Information Collection

Reporting Form MSD-5

IC 254636 under ICR 202207-7100-002 · OMB 7100-0100.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form MSD-5 Reporting Form MSD-5	Form
FormMSD5_20190731_i.pdf www.federalreserve.gov/apps/reportforms/default.aspx	Instruction
Form MSD-5 Uniform Termination Notice for Municipal Securities Prin FormMSD5_20190731_f.pdf www.federalreserve.gov/apps/reportforms/default.aspx	Form

IC Title:

Agency IC Tracking Number:

Form MSD-5

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

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	Form MSD-5	Uniform Termination Notice for Municipal Securities Principal or Municipal Securities Representative Associated with a Bank Municipal Securities Dealer	FormMSD5_20190731_f.pdf	https://www.federalreserve.gov/apps/reportforms/default.aspx	Yes	Yes	Fillable Fileable
Instruction			FormMSD5_20190731_i.pdf	https://www.federalreserve.gov/apps/reportforms/default.aspx	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title: BGFRS-17 Municipal or Government Securities Principals and Representatives

FR Citation: 73 FR 24984

Number of Respondents: 21

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	21	21
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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