Information Collection Request

Uniform Application and Uniform Termination Notice for Municipal Securities Principal or Municipal Securities Representative Associated with a Bank Municipal Securities Dealer

ICR 202207-7100-002 · OMB 7100-0100 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Form MSD-4 Reporting Form MSD-4 Form Modified Available
Form Form MSD-5 Recordkeeping Form MSD-5 Form New Available
Form Form MSD-4 Recordkeeping Form MSD-4 Form New Available
Form Form MSD-5 Reporting Form MSD-5 Form New Available
FormMSD4_FormMSD5_20220719_omb.pdf Supporting Statement A Uploaded 2022-07-19 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
36102 Reporting Form MSD-4 Form Modified
254638 Recordkeeping Form MSD-5 Form New
254637 Recordkeeping Form MSD-4 Form New
254636 Reporting Form MSD-5 Form New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2025 36 Months From Approved 07/31/2022
68 0 18
19 0 18
0 0 0





table that charts list of burden
  Total Approved 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 68 18 0 0 50 0
Annual Time Burden (Hours) 19 18 0 0 1 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No