Information Collection

Second Chance IRPS

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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NCUA 3250 Second Chance IRPS	Form and Instruction
Form NCUA 3250 Application to Request Consent Pursuant to Section 205(d) 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
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

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:

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	NCUA 3250			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 %

table that charts list of burden
	Approved	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

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.

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