Information Collection

FR 2086a

IC 184422 under ICR 202212-7100-009 · OMB 7100-0042.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 7100-0042 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FR 2086a FR 2086a	Form and Instruction
FR2086a_20230123_fi_draft.pdf www.federalreserve.gov/apps/reportingforms	Other-Draft Form and Instruction
FR 2086a Application for Cancellation of Federal Reserve Bank Sto FR2086a_20220216_fi.pdf www.federalreserve.gov/apps/reportingforms	Form and Instruction

IC Title:

FR 2086a

Agency IC Tracking Number:

FR 2086a

Is this a Common Form? No

IC Status: Modified

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 and Instruction	FR 2086a	Application for Cancellation of Federal Reserve Bank Stock (for use by member banks converting into or merging into member or nonmember banks)	FR2086a_20220216_fi.pdf	https://www.federalreserve.gov/apps/reportingforms	Yes	Yes	Fillable Fileable
Other-Draft Form and Instruction			FR2086a_20230123_fi_draft.pdf	https://www.federalreserve.gov/apps/reportingforms	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 31

Number of Respondents for Small Entity: 2

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 30 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	31	30	1
Annual IC Time Burden (Hours)	16	15	1
Annual IC Cost Burden (Dollars)	0	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.