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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Comptroller's Licensing Manual
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 28
12 CFR 5
12 CFR 26
12 CFR 7
12 CFR 163
12 CFR 145
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
1 - General Policies & Procedures.pdf
Yes
No
Printable Only
Form and Instruction
N/A
Change in Assets Application
2 - Change In Assets Applications.pdf
Yes
Yes
Fillable Fileable
Other-Form Letter
3 - Survey Letter.pdf
Yes
Yes
Fillable Fileable
Instruction
4 - Significant Deviation Policy.pdf
Yes
No
Printable Only
Form and Instruction
N/A
Background Investigations
5 - Background Investigations.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Consent Form for DEA Background Investigations
form-consent-dea-background.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
Interagency Biographical and Financial Report
Interagency Biographical and Financial Report.docx
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
Corporate Background & Financial Report
8 - Corporate Background & Financial Report.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Appointment of Agent
9 - Appointment Of Agent.pdf
Yes
Yes
Fillable Fileable
Form
N/A
IRS Tax Check Waiver
10 - IRS Tax Check Waiver.pdf
Yes
Yes
Fillable Fileable
Instruction
11 - Charters.pdf
Yes
No
Printable Only
Form and Instruction
N/A
Charter Application
12 - Charter Application.pdf
Yes
Yes
Fillable Fileable
Instruction
13 - Business Plan.pdf
Yes
No
Printable Only
Instruction
14 - Financial Projections.pdf
Yes
No
Printable Only
Other-Form Letter
15 - Application Ammendments.pdf
Yes
Yes
Fillable Fileable
Instruction
16 - Public Notice Sample.pdf
Yes
No
Printable Only
Instruction
17 - Minority-Owned National Banks Policy Statement.pdf
Yes
No
Printable Only
Form
N/A
First Meeting of Organizers
18 - First Meeting of Organizers.pdf
Yes
No
Fillable Fileable
Form
N/A
Articles of Association
19 - Articles of Association.pdf
Yes
Yes
Fillable Fileable
Instruction
20 - Instructions - Articles of Association.pdf
Yes
No
Printable Only
Form
N/A
Organization Certificate
21 - Organization Certificate.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Contact Person
22 - Contact Person.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Waiver of Notice of Organizing Board's First Meeting
23 - Waiver of Notice of Organizing Board's First Meeting.pdf
Yes
No
Fillable Fileable
Form
N/A
Organizing Board's First Meeting
24 - Organizing Board's First Meeting.pdf
Yes
No
Fillable Fileable
Form
N/A
Individual Oath of Bank Director
Individual Oath of Bank Director.pdf
Yes
No
Fillable Fileable
Form
N/A
Joint Oath of Bank Directors
Joint Oath of Bank Directors.pdf
Yes
Yes
Fillable Fileable
Instruction
27 - Oaths of Bank Directors Instructions.pdf
Yes
No
Printable Only
Form and Instruction
N/A
Bylaws
28 - Bylaws.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Subscription
29 - Subscription.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Capital Stock Payment Certificate
30 - Capital Stock Payment Certificate.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Corporate Resolution
31 - Corporate Resolution.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Proxy Card
32 - Proxy Card.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Notice of First Shareholder's Meeting
33 - Notice Of First Shareholder's Meeting.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Minutes of the First Shareholder's Meeting
34 - Minutes of the First Shareholder's Meeting.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Minutes of Subsequent Organizing Board Meetings
35 - Minutes of Subsequent Organizing Board Meetings.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
Waiver of Notice of the First Board Meeting
36 - Waiver of Notice of the First Board Meeting.pdf
Yes
Yes
Fillable Fileable
Form
N/A
First Meeting of Directors
37 - First Meeting of Directors.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Organization Completed
38 - Organization Completed.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Preopening Checklist for Organizers
39 - Preopening Checklist for Organizers.pdf
Yes
Yes
Fillable Fileable
Instruction
40 - Conversions.pdf
Yes
No
Printable Only
Form and Instruction
N/A
41 - Conversion Application
Conversion Application.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Authority for Conversion to National Bank
Authority for Conversion to National Bank.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
Letter Certifying Conversion Completion to National Bank
Conversion Completion Certification by Applicant (Conversion to a NB).pdf
Yes
Yes
Fillable Fileable
Form
N/A
Letter Certifying Conversion Completion of Conversion to FSA
Conversion Completion Certification by Applicant (Conversion to FSA).pdf
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
Oaths of Bank Directors
44 - Oaths of Bank Directors.pdf
Yes
Yes
Fillable Fileable
Instruction
45 - Instructions - Organization Certificate.pdf
Yes
No
Printable Only
Form
N/A
Organization Certificate
46 - Organization Certificate 2.pdf
Yes
Yes
Fillable Fileable
Instruction
47 - Articles of Association 2.pdf
Yes
No
Printable Only
Form
N/A
Bylaws
48 - Bylaws 2.pdf
Yes
Yes
Fillable Fileable
Instruction
49 - Branches & Relocations.pdf
Yes
No
Printable Only
Form and Instruction
N/A
Branch and Relocation Application
Branch and Relocation Application.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Main Office Relocation to Existing Branch Site within the Same City
51 - Main Office Relocation to Existing Branch Site within the Same City, Town or Village.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Opening Date of Branch Office
52 - Opening Date of Branch Office.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Opening Date for Relocation of Main Office to Branch Site within the Same Town, City or Village
53 - Opening Date for Relocation of Main Office to Branch Site within the Same Town, City or Village.pdf
Yes
Yes
Fillable Fileable
Instruction
54 - Business Combinations.pdf
Yes
No
Printable Only
Form
N/A
Business Combination Application - Checklist and Community Reinvestment Commitments
55 - Business Combination Application - Checklist and Community Reinvestment Commitments.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
Business Combination Application - Streamlined
56 - Business Combination Application - Streamlined.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
Interagency Bank Merger Act Application
Interagency Bank Merger Act Application.docx
Yes
Yes
Fillable Fileable
Form
N/A
Branches Requiring Authorization
58 - Branches Requiring Authorization.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
Bank Merger Screen
59 - Bank Merger Screen.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Merger with Nonbank Subsidiary or Affliliate
60 - Merger of NB with Nonbank affiliate - NB Results 5.2015 FINALOMB.docx
Yes
Yes
Fillable Fileable
Form
N/A
Application - Interim National Bank Charter
61 - Interim Bank Charter App 5.2015 FINALOMB.docx
Yes
Yes
Fillable Fileable
Form
N/A
Application - Reorganization - Subsidiary of a BHC
62 - NB Reorg to Sub of BHC 5.2015 FINALOMB.docx
Yes
Yes
Fillable Fileable
Form
N/A
Stock Payment Certificate and Oaths of Directors and Officers
63 - Stock Payment Certificate and Oaths of Directors and Officers.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Shareholders' Waiver of Notice of Shareholders' Meeting and Written Consent of Business Combination
64 - Shareholders' Waiver of Notice of Shareholders' Meeting and Written Consent of Business Combination.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Board of Directors' Waiver of Notice of Board Meeting and Written Consent of Business Combination
65 - Board of Directors' Waiver of Noticve of Board Meeting and Written Consent of Business Combination.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Emergency Processing Request
66 - Emergency Processing Request.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
Notice of Consummation
67 - Notice of Consummation.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
Notice of Shareholders' Meeting to Vote on Combination
68 - Notice of Shareholders' Meeting to Vote on Combination.pdf
Yes
Yes
Fillable Fileable
Instruction
69 - Public Notice and Instructions.pdf
Yes
No
Printable Only
Form
N/A
Secretary's Certificate of Board of Directors' Approval of Combination
70 - Secretary's Certificate of Board of Directors' Approval of Combination.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Secretary's Certificate of Shareholders' Approval of Combination
71 - Secretary's Certificate of Shareholders' Approval of Combination.pdf
Yes
Yes
Fillable Fileable
Instruction
72 - Sample Agreements - Consolidation.pdf
Yes
No
Printable Only
Instruction
73 - Sample Agreements - Merger.pdf
Yes
No
Printable Only
Instruction
74 - Sample Agreements - Purchase & Assumption.pdf
Yes
No
Printable Only
Instruction
75 - Fiduciary Powers.pdf
Yes
No
Printable Only
Form
N/A
Application
Fiduciary Powers Application.pdf
Yes
Yes
Fillable Fileable
Form
N/A
After-the-Fact Notice
Fiduciary Powers After the Fact Notice.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Surrender of Fiduciary Powers
Notice of Surrender of Fiduciary Powers.pdf
Yes
Yes
Fillable Fileable
Instruction
79 - Fiduciary Operating Plan-Instructions.pdf
Yes
No
Printable Only
Form
N/A
Commencement of Fiduciary Activities Notice
Notice for Commencement of Fiduciary Activity.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Investments in Subsidiaries & Equities
81 - Investments in Subsidiaries & Equities.pdf
Yes
Yes
Fillable Fileable
Form
N/A
After-the-Fact Notice-Subsidiary
82 - NB ATF Notice Op Sub 5.2015 FINALOMB.docx
Yes
Yes
Fillable Fileable
Form
N/A
After-the-Fact Notice-Equity Investment
84 - ATF OE and Pass-Thru Notice 5.2015 FINALOMB.docx
Yes
Yes
Fillable Fileable
Form
N/A
Annual Report on Operating Subsidiaries
85 OS Annual Report Form 5.2015 FINALOMB.docx
Yes
Yes
Fillable Fileable
Instruction
86 - OS Annual Report Instructions 5.2015 FINALOMB.docx
Yes
No
Printable Only
Form
N/A
Operating Subsidiary Application
87 - NB and FSA Op Sub App 5.2015 FINALOMB.docx
Yes
Yes
Fillable Fileable
Form
N/A
Bank Service Company Application
NB and FSA Bank SVC CO Notice 5.2015 FINALOMB.docx
Yes
Yes
Fillable Fileable
Form
N/A
Financial Subsidiary Notice
89 - NB Fin Sub Notice 5.2015 FINALOMB.docx
Yes
Yes
Fillable Fileable
Form
N/A
Financial Subsidiary Certification
90 - NB Fin Sub Cert 5.2015 FINALOMB.docx
Yes
Yes
Fillable Fileable
Form
N/A
Financial Subsidiary Notice & Certification
91 - Financial Subsidiary Notice & Certification.pdf
Yes
Yes
Fillable Fileable
Instruction
92 - Branch Closings.pdf
Yes
No
Printable Only
Form and Instruction
N/A
Advance Branch Closing & Downgrade Notice
Advance Branch Closing Notice.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
Final Branch Closing Notice
Final Branch Closing Notice.pdf
Yes
No
Fillable Printable
Form and Instruction
N/A
Sample Customer Notice of Branch Closing
95 - Sample Customer Notice of Branch CLosing.pdf
Yes
Yes
Fillable Fileable
Instruction
96 - Capital And Dividends.pdf
Yes
No
Printable Only
Form and Instruction
N/A
Application - Increase in Capital for Other than Cash
97 - Increase in Permanent Capital Application 5.2015 FINALOMB.docx
Yes
Yes
Fillable Fileable
Form
N/A
Application - Reduction of Permanent Capital
Increase In Permanent Capital Notice.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Application - Quasi-Reorganization
100 - Quasi-reorganization Application 5.2015 FINALOMB.docx
Yes
Yes
Fillable Fileable
Form
N/A
Application - Reverse Stock Split
103 - Reverse Stock Split Application 5.2015 FINALOMB.docx
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
Notice - Increase in Stock for Cash
104 - Increase in Permanent Capital Notice 5.2015 FINALOMB.docx
Yes
Yes
Fillable Fileable
Instruction
114 - Change In Bank Control.pdf
Yes
No
Printable Only
Form
N/A
Affidavit
115 - Affidavit.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
Interagency Notice of Change in Control
Interagency Change in Bank Control Notice.docx
Yes
Yes
Fillable Fileable
Instruction
117 - Publication Notice.pdf
Yes
No
Printable Only
Instruction
118 - Changes In Directors & Senior Executive Officers.pdf
Yes
No
Printable Only
Instruction
119 - Notification Of Change Of Corporate Titile.pdf
Yes
No
Printable Only
Instruction
120 - Change Of Corporate Title & Address.pdf
Yes
No
Printable Only
Form and Instruction
N/A
Notification of Change of Corporate Title
121 - Change in Corporate Title 5.2015 FINALOMB.docx
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
Change of Address
Change of Address.pdf
Yes
No
Fillable Fileable
Instruction
123 - Director Waivers.pdf
Yes
No
Printable Only
Form and Instruction
N/A
124 - Citizenship Waiver Request
Citizenship Waiver Request.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
125 - Residency Waiver Request
Residency Waiver Request.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Investment in Bank Premises
126 - Investment In Bank Premises.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
After the Fact Notice
127 - After The Fact Notice.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
Application for Increase
128 - Application For Increase.pdf
Yes
Yes
Fillable Fileable
Instruction
129 - Management Interlocks.pdf
Yes
No
Printable Only
Form and Instruction
N/A
130-131-132 - Management Interlocks Application
Management Interlock Application 4.2015 FINALOMB.docx
Yes
Yes
Fillable Printable
Instruction
133 - Issuance of Sub Debt Notice 5.2015 FINALOMB.docx
Yes
No
Printable Only
Form
N/A
Application to Issue Subordinated Debt
134 - Issuance of Subordinated Debt Application 5.2015 FINALOMB.docx
Yes
Yes
Fillable Fileable
Form
N/A
Application to Prepay Subordinated Debt
135 - Prepayment of Sub Debt Application 5.2015 FINALOMB.docx
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
Notice of Debt Issuance
136 - Notice of Debt Issuance.pdf
Yes
Yes
Fillable Fileable
Instruction
137 - Termination Of National Bank Status.pdf
Yes
No
Printable Only
Form
N/A
138 - Voluntary Liquidation Final Report
Vol Liq Final Report 4.2015 FINALOMB.docx
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
139 - Notice of Intent of Conversion Out
Conversions Out Prelim Notice 4.2015 FINALOMB.docx
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
Public Notice of Voluntary Liquidation
140 - Public Notice of Voluntary Liquidation.pdf
Yes
Yes
Fillable Fileable
Form
N/A
141 - Voluntary Liquidation - Board of Directors' and Shareholders' Resolution
Vol Liq BoardShareholder Resolution 4.2015 FINALOMB (2).docx
Yes
Yes
Fillable Fileable
Form
N/A
142 - Voluntary Liquidation - Report of Condition at Commencement of Liquidation
Vol Liq Report of Cond Commence 4.2015 FINALOMB.docx
Yes
Yes
Fillable Fileable
Form
N/A
143 - Voluntary Liquidation - Annual Report
Vol Liq Annual Report 4.2015 FINALOMB (2).docx
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
144 - Final Notice - Expedited Liquidation
Final Notice Exp Liq 4.2015 FINALOMB.docx
Yes
Yes
Fillable Printable
Form and Instruction
N/A
145 - Notice of Intent - Expedited Liquidation
Notice of Intent of Exp Liq 4.2015 FINALOMB.docx
Yes
Yes
Fillable Printable
Form
N/A
146 - Final Notice of Conversion Out
Conversions Out Final Notice 4.2015 FINALOMB.docx
Yes
Yes
Fillable Fileable
Form
N/A
147 - Final Notice of Merger or Consolidation Out and Notice of Intent - Merger or Consolidation
Final Notice of Merger or Consolidation Out and Notice of Intent - Merger or Consolidation Out.docx
Yes
Yes
Fillable Fileable
Form
N/A
148 - Notice upon Commencement of Voluntary Liquidation
Vol Liq Final Notice 4.2015 FINALOMB.docx
Yes
Yes
Fillable Fileable
Form
N/A
149 - Notice of Intent - Voluntary Liquidation
Vol Liq Prelim Notice 4.2015 FINALOMB.docx
Yes
Yes
Fillable Fileable
Instruction
150 - Federal Branches & Agencies.pdf
Yes
No
Printable Only
Form
N/A
Application to Establish an Initial-Additional Federal Branch or Agency
151 - Application to Establish an Initial-Additional Federal Branch or Agency W Instructions.pdf
Yes
Yes
Fillable Fileable
Instruction
152 - Initial and Additional Establishments - Sample Public Notice.pdf
Yes
No
Printable Only
Instruction
153 - Conditions for Initial and Additional Establishments.pdf
Yes
No
Printable Only
Form
N/A
Financial Data
154 - Financial Data.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Request for After-the-Fact Approval
155 - Request for After-The-Fact Approval.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Request for After-the-Fact Notice Acquisitions
156 - Request for After-The-Fact Notice Acquisitions.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
After-the-Fact Notice Acquisitions
157 - After-The-Fact Notice Acquisitions.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Application to Acquire a Federal Branch or Agency
158 - Application to Acquire a Federal Branch or Agency.pdf
Yes
Yes
Fillable Fileable
Instruction
159 - Acquisitions - Sample Public Notice.pdf
Yes
No
Printable Only
Form
N/A
Application for a Change of Status of an Office of a Foreign Bank
160 - Application for a Change of Status of an Office of a Foreign Bank.pdf
Yes
Yes
Fillable Fileable
Instruction
161 - Notice of Contraction of Activities.pdf
Yes
No
Printable Only
Form
N/A
Federal Branch & Agency Relocation Application
162 - Federal Branch & Agency Relocation Application.pdf
Yes
Yes
Fillable Fileable
Instruction
163 - Relocations - Sample Public Notice.pdf
Yes
No
Printable Only
Form and Instruction
N/A
Notice of Effective Date for Relocation
164 - Notice Of Effective Date for Relocation.pdf
Yes
Yes
Fillable Fileable
Instruction
165 - Application Letter - Fiduciary Powers.pdf
Yes
No
Printable Only
Instruction
166 - Fiduciary Operating Plan - Instructions.pdf
Yes
No
Printable Only
Instruction
167 - Notice of Commencement of Fiduciary Activities.pdf
Yes
No
Printable Only
Form and Instruction
N/A
Senior Management Resolution on Surrender of Fiduciary
168 - Senior Management Resolution on Surrender of Fiduciary.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
Notice Letter - Standard Voluntary Liquidation
169 - Notice Letter - Standard Voluntary Liquidation.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Resolution to Voluntary Liquidate
170 - Resolution to Voluntary Liquidate.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
Voluntary Liquidation - Sample Public Notice
171 - Voluntary Liquidation - Sample Public Notice.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Liquidation - Interim Progress Report
172 - Liqudiation - Interim Progress Report.pdf
Yes
No
Fillable Fileable
Form
N/A
Liquidation - Final Report
173 - Liqudiation - Final Report.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Capital Equivalency Deposit Agreement
174 - Capital Equivalency Deposit Agreement.pdf
Yes
No
Fillable Fileable
Form and Instruction
N/A
Notice of a Change in Activities or Operations
175 - Notice Of Change In Activities Or Operations.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
Notice for a Change in Control
176 - Notice For a Change In Control.pdf
Yes
No
Fillable Fileable
Form and Instruction
N/A
Senior Management Resolution or Conversion of a Federal Branch or Agency to a State-Licensed Operation of a Foreign Bank
177 - Senior Management Resolution or Conversion of a Federal Branch or Agency to a State-Licensed Operation of a Foreign Bank.pdf
Yes
No
Fillable Fileable
Form and Instruction
N/A
Non-Controlling Equity Investment Application
178 - Non-Controlling Equity Investment Application.pdf
Yes
Yes
Fillable Fileable
Form
138
Interagency Charter and Federal Deposit Insurance Application
1550-0005.Form138[1].pdf
No
Printable Only
Form
1623
Interagency Biographical and Financial Report
1550-0005.Form1623[1].pdf
No
Printable Only
Instruction
1550.0005.Form138.Handbook[1].pdf
No
Printable Only
Form
1680, 1681, 1682, 1683
Mutual to Stock Conversion Application
Form 1680.2011[1].pdf
Yes
No
Fillable Printable
Form and Instruction
1639
Interagency Bank Merger Act Application
1550.0016. Bank_MergerApplication.08.01.08[1].doc
No
Printable Only
Form
1584
Notice of Filing Pursuant to 12 CFR Section 563.22(c) for Institutions that Qualify for Expedited Treatment
Form .1584.2010[1].pdf
No
Printable Only
Form
1561
Notice for Issuance of Subordinated Debt or Mandatorily Redeemable Preferred Stock
1550.0030.Form1561.2[1].pdf
No
Printable Only
Form
1622
Interagency Notice of Change in Control
1550.0032.form1622[1].pdf
No
Printable Only
Form
1623
Interagency Biographical and Financial Report
1550-0005.Form1623[1].pdf
No
Printable Only
Instruction
1550.0032.Handbook[1].pdf
No
Printable Only
Form
1582
Application for Conversion of a Depository Institution to a Federal Stock or Mutual Savings Association
1550-0007 (Revised Form 1582)[1].pdf
No
Printable Only
Form
1583
Notice or Application for Capital Distribution
1550.0059.Form1583[1].pdf
No
Printable Only
Form
N/A
Charter - Federal Stock Association
Model Federal Stock Association Charter.pdf
Yes
No
Fillable Printable
Form
N/A
Bylaws - Mutual Savings Associations
Model Bylaws for Mutual Savings Association.pdf
Yes
No
Fillable Printable
Form
N/A
Charter - Federal Mutual Association
Model Mutual Association Charter.pdf
Yes
No
Fillable Printable
Form
N/A
Bylaws - Federal Stock Association
Model Bylaws for Stock Associations.pdf
Yes
No
Fillable Printable
Form and Instruction
N/A
Charter and Bylaw Amendments
Notice for Charter and Bylaw Amendment.pdf
Yes
No
Fillable Printable
Form and Instruction
N/A
Voluntary Liquidation - Liquidation Plan
Vol Liq Liq Plan 4.2015 FINALOMB.docx
Yes
No
Fillable Printable
Form
N/A
After-the-Fact Notice—Satisfaction of DPC Other Equity Investments—National Banks Pass-Through Investments—Federal Savings Associations
Other Equity Investments or Pass Through Investments Application.pdf
Yes
No
Fillable Printable
Form and Instruction
N/A
12 USC 1828(m) Investment Application Federal Savings Associations
FSA Pass-Thru 1828m and 5.58f2 5.2015 FINALOMB.docx
Yes
No
Fillable Printable
Form and Instruction
N/A
Subsidiary Redesignation Notice Federal Savings Association
FSA Redesignation Notice 5.2015 FINALOMB.docx
Yes
No
Fillable Printable
Form and Instruction
N/A
Other Equity Investments—National Banks Pass-Through Investments—Federal Savings Associations Application
NB and FSA OE and Pass-Thru App 5.2015 FINALOMB.docx
Yes
No
Fillable Printable
Form and Instruction
N/A
Equity Investment in Statutory Subsidiary—National Banks After-the-Fact Notice
NB ATF Notice Stat Subs 5.2015 FINALOMB.docx
Yes
No
Fillable Printable
Form and Instruction
N/A
Merger of a National Bank With a Nonbank Affiliate Resulting in a Nonbank Affiliate Application
Merger of NB with Nonbank Affiliate - Nonbank Results 5.2015 FINALOMB.docx
Yes
No
Fillable Printable
Form and Instruction
N/A
Agency Office Additional Services Application
Agency Office Additional Services 5.2015 FINALOMB.docx
Yes
No
Fillable Printable
Form and Instruction
N/A
After the Fact Notice: FSA Branch/Relocation
After the Fact Notice FSA Branch or Relocation.pdf
Yes
No
Fillable Printable
Form
N/A
Individual Oath of FSA Director
Individual Oath of FSA Director.pdf
Yes
No
Fillable Printable
Form and Instruction
N/A
Reduction of Permanent Capital and Capital Distribution Notice - FSA
Reduction of Permanent Capital and Capital Distribu Notice FSA.pdf
Yes
No
Fillable Printable
Form and Instruction
N/A
Reduction of Permanent Capital or Dividends Payable in Property Application
Reduction of Permanent Capital or Dividends Payable In Property Application.pdf
Yes
No
Fillable Printable
Form
N/A
Interagency Change in Director and Senior Executive Officer
Interagency Change in Director and SEO.docx
Yes
No
Fillable Printable
Form and Instruction
N/A
Branch and Relocation Application
branch-and-relocation-application.pdf
Yes
No
Fillable Printable
Form
N/A
Federal Branch and Agency Relocation Application
form-fed-branch-relo-app-v2.pdf
Yes
No
Fillable Printable
Form
N/A
Branch and Relocation Application - Redlined
branch-and-relocation-application.redlined.pdf
Yes
No
Fillable Printable
Form
N/A
Federal Branch and Agency Relocation Application - Redlined
form-fed-branch-relo-app-v2.redlined.pdf
Yes
No
Fillable Printable
Form
N/A
Application to Establish and Initial or Additional Federal Branch or Agency
form-establish-fed-branch-app.pdf
Yes
No
Fillable Printable
Form
N/A
Application to Establish an Initial or Additional Federal Branch or Agency - Redlined
form-establish-fed-branch-app.redlined.pdf
Yes
No
Fillable Printable
Form
Form AC
Application for Conversion from Mutual to Stock Form
Draft Form AC 7.17.20(2).docx
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Financial Sector Oversight
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
3,698
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
36 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
3,698
0
-19
0
0
3,717
Annual IC Time Burden (Hours)
12,480
0
-557
0
0
13,037
Annual IC Cost Burden (Dollars)
0
0
0
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.