NCUA Profile

NCUA Profile - NCUA Form 4501A

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3133-0204 can be found here:

Documents and Forms

Document Name Document Type
Form NCUA 4501A NCUA Profile Form and Instruction
March 2021 - Form 4501A - DRAFT.pdf Other-DRAFT 4501A March 2021
Item 13_4501A Profile Instructions 2023 Q4.pdf Instruction
NCUA 4501A NCUA Profile MARCH 2020 Pencil Profile Form_011520.pdf Form and Instruction
NCUA 4501 A NCUA Profile December 2023 Pencil Profile Form_09192023.pdf Form

Information Collection (IC) Details

IC Title:	NCUA Profile	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 741.6

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NCUA 4501 A	NCUA Profile	December 2023 Pencil Profile Form_09192023.pdf		Yes	Yes	Fillable Fileable
Instruction			Item 13_4501A Profile Instructions 2023 Q4.pdf		Yes	Yes	Printable Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,712	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	18,848	-2,276	21,124
Annual IC Time Burden (Hours)	37,696	-4,552	42,248
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.