OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Chartering and Field of Membership Manual

IC 32675 under ICR 202009-3133-004 · OMB 3133-0015.

Documents and Forms
Document Name
Document Type
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Chartering and Field of Membership Manual
 
No Modified
 
Mandatory
 
12 CFR 701

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form NCUA 4008 Organization Certification NCUA_4008.pdf https://www.ncua.gov/Legal/GuidesEtc/CharteringAndFOMForms/NCUA_4008.pdf Yes No Fillable Printable
Form NCUA 4012 Report of Official and Agreement to Serve NCUA_4012.pdf https://www.ncua.gov/Legal/GuidesEtc/CharteringAndFOMForms/NCUA_4012.pdf Yes No Fillable Printable
Form NCUA 9500 Application and Agreements for Insurance of Accounts NCUA_9500.pdf https://www.ncua.gov/Legal/GuidesEtc/CharteringAndFOMForms/NCUA_9500.pdf Yes No Fillable Printable
Form NCUA 9501 Certification of Resolutions NCUA_9501.pdf https://www.ncua.gov/Legal/GuidesEtc/CharteringAndFOMForms/NCUA_9501.pdf Yes No Fillable Printable
Form NCUA 4015 Application FOM Amendment (Multiple Common Bond Expansion Groups of 3,000 or more) NCUA_4015.pdf https://www.ncua.gov/Legal/GuidesEtc/CharteringAndFOMForms/NCUA_4015.pdf Yes No Fillable Printable
Form NCUA 4015-EZ Application FOM Amendment (Multiple Common Bond Expansions less than 3,000 and All Single Common Bond Expansions) NCUA_4015-EZ.pdf https://www.ncua.gov/Legal/GuidesEtc/CharteringAndFOMForms/NCUA_4015EZ.pdf Yes No Fillable Printable
Form NCUA 4015-A Application FOM Amendment (Multiple Common Bond Expansion Groups of 3,000 to 4,999) NCUA_4015-A.pdf Yes No Fillable Printable
Form NCUA 4000 Conversions of State Charter to Federal Charter (FCU Investigation Report) NCUA_4000.pdf https://www.ncua.gov/Legal/GuidesEtc/CharteringAndFOMForms/NCUA_4000.pdf Yes No Fillable Printable
Form NCUA 4221 Notice of Meeting of Members to Convert from a Federal to a State Chartered CU NCUA_4221.pdf https://www.ncua.gov/Legal/GuidesEtc/CharteringAndFOMForms/NCUA_4221.pdf Yes No Fillable Printable
Form NCUA 4401 Application to Convert From a State to a Federal CU NCUA_4401.pdf https://www.ncua.gov/Legal/GuidesEtc/CharteringAndFOMForms/NCUA_4401.pdf Yes No Fillable Printable
Form NCUA 4505 Affidavit - Proof of Results Membership Vote NCUA_4505.pdf https://www.ncua.gov/Legal/GuidesEtc/CharteringAndFOMForms/NCUA_4505.pdf Yes No Fillable Printable
Form NCUA 4506 Federal to State Conversion - Ballot for Conversion Proposal NCUA_4506.pdf https://www.ncua.gov/Legal/GuidesEtc/CharteringAndFOMForms/NCUA_4506.pdf Yes No Fillable Printable
Form and Instruction 4001 FCU Investigation Report NCUA_4001.pdf https://www.ncua.gov/Legal/GuidesEtc/CharteringAndFOMForms/NCUA_4001.pdf Yes No Fillable Printable

Economic Development Business and Industry Development

Personnel Access and Security System (PASS)  81 FR 12748

8,155 0
   
Private Sector Not-for-profit institutions
 
   90 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 8,155 0 0 -1,060 0 9,215
Annual IC Time Burden (Hours) 16,183 0 40 -24,080 0 40,223
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.