Information Collection

Second Chance IRPS

IC 236853 under ICR 202311-3133-002 · OMB 3133-0203.

Documents and Forms

Document Name Document Type
Form NCUA 3250 Second Chance IRPS Form and Instruction
NCUA 3250 Application to Request Consent Pursuant to Section 205(d NCUA FORM 3250-FHBA (draft 10.18.24).docx dev.ncua.gov/regulation-supervision/regulatory-compliance-resources/fair-hiring-banking-act-section-205d/application-exc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Second Chance IRPS	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 12 CFR 1785(d)(1) (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NCUA 3250	Application to Request Consent Pursuant to Section 205(d)	NCUA FORM 3250-FHBA (draft 10.18.24).docx	https://dev.ncua.gov/regulation-supervision/regulatory-compliance-resources/fair-hiring-banking-act-section-205d/application-exception-employment-restrictions	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title: NCUA-26, Prospective Official Application Records	FR Citation: 89 FR 79380

Number of Respondents: 4	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	4	4
Annual IC Time Burden (Hours)	3	3
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.