Application Pursuant to Secton 19 of the Federal Deposit Insurance Act

Application Pursuant to Section 19 of the Federal Deposit Insurance Act

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0018 can be found here:

Documents and Forms

Document Name Document Type
Form 6710-07 Application Pursuant to Secton 19 of the Federal Deposit Insurance Act Form and Instruction
6710-07 FDIC Application Pursuant to Section 19 of the FDI Act f6710-07 12-15-2021.pdf Form and Instruction
6710-07 FDIC Application Pursuant to Section 19 of the FDI Act f6710-07 12-15-2021.pdf Form and Instruction
Justification Memo 0018 NS Revision to Form 6710-07 New DRO Address.docx Justification Memo NS Revisions to Form 6710-07 IC Document
Justification Memo 0018 NS Revision to Form 6710-07 New DRO Address.docx Justification Memo NS Revisions to Form 6710-07 IC Document

Information Collection (IC) Details

IC Title:	Application Pursuant to Secton 19 of the Federal Deposit Insurance Act	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	6710-07	FDIC Application Pursuant to Section 19 of the FDI Act	f6710-07 12-15-2021.pdf		Yes	Yes	Fillable Printable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title: FDIC-30--64--0002: Financial Institution Investigative and Enforcement Records.	FR Citation: 80 FR 66981

Number of Respondents: 73	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	73	73
Annual IC Time Burden (Hours)	1,168	1,168
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification Memo NS Revisions to Form 6710-07	Justification Memo 0018 NS Revision to Form 6710-07 New DRO Address.docx	12/15/2021

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