Information Collection Request

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

ICR 201708-3133-001 · OMB 3133-0015 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 4001 Chartering and Field of Membership Manual Form and Instruction Unchanged Available
Form NCUA 9600 Charter Conversions Form and Instruction Removed Available
Form NCUA 4015 Single Common Bond and Multiple Common Bond Amendments Form Removed Available
FINAL_3133-0015_Supporting Statement.pdf Supporting Statement A Uploaded 2017-08-18 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
32675 Chartering and Field of Membership Manual Form and Instruction Unchanged
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

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2020 36 Months From Approved 08/31/2017
9,215 0 9,990
40,223 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 9600, NCUA 4000, NCUA 4221, NCUA 4401, NCUA 4505, NCUA 4506, NCUA 9500, NCUA 9501 Information to be Provided in Support of the Application of a State Chartered Credit Union for Insurance of Accounts ,   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

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 9,215 9,990 0 1,090 -1,865 0
Annual Time Burden (Hours) 40,223 15,398 0 26,160 -1,335 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


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