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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.


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3064-0022 200508-3064-003
Historical Active 200207-3064-001
FDIC
Uniform Application/Uniform Termination for Municipal Securities Principal or Representative
Extension without change of a currently approved collection   No
Regular
Approved without change 10/14/2005
08/12/2005
The form is to include a Privacy Act statement.
  Inventory as of this Action Requested Previously Approved
10/31/2008 10/31/2008 10/31/2005
75 0 75
75 0 75
0 0 0