Information Collection

7200/05 – Declaration for Revocable Trust

IC 226649 under ICR 201705-3064-001 · OMB 3064-0143.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0143 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 7200/05 7200/05 – Declaration for Revocable Trust	Form and Instruction
7200/05 Declaration for Revocable Trust 7200-05.doc www.fdic.gov/regulations/laws/forms/claims.html	Form and Instruction

IC Title:

7200/05 â Declaration for Revocable Trust

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 12 CFR Part 330 (To search for a specific CFR, visit the Code of Federal Regulations.)

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
Form and Instruction	7200/05	Declaration for Revocable Trust	7200-05.doc	https://www.fdic.gov/regulations/laws/forms/claims.html	Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title: FDIC-30--64--0013 - Insured Financial Institution Liquidation Records

FR Citation: 80 FR 66981

Number of Respondents: 165

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	165	165
Annual IC Time Burden (Hours)	83	83
Annual IC Cost Burden (Dollars)	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.