Information Collection

Uniform Termination Notice for Securities Principal or Represenatative

IC 230576 under ICR 201803-3064-001 · OMB 3064-0022.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

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.