Uniform Application/Uniform Termination for Municipal Securities Principal or Representative

OMB 3064-0022

An insured state nonmember bank that serves as a municipal securities dealer must file Form MSD-4 or MSD-5, as applicable, to permit an employee to become associated, or to terminate the association, with the municipal securities dealer. FEB 2017 - The agencies are making nonsubstantive revisions to the forms and instructions associated with this information collection to remove a requirement to provide Social Security Number information and to permit alternative means of filing.

The latest form for Uniform Application/Uniform Termination for Municipal Securities Principal or Representative expires 2021-04-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 6200-55 Uniform Termination Notice for Securities Principal or Represenatative Form
Form 6200/54 Uniform Application for Municipal Securities Principal or Representative Form
SPST-0022 Uniform Application and Termination Notice Municipal Securities Principal 2024 Renewal FINAL.docx Supporting Statement A
FR2-0022 Uniform Application Termination of Municipal Securities Principal 89 FR 12336 Feb 16, 2024.pdf Supplementary Document
FR1-0022 Uniform Application Termination of Municipal Securities Principal 88 FR 86646 Dec 14 2023.pdf Supplementary Document
Uniform Termination Notice for Securities Principal or Represenatative Form
Uniform Application for Municipal Securities Principal or Representative Form

All Historical Document Collections

202310-3064-001	Extension without change of a currently approved collection	2024-04-24
202102-3064-010 Approved without change	Extension without change of a currently approved collection	2021-04-28
201808-3064-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2018-12-06
201803-3064-001 Approved without change	Extension without change of a currently approved collection	2018-03-13
201702-3064-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2017-02-08
201408-3064-002 Approved without change	Extension without change of a currently approved collection	2014-12-30
201109-3064-001 Approved without change	Extension without change of a currently approved collection	2011-12-27
200809-3064-003 Approved with change	Extension without change of a currently approved collection	2008-10-06
200508-3064-003 Approved without change	Extension without change of a currently approved collection	2005-08-12
200207-3064-001 Approved without change	Extension without change of a currently approved collection	2002-07-15
199906-3064-003 Approved without change	Extension without change of a currently approved collection	1999-06-02
199605-3064-002 Approved without change	Extension without change of a currently approved collection	1996-05-28
199302-3064-003 Approved without change	Revision of a currently approved collection	1993-02-25
199003-3064-005 Approved without change	Revision of a currently approved collection	1990-03-12
198906-3064-002 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-06-01
198808-3064-002 Approved with change	No material or nonsubstantive change to a currently approved collection	1988-08-11
198708-3064-010 Approved with change	No material or nonsubstantive change to a currently approved collection	1987-08-13
198704-3064-001 Approved without change	Revision of a currently approved collection	1987-04-24
198609-3064-013 Approved with change	No material or nonsubstantive change to a currently approved collection	1986-09-08
198510-3064-012 Approved with change	No material or nonsubstantive change to a currently approved collection	1985-10-25
198406-3064-002 Approved without change	Revision of a currently approved collection	1984-06-04
198310-3064-010 Approved with change	No material or nonsubstantive change to a currently approved collection	1983-10-15
198111-3064-003 Approved without change	Revision of a currently approved collection	1981-11-02
198104-3064-022 Approved without change	Revision of a currently approved collection	1981-04-30

OMB Details

Uniform Application for Municipal Securities Principal or Representative

Federal Enterprise Architecture: Economic Development - Financial Sector Oversight

Form FDIC 6200-54 Revised August 2018

Form MSD-4 Uniform Application for Municipal Securities Principal or Municipal Securities Representative Associated With a Bank Municipal Securities Dealer

Fillable Fileable

Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.