Uniform Termination Notice for Securities Principal or Represenatative

Uniform Application/Uniform Termination for Municipal Securities Principal or Representative

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0022 can be found here:

Documents and Forms

Document Name Document Type
Form MSD-5 Uniform Termination Notice for Securities Principal or Represenatative Form
FR_MSD-520170331_i.pdf Instruction
MSD-5 Uniform Termination Notice for Municipal Securities Prin FR_MSD-520170331_f.pdf Form

Information Collection (IC) Details

IC Title:	Uniform Termination Notice for Securities Principal or Represenatative	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	MSD-5	Uniform Termination Notice for Municipal Securities Principal or Representative	FR_MSD-520170331_f.pdf		Yes	No	Fillable Printable
Instruction			FR_MSD-520170331_i.pdf		Yes	No	Printable Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title: http://www.fdic.gov/regulations/laws/rules/2000-4050.html#200030--64--0016	FR Citation: 80 FR 66982

Number of Respondents: 2	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	2	2
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.