Uniform Application for Municipal Securities Principal or Representative

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⚠️ Notice: This information collection may be referencing outdated material.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 FDIC 6200-54 Revis Uniform Application for Municipal Securities Principal or Representative Form
6200-54i (Ext) - MSD-4 Instructions (8-18).pdf Instruction
6200-54i (Ext) - MSD-4 Instructions (8-18).pdf Instruction
FDIC 6200-54 Revis Form MSD-4 Uniform Application for Municipal Securities 6200-54r (8-18).pdf Form
FDIC 6200-54 Revis Form MSD-4 Uniform Application for Municipal Securities 6200-54r (8-18).pdf Form
MSD-4 Redline.pdf Interagency Form MSD-4 Revsisions Redlined IC Document
MSD-4 Redline.pdf Interagency Form MSD-4 Revsisions Redlined IC Document
Justification Memo 0022 - Uniform Application - Termination Municipal Securities.docx Justification Memo 0022 Uniform Application and Termination Notice Municipal Securities IC Document
Justification Memo 0022 - Uniform Application - Termination Municipal Securities.docx Justification Memo 0022 Uniform Application and Termination Notice Municipal Securities IC Document

Information Collection (IC) Details

IC Title:	Uniform Application for Municipal Securities Principal or Representative	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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	FDIC 6200-54 Revised August 2018	Form MSD-4 Uniform Application for Municipal Securities Principal or Municipal Securities Representative Associated With a Bank Municipal Securities Dealer	6200-54r (8-18).pdf		Yes	Yes	Fillable Fileable
Instruction			6200-54i (Ext) - MSD-4 Instructions (8-18).pdf		Yes	No	Printable Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title: Professional Qualification Records for Municipal Securities Dealers, Municipal Securities Representatives, and U.S. Government Securities Brokers/Dealers System of Records (30-64-0016)	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	Previously Approved
Annual Number of Responses for this IC	2	2
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Interagency Form MSD-4 Revsisions Redlined	MSD-4 Redline.pdf	12/06/2018
Justification Memo 0022 Uniform Application and Termination Notice Municipal Securities	Justification Memo 0022 - Uniform Application - Termination Municipal Securities.docx	12/06/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.