Interagency Bank Merger Application

Forms and Documents

Document Name	Status
Form 6220/01 Interagency Bank Merger Act Application - Affiliated Transactions Form and Instruction	Modified
Form 6220/01 Interagency Bank Merger Act Application - Nonaffiliated Transactions Form and Instruction	New
FR2-0015 Interagency Bank Merger Act Application 82 FR 39431 August 18 2017.pdf Supplementary Document	2017-08-22
FR1-0015 Interagency Bank Merger Application 82 FR 24969 May 31 2017.pdf Supplementary Document	2017-08-22
SPST-0015 Interagency Bank Merger Act Application 2017 Renewal.doc Supporting Statement A	2017-08-22

IC Document Collections

IC ID	Document Title	Status
31742	Interagency Bank Merger Act Application - Affiliated Transactions Form and Instruction	Modified
227983	Interagency Bank Merger Act Application - Nonaffiliated Transactions Form and Instruction	New

ICR Details

OMB Control No: 3064-0015	ICR Reference No: 201702-3064-013
Status: Historical Active	Previous ICR Reference No: 201402-3064-001
Agency/Subagency: FDIC	Agency Tracking No:
Title: Interagency Bank Merger Application
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/27/2017
	Date Received in OIRA: 08/22/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2020	36 Months From Approved	10/31/2017
Responses	296	0	241
Time Burden (Hours)	7,272	0	5,664
Cost Burden (Dollars)	0	0	0

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Abstract: The application is used for a merger, consolidation, or other combining transaction between nonaffiliated parties as well as to effect a corporate reorganization between affiliated parties (affiliate transaction).

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Authorizing Statute(s): US Code: 12 USC 1828(c) Name of Law: Federal Deposit Insruance Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 24969	05/31/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 39431	08/18/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Interagency Bank Merger Act Application - Affiliated Transactions	6220/01	Interagency Bank Merger Act Application
Interagency Bank Merger Act Application - Nonaffiliated Transactions	6220/01	Interagency Bank Merger Act Application

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	296	241	0	0	55	0
Annual Time Burden (Hours)	7,272	5,664	0	0	1,608	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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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.     No

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.     No

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? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/22/2017

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