Information Collection

Federal Reserve Membership Application

IC 36033 under ICR 201912-7100-010 · OMB 7100-0046.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FR 2083, FR 2083A, Federal Reserve Membership Application	Form and Instruction
FR2083_FR2083A_FR2083B_FR2083C_2019_fi_draft.pdf www.federalreserve.gov/apps/reportforms/default.aspx	Other-Draft Form and Instruction
FR 2083, FR 2083A, Federal Reserve Membership Application FR2083_FR2083A_FR2083B_FR2083C_20180131_fi.pdf www.federalreserve.gov/apps/reportforms/default.aspx	Form and Instruction

IC Title:

Agency IC Tracking Number:

FR 2083, FR 2083A, FR 2083B, FR 2083C

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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 and Instruction	FR 2083, FR 2083A, FR 2083B, and FR 2083C	Federal Reserve Membership Application	FR2083_FR2083A_FR2083B_FR2083C_20180131_fi.pdf	https://www.federalreserve.gov/apps/reportforms/default.aspx	Yes	Yes	Fillable Fileable
Other-Draft Form and Instruction			FR2083_FR2083A_FR2083B_FR2083C_2019_fi_draft.pdf	https://www.federalreserve.gov/apps/reportforms/default.aspx	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 16

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 30 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	16	16
Annual IC Time Burden (Hours)	64	64
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.