Information Collection

FR 2083, FR 2083A, FR 2083B, and FR 2083C

IC 36030 under ICR 202512-7100-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form FR 2083, FR 2083A, Federal Reserve Membership Application FR 2083, FR 2083A, FR 2083B, and FR 2083C Form and Instruction
FR2083_FR2083A_FR2083B_FR2083C_20230123_fi_draft.pdf www.federalreserve.gov/apps/reportingforms Other-Draft Form and Instruction
FR 2083, FR 2083A, Federal Reserve Membership Application FR2083_FR2083A_FR2083B_FR2083C_20220107_fi.pdf www.federalreserve.gov/apps/reportingforms Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	FR 2083, FR 2083A, FR 2083B, and FR 2083C	Agency IC Tracking Number:	FR 2083, FR 2083A, FR 2083B, and FR 2083C

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FR 2083, FR 2083A, FR 2083B, and FR 2083C	Federal Reserve Membership Application	FR2083_FR2083A_FR2083B_FR2083C_20220107_fi.pdf	https://www.federalreserve.gov/apps/reportingforms	Yes	Yes	Fillable Fileable
Other-Draft Form and Instruction			FR2083_FR2083A_FR2083B_FR2083C_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: 32	Number of Respondents for Small Entity: 19

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 30 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	32	19	13
Annual IC Time Burden (Hours)	199	134	65
Annual IC Cost Burden (Dollars)	0	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.

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