Information Collection

Interagency Charter and Federal Deposit Insurance Application

IC 31732 under ICR 202206-3064-003 · OMB 3064-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0001 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6200-05 Interagency Charter and Federal Deposit Insurance Application	Form and Instruction
6200-05 Interagency Charter and Federal Deposit Insurance Applic Interagency Charter and Deposit Insurance Application FDIC 6200-05.pdf	Form and Instruction
6200-05 Interagency Charter and Federal Deposit Insurance Applic Interagency Charter and Deposit Insurance Application FDIC 6200-05.pdf	Form and Instruction
3064-0001 Justification for Non-Substantive Form Revision.docx Justification for Non-Substantive Form Revision	IC Document
3064-0001 Justification for Non-Substantive Form Revision.docx Justification for Non-Substantive Form Revision	IC Document

IC Title:

Interagency Charter and Federal Deposit Insurance Application

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	6200-05	Interagency Charter and Federal Deposit Insurance Application	Interagency Charter and Deposit Insurance Application FDIC 6200-05.pdf		Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	20	-10	30
Annual IC Time Burden (Hours)	2,500	-1,250	3,750
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification for Non-Substantive Form Revision	3064-0001 Justification for Non-Substantive Form Revision.docx	07/02/2021

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