View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 3133-0015	ICR Reference No: 202101-3133-002
Status: Historical Inactive	Previous ICR Reference No: 202009-3133-004
Agency/Subagency: NCUA	Agency Tracking No: NPRM OGC
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: Comment filed on proposed rule and continue	Conclusion Date: 03/09/2021
	Date Received in OIRA: 01/29/2021
Terms of Clearance: OIRA will review the collection again upon finalization of the rule.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2023	36 Months From Approved	09/30/2023
Responses	8,155	0	8,155
Time Burden (Hours)	16,183	0	16,183
Cost Burden (Dollars)	0	0	0

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

IC Title	Form No.	Form Name
Chartering and Field of Membership Manual	NCUA 4015, 4001, NCUA 4015-A, NCUA 4000, NCUA 4221, NCUA 4505, NCUA 4506, NCUA 4012, NCUA 4008, NCUA 9500, NCUA 9501, NCUA 4015-EZ, NCUA 4401	, , , , , , , , , , , ,

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

Agency Contact: Elizabeth Wirick 703 548-6545

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.