Interagency Charter and Federal Deposit Insurance Application

Forms and Documents

Document Name	Status
Form 6200-05 Interagency Charter and Federal Deposit Insurance Application Form and Instruction	Modified
3064-0001 Justification for Non-Substantive Form Revision.docx Justification for No Material/Nonsubstantive Change	2021-07-02
FR2-0001 Charter & Federal Deposit Insurance Application 84 FR 44895 (27 AUG 2019).pdf Supplementary Document	2019-08-27
FR1-0001 Charter & Federal Deposit Insurance Application 84 FR 30714 (27 JUN 2019).pdf Supplementary Document	2019-08-20
SPST-0001 Interagency Charter and Deposit Insurance Application 2019 Renewal.docx Supporting Statement A	2019-08-20
SPST0001 - FDIC policy.DOC Supplementary Document	2002-12-27

IC Document Collections

IC ID	Document Title	Status
31732	Interagency Charter and Federal Deposit Insurance Application Form and Instruction	Modified

ICR Details

OMB Control No: 3064-0001	ICR Reference No: 202107-3064-001
Status: Received in OIRA	Previous ICR Reference No: 201907-3064-003
Agency/Subagency: FDIC	Agency Tracking No: 3064-0001
Title: Interagency Charter and Federal Deposit Insurance Application
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 07/02/2021

	Requested	Previously Approved
Expiration Date	09/30/2022	09/30/2022
Responses	30	30
Time Burden (Hours)	3,750	3,750
Cost Burden (Dollars)	0	0

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Abstract: The Federal Deposit Insurance Act requires a proposed financial institution to apply to the FDIC to obtain deposit insurance. This collection provides FDIC with the information needed to evaluate applications for deposit insurance.

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Authorizing Statute(s): US Code: 12 USC 1816 Name of Law: Federal Deposit Insurance Act
   US Code: 12 USC 1815(a) Name of Law: Federal Deposit Insurance Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 30714	06/27/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 44895	08/27/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Interagency Charter and Federal Deposit Insurance Application	6200-05	Interagency Charter and Federal Deposit Insurance Application

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ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	30	30	0	0	0	0
Annual Time Burden (Hours)	3,750	3,750	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/02/2021

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