Fileable
Instruction Yes No Printable Only
Form N/A Yes Yes Fillable Fileable
Instruction Yes No Printable Only
Form and Instruction N/A Yes Yes Fillable Fileable
Instruction Yes No Printable Only
Instruction Yes No Printable Only
Instruction Yes No Printable Only
Form and Instruction N/A Yes Yes Fillable Fileable
Form and Instruction N/A Yes Yes Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form and Instruction N/A Yes Yes Fillable Fileable
Form N/A Yes No Fillable Fileable
Form N/A Yes Yes Fillable Fileable
Form N/A Yes No Fillable Fileable
Form and Instruction N/A Yes Yes Fillable Fileable
Form and Instruction N/A Yes No Fillable Fileable
Form and Instruction N/A Yes No Fillable Fileable
Form and Instruction N/A Yes Yes Fillable Fileable
Form 138 No   Printable Only
Form 1623 No   Printable Only
Instruction No   Printable Only
Form 1680, 1681, 1682, 1683 Yes No Fillable Printable
Form and Instruction 1639 No   Printable Only
Form 1584 No   Printable Only
Form 1561 No   Printable Only
Form 1622 No   Printable Only
Form 1623 No   Printable Only
Instruction No   Printable Only
Form 1582 No   Printable Only
Form 1583 No   Printable Only
Form N/A Yes No Fillable Printable
Form N/A Yes No Fillable Printable
Form N/A Yes No Fillable Printable
Form N/A Yes No Fillable Printable
Form and Instruction N/A Yes No Fillable Printable
Form and Instruction N/A Yes No Fillable Printable
Form N/A Yes No Fillable Printable
Form and Instruction N/A Yes No Fillable Printable
Form and Instruction N/A Yes No Fillable Printable
Form and Instruction N/A Yes No Fillable Printable
Form and Instruction N/A Yes No Fillable Printable
Form and Instruction N/A Yes No Fillable Printable
Form and Instruction N/A Yes No Fillable Printable
Form and Instruction N/A Yes No Fillable Printable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 3,863 0 0 0 0 3,863
Annual IC Time Burden (Hours) 12,220 0 0 0 0 12,220
Annual IC Cost Burden (Dollars) 0 0 0 0 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.
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