Chartering and Field of Membership Manual, 12 CFR 701.1, App. B to Part 701

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form NCUA-9600 Information to be Provided in Support of the Application of a State Chartered Credit Union for Insurance of Accounts	Form	Modified	Available
Form 4001 FCU Investigation Report	Form and Instruction	Modified	Available
Form NCUA 4506 Federal to State Conversion - Ballot for Conversion Proposal	Form	Modified	Available
Form NCUA 4505 Affidavit - Proof of Results Membership Vote	Form	Modified	Available
Form NCUA 4401 Application to Convert From a State to a Federal CU	Form	Modified	Available
Form NCUA 4221 Notice of Meeting of Members to Convert from a Federal to a State Chartered CU	Form	Modified	Available
Form NCUA 4000 Conversions of State Charter to Federal Charter (FCU Investigation Report)	Form	Modified	Available
Form NCUA 4015-A Application FOM Amendment (Multiple Common Bond Expansion Groups of 3,000 to 4,999)	Form	Modified	Available
Form NCUA 4015-EZ Application FOM Amendment (Multiple Common Bond Expansions less than 3,000 and All Single Common Bond Expansions)	Form	Modified	Available
Form NCUA 4015 Application FOM Amendment (Multiple Common Bond Expansion Groups of 3,000 or more)	Form	Modified	Available
Form NCUA 9501 Certification of Resolutions	Form	Modified	Available
Form NCUA 9500 Application and Agreements for Insurance of Accounts	Form	Modified	Available
Form NCUA 4012 Report of Official and Agreement to Serve	Form	Modified	Available
Form NCUA 4008 Organization Certification	Form	Modified	Available
Form NCUA 4008 Chartering and Field of Membership Manual	Form	Modified	Repair queued
2024-29344.pdf	Supplementary Document	Uploaded 2024-12-16	Repair queued
2024-29344.pdf	Supplementary Document	Uploaded 2024-12-16	Repair queued
3133-0015_Supporting Statement_12.2024 CLEAN.docx	Supporting Statement A	Uploaded 2024-12-09	Available
3133-0015_Supporting Statement_12.2024 CLEAN.docx	Supporting Statement A	Uploaded 2024-12-09	Missing upstream

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
32675	Chartering and Field of Membership Manual	Form	Modified	Information to be Provided in Support of the Application of a State Chartered Credit Union for Insurance of Accounts
32675	Chartering and Field of Membership Manual	Form and Instruction	Modified	FCU Investigation Report
32675	Chartering and Field of Membership Manual	Form	Modified	Federal to State Conversion - Ballot for Conversion Proposal
32675	Chartering and Field of Membership Manual	Form	Modified	Affidavit - Proof of Results Membership Vote
32675	Chartering and Field of Membership Manual	Form	Modified	Application to Convert From a State to a Federal CU
32675	Chartering and Field of Membership Manual	Form	Modified	Notice of Meeting of Members to Convert from a Federal to a State Chartered CU
32675	Chartering and Field of Membership Manual	Form	Modified	Conversions of State Charter to Federal Charter (FCU Investigation Report)
32675	Chartering and Field of Membership Manual	Form	Modified	Application FOM Amendment (Multiple Common Bond Expansion Groups of 3,000 to 4,999)
32675	Chartering and Field of Membership Manual	Form	Modified	Application FOM Amendment (Multiple Common Bond Expansions less than 3,000 and All Single Common Bond Expansions)
32675	Chartering and Field of Membership Manual	Form	Modified	Application FOM Amendment (Multiple Common Bond Expansion Groups of 3,000 or more)
32675	Chartering and Field of Membership Manual	Form	Modified	Certification of Resolutions
32675	Chartering and Field of Membership Manual	Form	Modified	Application and Agreements for Insurance of Accounts
32675	Chartering and Field of Membership Manual	Form	Modified	Report of Official and Agreement to Serve
32675	Chartering and Field of Membership Manual	Form	Modified	Organization Certification
32675	Chartering and Field of Membership Manual	Form	Modified

ICR Details

OMB Control No: 3133-0015	ICR Reference No: 202412-3133-001
Status: Active	Previous ICR Reference No: 202111-3133-002
Agency/Subagency: NCUA	Agency Tracking No: CURE
Title: Chartering and Field of Membership Manual, 12 CFR 701.1, App. B to Part 701
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: 03/25/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/16/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2028	36 Months From Approved	03/31/2025
Responses	9,261	0	8,245
Time Burden (Hours)	21,803	0	16,223
Cost Burden (Dollars)	0	0	0

---

Abstract: The FCU Act requires NCUA to administer chartering and field of membership requirements for FCUs. This is implemented through the Chartering and Field of Membership (Chartering) Manual as incorporated into NCUA regulations at 12 CFR 701.1 and Appendix B to Part 701. The Chartering Manual requires credit unions to prepare and submit forms with regard to chartering, field of membership amendments, service to underserved areas, and conversions from federal to state credit unions and state to federal credit unions.

---

Authorizing Statute(s): US Code: 12 USC 1759 Name of Law: Federal Credit Union Act, Membership
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 63224	08/03/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 10105	12/13/2024
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
Chartering and Field of Membership Manual	NCUA 4015-EZ, NCUA 4401, NCUA 4015, 4001, NCUA 4015-A, NCUA 4000, NCUA 4221, NCUA 4505, NCUA-9600, NCUA 4506, NCUA 4012, NCUA 4008, NCUA 9500, NCUA 9501	Organization Certification ,   Report of Official and Agreement to Serve ,   Application and Agreements for Insurance of Accounts ,   Certification of Resolutions ,   Application FOM Amendment (Multiple Common Bond Expansion Groups of 3,000 or more) ,   Application FOM Amendment (Multiple Common Bond Expansions less than 3,000 and All Single Common Bond Expansions) ,   Application FOM Amendment (Multiple Common Bond Expansion Groups of 3,000 to 4,999) ,   Conversions of State Charter to Federal Charter (FCU Investigation Report) ,   Notice of Meeting of Members to Convert from a Federal to a State Chartered CU ,   Application to Convert From a State to a Federal CU ,   Affidavit - Proof of Results Membership Vote ,   Federal to State Conversion - Ballot for Conversion Proposal ,   FCU Investigation Report ,   Information to be Provided in Support of the Application of a State Chartered Credit Union for Insurance of Accounts

---

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	9,261	8,245	0	0	1,016	0
Annual Time Burden (Hours)	21,803	16,223	0	0	5,580	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: There was an increase in the number of new charters, single and multiple common bond expansions, and underserved area applications has been steadily increasing resulting in an increase in burden hours.

---

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: 12/16/2024

---