Interagency Charter and Federal Deposit Insurance Application

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0001 can be found here:

Documents and Forms

Document Name Document Type
Interagency Charter and Federal Deposit Insurance Application Form and Instruction
Interagency Charter and Federal Deposit Insurance Applic Interagency Charter and Federal Deposit Insurance Application 2016.docx www.fdic.gov/formsdocuments/InteragencyCharter-InsuranceApplication.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Interagency Charter and Federal Deposit Insurance Application	Agency IC Tracking Number:

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	None	Interagency Charter and Federal Deposit Insurance Application	Interagency Charter and Federal Deposit Insurance Application 2016.docx	http://www.fdic.gov/formsdocuments/InteragencyCharter-InsuranceApplication.doc	Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 42	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	42	-101	143
Annual IC Time Burden (Hours)	5,250	-12,625	17,875
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.