NCUA Application to Request Consent Pursuant to Section 205(d) of the Federal Credit Union Act

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form NCUA 3250 Application to Request Consent Pursuant to Section 205(d)	Form and Instruction	Modified	Available
Form NCUA 3250 Second Chance IRPS	Form and Instruction	Modified	Repair queued
FINAL_3133-0203_IRPS_SS.docx	Supporting Statement A	Uploaded 2024-12-13	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
236853	Second Chance IRPS	Form and Instruction	Modified	Application to Request Consent Pursuant to Section 205(d)
236853	Second Chance IRPS	Form and Instruction	Modified

ICR Details

OMB Control No: 3133-0203	ICR Reference No: 202311-3133-002
Status: Active	Previous ICR Reference No: 202308-3133-004
Agency/Subagency: NCUA	Agency Tracking No: OGC
Title: NCUA Application to Request Consent Pursuant to Section 205(d) of the Federal Credit Union Act
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/10/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/13/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2028	36 Months From Approved	10/31/2026
Responses	4	0	4
Time Burden (Hours)	3	0	3
Cost Burden (Dollars)	0	0	0

---

Abstract: This information collection is required under Section 205(d) of the FCU Act, as amended by the FHBA (Section 205(d)), to allow the NCUA Board to make an informed decision whether to grant a waiver of the prohibition imposed by law under Section 205(d). Section 205(d) prohibits a person who has been convicted of any criminal offense involving dishonesty or breach of trust, or who has entered into a pretrial diversion or similar program in connection with a prosecution for such offense, from participating in the affairs of a federally-insured credit union except with the prior written consent of the NCUA Board.

---

Authorizing Statute(s): US Code: 12 USC 1785(d)(1) Name of Law: FCU Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
3133-AF55	Final or interim final rulemaking	89 FR 79380	09/30/2024

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 76702	11/07/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 79380	09/30/2024
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Second Chance IRPS	NCUA 3250	Application to Request Consent Pursuant to Section 205(d)

---

ICR Summary of Burden

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	4	4	0	0	0	0
Annual Time Burden (Hours)	3	3	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/13/2024

---