Information Collection Request

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

ICR 202101-3133-002 · OMB 3133-0015 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 4001 FCU Investigation Report Form and Instruction Modified Available
Form NCUA 4506 Federal to State Conversion - Ballot for Conversion Proposal Form Modified Available
Form NCUA 4505 Affidavit - Proof of Results Membership Vote Form Modified Available
Form NCUA 4401 Application to Convert From a State to a Federal CU Form Modified Available
Form NCUA 4221 Notice of Meeting of Members to Convert from a Federal to a State Chartered CU Form Modified Available
Form NCUA 4000 Conversions of State Charter to Federal Charter (FCU Investigation Report) Form Modified Available
Form NCUA 4015-A Application FOM Amendment (Multiple Common Bond Expansion Groups of 3,000 to 4,999) Form Modified Available
Form NCUA 4015-EZ Application FOM Amendment (Multiple Common Bond Expansions less than 3,000 and All Single Common Bond Expansions) Form Modified Available
Form NCUA 4015 Application FOM Amendment (Multiple Common Bond Expansion Groups of 3,000 or more) Form Modified Available
Form NCUA 9501 Certification of Resolutions Form Modified Available
Form NCUA 9500 Application and Agreements for Insurance of Accounts Form Modified Available
Form NCUA 4012 Report of Official and Agreement to Serve Form Modified Available
Form NCUA 4008 Organization Certification Form Modified Available
Form NCUA 4008 Chartering and Field of Membership Manual Form Modified Repair queued
Final_SS_3133-0015_Shared Facility_NPRM_12521.docx Supporting Statement A Uploaded 2021-01-29 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
32675 Chartering and Field of Membership Manual Form and Instruction ModifiedFCU Investigation Report
32675 Chartering and Field of Membership Manual Form ModifiedFederal to State Conversion - Ballot for Conversion Proposal
32675 Chartering and Field of Membership Manual Form ModifiedAffidavit - Proof of Results Membership Vote
32675 Chartering and Field of Membership Manual Form ModifiedApplication to Convert From a State to a Federal CU
32675 Chartering and Field of Membership Manual Form ModifiedNotice of Meeting of Members to Convert from a Federal to a State Chartered CU
32675 Chartering and Field of Membership Manual Form ModifiedConversions of State Charter to Federal Charter (FCU Investigation Report)
32675 Chartering and Field of Membership Manual Form ModifiedApplication FOM Amendment (Multiple Common Bond Expansion Groups of 3,000 to 4,999)
32675 Chartering and Field of Membership Manual Form ModifiedApplication FOM Amendment (Multiple Common Bond Expansions less than 3,000 and All Single Common Bond Expansions)
32675 Chartering and Field of Membership Manual Form ModifiedApplication FOM Amendment (Multiple Common Bond Expansion Groups of 3,000 or more)
32675 Chartering and Field of Membership Manual Form ModifiedCertification of Resolutions
32675 Chartering and Field of Membership Manual Form ModifiedApplication and Agreements for Insurance of Accounts
32675 Chartering and Field of Membership Manual Form ModifiedReport of Official and Agreement to Serve
32675 Chartering and Field of Membership Manual Form ModifiedOrganization Certification
32675 Chartering and Field of Membership Manual Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2023 36 Months From Approved 09/30/2023
8,155 0 8,155
16,183 0 16,183
0 0 0





Reginfo record details
1
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 4401, NCUA 4015-EZ ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,  



Reginfo record details
  No