Reporting Form MSD-5

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

Documents and Forms

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

Information Collection (IC) Details

IC Title:	Reporting Form MSD-5	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:

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 %

	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

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.