NCUA Profile

NCUA Profile - NCUA Form 4501A

Profile Instructions 4501A 2024-Q4 FINAL

NCUA Profile

OMB: 3133-0204

Document [pdf]
Download: pdf | pdf
PROFILE
FORM 4501A
INSTRUCTIONS

Effective December 31, 2024
Until Superseded

DRAFT

Profile Instructions Revisions
The following changes were made to the December 2024 Profile Instructions:
1. General Information tab, page 3, Item 11:
a. Added “If automated, provide the name of the credit union’s anti-money laundering
system. If the credit union’s anti-money laundering monitoring system is automated,
provide the name of the system.”
2. General Information tab, page 3, Minority Depository Institution Questions section:
a. Separated and renumbered each Minority Depository Institution qualifying question. The
existing items and one new question are now numbered 12, 13, and 14.
b. Removed item number. Modified “Answer “Yes” or “No.” See Minority Groups for the
criteria to be considered a Minority Depository Institution. If you answer “Yes,” identify
the minority groups represented by your current members, board of directors, and the
community the credit union serves by checking the appropriate box(es).”
to:
“A credit union seeking designation as a Minority Depository Institution (MDI) must
complete this section. Answer “Yes” or “No.” If you answer “Yes,” identify the
minority groups represented by your board of directors, current members, and the
community the credit union services, as designated in its field of membership, by
checking the appropriate box(es). See Factors to Consider for MDI Designation below
for guidance.
3. General Information tab, renumbered from Item 11 and:
a. Moved “Is more than 50 percent of your credit union’s board of directors:” to Item 12.
b. Moved to Item 13 and modified “Are more than 50 percent of your credit union’s current
and eligible potential members:”
to:
“Are more than 50 percent of your credit union’s current members:
c. Added Item 14 “Is more than 50 percent of your credit union’s field of membership:
a. Asian American
b. Black American
c. Hispanic American
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
i

DRAFT

d. Native American”
4. General Information tab, page 3, changed Minority Groups to Factors to Consider for MDI
Designation:
a. Modified “For purposes of minority representation, anyone who falls into more than one
minority category (multi-racial or multi-ethnic individuals) is a single minority
individual. Multi-racial or multi-ethnic individuals should select one of the provided
minority groups.
All three conditions (current members, board of directors, and community it services)
must be met to be classified as a minority depository institution. The community it
services is defined as a credit union’s potential members according to the field of
membership in its charter.”
to:
“To be classified as an MDI a credit union must meet all three conditions:
1. More than 50% of current members are from any of the eligible minority groups,
2. More than 50% of board members are from any of the eligible minority groups, and
3. More than 50% of the community it services are from any of the eligible minority
groups. The community it services is defined as a credit union’s field of membership
in its charter.
Eligible minority groups are Asian American, including individuals who are Native
Hawaiian or Other Pacific Islander, Black American, Hispanic American, and Native
American, including individuals who are American Indian or Alaska Native. For
purposes of minority representation, an individual who falls into more than one of the
minority categories (multi-racial or multi-ethnic individuals) will be considered as a
single, eligible minority. Multi-racial or multi-ethnic individuals should be counted in
only one of the provided minority groups.
An MDI may participate in the NCUA’s Minority Depository Institution Preservation
Program subject to the eligibility requirements of any specific initiative. An eligible
credit union’s decision to designate as an MDI or to participate in the Minority
Depository Institution Preservation Program is voluntary.
A credit union defined as a “small credit union” by the NCUA may self-designate greater
than 50 percent representation among its current members, and within the community it
services (field of membership), based solely on knowledge of those members.
A credit union not defined as small by the NCUA may rely on one of the methods below,
as applicable, to determine the minority composition of its current membership and of the
community it services. The credit union must maintain documentation supporting MDI
self-designation.
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
ii

DRAFT

a. U.S. Census Bureau website for demographic data based on the area(s) where the
current membership or field of membership resides.
b. Home Mortgage Disclosure Act data to calculate the reported number of minority
mortgage applicants divided by the total number of mortgage applicants within the
credit union’s membership.
c. Collect data from members who voluntarily choose to participate in such collection
about their racial identity and use the data to determine minority representation
among the credit union’s membership.
d. Other reasonable forms of data, such as membership address list analyses or an
employer’s demographic analysis of employees.
An MDI credit union must assess whether it continues to meet the required definition of
an MDI and update its designation, if necessary, whenever there is a change in its board
of directors, current membership, or field of membership. An MDI may elect to
withdraw its designation by not completing the relevant questions in this section.
Refer to Interpretive Ruling and Policy Statement (IRPS) 13-1, regarding the Minority
Depository Institution Preservation Program for credit unions.”
5. Contacts and Roles tab, page 4, Item 5g:
a. Modified to include Audit Committee chairperson in federally insured state-chartered
credit unions.
6. Contacts and Roles tab, page 4, Item 5h:
a. Modified to include Audit Committee members in federally insured state-chartered credit
unions.
7. Contacts and Roles tab, page 4, Item 7l:
a. Removed “for information security related updates.”
b. Added “Report the credit union employee that NCUA should contact for questions about
the credit union’s Information Security Program. Appendix A to Part 748 – Guidelines
for Safeguarding Member Information provides guidance standards for the Information
Security Program.”
8. Contacts and Roles tab, page 4, Item 7m:
a. Added “NCUA regulations 748.1(c)(2) – Definitions defines a cyber incident as an
occurrence that actually or imminently jeopardizes, without lawful authority, the
integrity, confidentiality, or availability of information on an information system, or
actually or imminently jeopardizes, without lawful authority, an information system.
Report the credit union employee that NCUA should contact for questions about cyber
incidents.”
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
iii

DRAFT

9. Contacts and Roles tab, page 4, Item 9a:
a. Added “Indicate if this is the preferred email address that NCUA or the credit union’s
state supervisory authority should use for credit union correspondence.”
10. Contacts and Roles tab, page 4, Item 10a:
a. Added “Indicate if this is the preferred email address that NCUA or the credit union’s
state supervisory authority should use for credit union correspondence.”
11. Sites tab, page 5, Item 1:
a. Added “Does your credit union operate exclusively online?”
12. Sites tab, page 5, Item 4:
a. Added “Accurately identifying the Site Type is important for the Home Mortgage
Disclosure Act (HMDA) Loan Application Register. The Federal Credit Union Act
defines a branch office as a location where member accounts are established or loans are
made. Members may or may not be able to establish accounts or apply for loans at a
Corporate Office.
A Shared Service Center location should be identified as a Branch Office if members can
open accounts or apply for loans at the Shared Service Center. If not, the Shared Service
Center location should be identified as an Other Site Type.
An ATM is specifically excluded from the definition of a Branch Office by HMDA. If a
stand-alone ATM is reported, it should be identified as an Other Site Type.”
13. Sites tab, page 5, Public Site Functions:
a. Added “A credit union must select at least one public site function for the site to be
published in the Credit Union Locator on NCUA.gov.”
14. Sites tab, page 5, Public Site Functions, Item e:
a. Added “Interactive Teller Machine (ITM)—The credit union may enter its ITM locations
in the Profile. This field may be selected more than once. Credit unions are not required
to report all their ITM locations.”
15. Payment System Service Provider (PSSP) Information, page 6, Item 2:
a. Moved from Item 8: “Select the systems used to process electronic payments (select all
that apply). Select all systems the credit union uses to process electronic payments.
Electronic payments generally mean any transfer of funds between the credit union and
another party (corporate credit union, Federal Reserve Bank, financial institution, or other
parties) through electronic systems.”
16. Payment System Service Provider (PSSP) Information, page 6, Item 2a:
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
iv

DRAFT

a. Moved from Item 8a: “FedLine Solutions—A full suite of applications offering access to
electronic payment solutions and information services provided by the Federal Reserve to
facilitate the electronic transfer of funds.”
17. Payment System Service Provider (PSSP) Information, page 6, Item 2b:
a. Moved from Item 8b: “Corporate Credit Union”
18. Payment System Service Provider (PSSP) Information, page 6, Item 2c:
a. Moved from Item 8c: “Correspondent Bank—Banks that perform services, such as the
electronic transfer of funds to another party (financial institution, merchant, credit union,
government entity, etc.) for the credit union.”
19. Payment System Service Provider (PSSP) Information, page 6, Item 2d:
a. Moved from Item 8d: “CUSO”
20. Payment System Service Provider (PSSP) Information, page 6, Item 2e:
a. Moved from Item 8e: “CHIPS – The Clearing House Interbank Payments System”
21. Payment System Service Provider (PSSP) Information, page 6, Item 2f:
a. Deleted Item 8f: “EPN”
b. Added Item 2f: “SWIFT”
22. Payment System Service Provider (PSSP) Information, page 6, Item 2g:
a. Moved from Item 8g: “Other (Please Specify)—If selected, provide the name of the
system in the space provided.”
23. Payment System Service Provider (PSSP) Information, page 6, Item 3:
a. Added: “Select the ACH operator the credit union uses for domestic ACH processing.
(select all that apply) If the credit union performs ACH transfers, select the ACH operator
the credit union uses for domestic ACH processing.”
24. Payment System Service Provider (PSSP) Information, page 6, Item 3a:
a. Added: “FedACH”
25. Payment System Service Provider (PSSP) Information, page 6, Item 3b:
a. Added: “EPN – The Electronic Payments Network”
26. Payment System Service Provider (PSSP) Information, page 6, Item 4:
a. Added “Does the credit union participate in The Clearing House (TCH) Real-Time
Payments (RTP) or Federal Reserve FedNow Service for instant payments or plan to
participate within the next 24 months? If the credit union participates in instant payments
or plans to participate in the next 24 months, select the service or indicate planned
participation.”
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
v

DRAFT

27. Payment System Service Provider (PSSP) Information, page 6, Item 4a:
a. Added “Yes, RTP”
28. Payment System Service Provider (PSSP) Information, page 6, Item 4b:
a. Added “Yes, FedNow Service”
29. Payment System Service Provider (PSSP) Information, page 6, Item 4c:
a. Added “Plan to within 24 months”
30. Payment System Service Provider (PSSP) Information, page 6, Item 5:
a. Added “Specify the Agents and Technology Service Provider(s) the credit union uses or
plans to use.”
31. Payment System Service Provider (PSSP) Information, page 6, Items 5a through 5d:
a. Added “FedNow Liquidity Provider – enter the name of the FedNow Liquidity Provider”
b. Added “FedNow Settlement Agent – enter the name of the FedNow Settlement Agent”
c. Added “RTP Funding Agent – enter the name of the RTP Funding Agent”
d. Added “Technology Service Provider(s) – enter the name(s) of the technology service
providers used for FedNow and RTP, if applicable.”
32. Payment System Service Provider (PSSP) Information, page 6, Item 6:
a. Added “Specify the payment system service provider the credit union uses for each of the
following payment services (select all that apply). For each of the following payment
services the credit union uses, indicate the name of the payment service provider. If you
use a corporate credit union for settlement only (and not for any processing services),
select “Other” and enter “Settlement Only” in the space provided.”
33. Payment System Service Provider (PSSP) Information, page 6, added Items 6a through 6k:
a. ACH Origination
b. ACH Receipt
c. ATM and Debit Card Processing
d. Bill Payment
e. Credit Card Processing
f. Domestic Wires
g. International Wires/Remittance Transfer
h. Person-2-Person (P2P)
i. Remote Deposit Capture
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
vi

DRAFT

j. Share Draft Processing and Settlement
k. Other (Please specify)
34. Payment System Service Provider (PSSP) Information, page 6, Item 2:
a. Deleted “Select the name of the main PSSP.”
35. Payment System Service Provider (PSSP) Information, page 6, Item 3:
a. Deleted “Identify the payment service(s) provided by the main PSSP”
36. Payment System Service Provider (PSSP) Information, page 6, Item 4:
a. Deleted “Select the name(s) of additional payment system service providers.”
37. Payment System Service Provider (PSSP) Information, page 6, Item 5:
a. Renumbered as Item 7 and modified “Have you changed or do you plan to change PSSPs
within the next 12 months.”
to:
“Will the credit union add new payment service(s) or change payment system service
providers within the next 24 months? If yes, complete Item 8. If the credit union plans to
add new payment service(s) or change payment systems service providers, select yes and
complete Item 8.”
38. Payment System Service Provider (PSSP) Information, page 6, Item 6:
a. Deleted “Select the name of the new provider.”
39. Payment System Service Provider (PSSP) Information, page 6, Item 7:
a. Renumbered as Item 8 and modified “Identify payment service(s) affected by this
change. Select each payment service(s) the credit union plans on transitioning or is in the
process of transitioning to the new provider identified in Item 5. If you use a corporate
credit union for settlement only (and not for any processing services), select “Other” and
enter “Settlement Only” in the space provided.”
to:
“If yes, select the new payment system service and provide the new payment system
service provider (select all that apply). Provide the name of the payment system service
provider for each payment system the credit union will add within the next 24 months.
Also, provide the name of the payment system service provider the credit union plans to
change to within the next 24 months.”
40. Payment System Service Provider (PSSP) Information, page 6, Items 7a through 7f:
a. Renumbered as Items 8a through 8k
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
vii

DRAFT

b. Deleted “ATM and Debit Processing and Settlement” and “Electronic Funds Transfer and
Direct Deposit”.
c. Added “ACH Origination”, “ACH Receipt”, “ATM and Debit Card Processing”, “Bill
Payment”, “International Wires/Remittance Transfer”, “Person-2-Person (P2P)”, and
“Remote Deposit Capture”
d. Modified “Credit Card Processing and Settlement” to “Credit Card Processing”
e. Modified “Wire Transfers” to “Domestic Wires”
f. Modified “Other” to “Other (Please Specify)”
41. Payment System Service Provider (PSSP) Information, page 6, Item 8:
a. Moved “Systems used to process electronic payments” to Item 2.
42. Payment System Service Provider (PSSP) Information, page 6, Item 9:
a. Deleted “If the credit union performs wire transfers, are they domestic, international or
both?”
43. Payment System Service Provider (PSSP) Information, page 6, Item 9:
a. Added “Does the credit union digitally issue or instant issue cards at any of its
locations?”
44. Payment System Service Provider (PSSP) Information, page 6, Item 10:
a. Renumbered as Item 12
b. Added as Item 10 “Does the credit union own or lease Automated Teller Machines
(ATMs) or Interactive Teller Machines (ITMs)?”
45. Payment System Service Provider (PSSP) Information, page 6, Item 11:
a. Added “Does the credit union originate Same-day ACH Transactions?”
46. Payment System Service Provider (PSSP) Information, page 6, Item 13f:
a. Added “Mobile Banking application”
47. Payment System Service Provider (PSSP) Information, page 6, Item 13g:
a. Added “Mail (postal service)”
48. Payment System Service Provider (PSSP) Information, page 6, Item 13h:
a. Added “Lockbox”
49. Information Technology (IT), page 7, Item 1a:
a. Modified “Website Address–If you selected yes, provide the website address/URL.
Please do not include the “http:www.” as part of your entry.”
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
viii

DRAFT

to:
"Website Address–If you selected yes, provide the domain name and domain extension.
Please do not include the “http:www.” or “https:www.” as part of your entry. The NCUA
will provide this website address on Credit Union Locator.”
50. Information Technology (IT), page 7, Item 2a:
a. Modified “Internal – Select if the credit union hosts its own website and/or online
banking page on a server located on the credit union premises and credit union personnel
manage the server.”
to:
“Internal – Select if the website is hosted at a credit union owned facility.”
51. Information Technology (IT), page 7, Item 2b:
a. Modified “External – Select if the credit union outsources its website hosting to a vendor
that specialized in hosting websites.”
to:
“External - Select if the website is hosted at a third-party vendor owned facility.”
52. Information Technology (IT), page 7, Item 3:
a. Moved Item 3 to Item 2c.
53. Information Technology (IT), page 7, Item 4:
a. Renumbered as Item 3.
54. Information Technology (IT), page 7, Item 5:
a. Renumbered as Item 4.
55. Information Technology (IT), page 7, Item 6:
a. Renumbered as Item 7
b. Added as Item 5 “If the credit union offers digital banking services, please indicate if the
services are internal or external. If external, provide the vendor and product name. For
each service described below, indicate if the service is internal, meaning hosted at a credit
union-owned facility, or external, meaning hosted at a third-party vendor-owned facility.
If external, provide the vendor and product name.”
56. Information Technology (IT), page 7, Items 5a through 5g:
a. Added “Consumer online banking - consumer use of an internet banking site using a
URL.”
b. Added “Consumer mobile banking – consumer use of a mobile phone or mobile device
app for banking.”
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
ix

DRAFT

c. Added “Consumer mobile deposit – consumer use of a mobile phone or mobile device
app for deposits.”
d. Added “Commercial online banking - use of an internet banking site using a URL by a
commercial account member/customer.”
e. Added “Commercial mobile banking – use of a mobile phone or mobile device app for
banking by a commercial account member/customer.”
f. Added “Other – enter the other digital banking services offered.”
57. Information Technology (IT), page 7, Item 7:
a. Renumbered and modified Item 7 “Data Processing System used to maintain credit union
records” as Item 6
b. Modified Item 6 “Select the core applications the credit union uses. Indicate if the core
application is hosted in-house (systems hosted by affiliated organizations are outsourced)
or outsourced. If vendor supplied or vendor hosted, provide the vendor and product name.
For each application listed below, indicate if the credit union maintains these records
using a manual system, an in-house system, or outsources the application. Indicate the
vendor and product name for each vendor supplied or vendor hosted application.”
58. Information Technology (IT), page 7, added Items 6a through 6c:
a. General Ledger
b. Shares/Loans
c. Other – enter the other core applications the credit union uses.
59. Information Technology (IT), page 7, Item 8:
a. Deleted “Name the primary share/loan data processing vendor.”
60. Information Technology (IT), page 7, Item 9a:
a. Renumbered as Item 8, revised caption from “If the credit union has undergone or plans
to undergo a Core Data Processing Conversion, please provide the following:”
to:
“If the credit union plans to undergo a Core Application Conversion in the next 24
months, please provide the following.
b. Modified “Provide the date the credit union is undergoing or planning to undergo a data
processing conversion, if applicable. You may enter a future date in this field.”
to:
"Select the type of application and provide the anticipated conversion date and the core
application the credit union will convert to.”
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
x

DRAFT

c. Added item 8a General Ledger
d. Added item 8b Shares/Loans
e. Added item 8c Other
f. Modified Item 9a “Date of Conversion” to Item 8d “Anticipated Conversion Date—
Provide the date the credit union is planning to undergo a core application conversion, if
applicable. You may enter a future date in this field. Report conversions that are
expected to occur in the next 24 months.”
g. Modified Item 9b “Core Processor Converting/Converted to:” to Item 8e “Core
Application Converting to—Provide the name of the core application the credit union
will convert to.”
61. Information Technology (IT), page 7, Item 13:
a. Added “Select the Managed Security Service Provider (MSSP) service(s) the credit union
uses (check all that apply).”
62. Information Technology (IT), page 7, Item 13a through 13g:
a. Added “24/7 network security monitoring—The credit union’s network security devices
and infrastructure are monitored by a third party for anomalous activity, 24 hours per day,
365 days per year. Report the vendor and product name if network security monitoring is
outsourced.”
b. Added “Security Operations Center—A facility where enterprise information systems
(web sites, applications, databases, data centers and servers, networks, desktops and other
endpoints) are monitored, assessed, and defended. Report the vendor and product name if
network operations are outsourced.”
c. Added “Systems Patching—Select if a vendor monitors for and installs operating systems
and software updates to credit union workstations and/or servers.”
d. Added “Security and Information Event Management—System that provides centralized
logging capabilities and the ability to gather security data from information system
components and present that data as actionable information via a single interface.”
e. Added “Ransomware backups—Backups that are designed to avoid being affected by
data encryption or other destructive cyber-attacks impacting primary systems and data.”
f. Added “DDoS Mitigation—A denial-of-service (DoS) attack occurs when legitimate
users are unable to access information systems, devices, or other network resources due
to the actions of a malicious cyber threat actor. Services affected may include email,
websites, online accounts (e.g., banking), or other services that rely on the affected
computer or network. A denial-of-service condition is accomplished by flooding the
targeted host or network with traffic until the target cannot respond or simply crashes,
preventing access for legitimate users.”
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
xi

DRAFT

g. Added “Dark Web Monitoring—The Dark Web uses the Internet and requires specific
software or credentials to access. Illicit activity conducted on the Dark Web includes
trafficking of sensitive financial institution information, including compromised
credentials and/or customer data.”
63. Regulatory Information, page 8, Item 3:
a. Modified “Select the type of audit by entering the letter of the description that best
characterizes the last audit.”
to:
“Select the type of audit by entering the letter of the description that best characterizes
the last audit. The types of audits are identified in the NCUA’s Examiner’s Guide Types
of Audits.”
64. Regulatory Information, page 8, Items 3b through 3d:
a. Replaced reference to NCUA’s Supervisory Committee Guide with Examiner’s Guide.
The Supervisory Committee Guide has been retired.
65. Regulatory Information, page 8, Item 7:
a. Modified “Provide your Supervisory Committee contact information for official
correspondence. Provide the mailing and email addresses for your supervisory
committee. The NCUA will use this information for official correspondence with the
Supervisory Committee (such as forwarding member complaints).”
to:
“Provide your Supervisory or Audit Committee contact information for official
correspondence. Provide the mailing and email addresses for your supervisory committee
or audit committee. This information will be used for official correspondence with the
Supervisory or Audit Committee (such as forwarding member complaints).”
66. Credit Union Grant Information, page 10:
a. Retired the Credit Union Grant Information tab.
67. Merger Partner Registry, page 11:
a. Added “Is your credit union interested in being considered a merger partner for a
Minority Depository Institution? If you selected at least one eligible minority group for
each of the three Minority Depository Institution questions on the General Information
tab, a response is required.”

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
xii

DRAFT

TABLE OF CONTENTS
Collection Reasons ........................................................................................................ 1
Certification................................................................................................................... 2
Certify Compliance Minimum Security Devices and Procedures ............................... 3
General Information ..................................................................................................... 4
Contacts and Roles ...................................................................................................... 10
Sites .............................................................................................................................. 18
Payment Systems Service Provider (PSSP) Information ........................................... 24
Information Technology (IT) ...................................................................................... 30
Regulatory Information .............................................................................................. 37
Catastrophic Act/Business Continuity Information .................................................. 43
Credit Union Programs and Member Services .......................................................... 45
Merger Partner Registry ............................................................................................ 53
Definitions.................................................................................................................... 55

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
xiii

DRAFT

Collection Reasons
Throughout the Profile Instructions, the following reasons are cited for collection of the
information:
Catastrophic Act or Continuity – provides information for contacting the credit union and
available resources during an emergency.
Identification – provides general credit union information on a range of topics.
Level and trend analysis – provides NCUA information on the level of and trends in specific
data elements.
Reporting to other governmental agencies – provides the data elements needed to report to
other governmental agencies.
Required by regulation – collects information required by current regulation.

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
1

DRAFT

Certification
NCUA Form 4501A—Page 1

The certification page is mandatory. The NCUA’s regulation § 741.6(a)(1), Credit Union
Profile, and the Federal Credit Union Act § 111(b), (§ 1761(b)), Membership on supervisory
committee; names and addresses of officers and committee members, require federally insured
credit unions to submit a Profile, NCUA Form 4501A, to NCUA:
•

within 10 days of electing or appointing senior management or volunteer officials, or

•

within 30 days of changing any information required to be reported in the Profile.

Additionally, credit unions must ensure their profile information is accurate and certify
their information quarterly.

Certifying Official∗
Provide the last name, first name, date, and signature of the official that certifies the accuracy of
the information in the Profile.

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
2

DRAFT

Certify Compliance Minimum Security Devices
and Procedures
NCUA FORM 4501A—Page 2

The Certify Compliance Minimum Security Devices and Procedures page is mandatory. Each
federally insured credit union must develop a written security program and file an annual
statement certifying its compliance with this requirement to satisfy the NCUA regulation
part 748, Security Program, Report of Suspected Crimes, Suspicious Transactions, Catastrophic
Acts and Bank Secrecy Act Compliance.

Certifying Official∗
Provide the last name, first name, date, and signature of the official that certifies compliance with
the NCUA regulation part 748.

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
3

DRAFT

General Information
NCUA FORM 4501A—Page 3

Item
No.
1

Instructions

Reason

Select the type of credit committee the credit union has: *◊

Level and trend
analysis,
Identification

a. Elected—select if the credit union has an elected credit
committee.
b. Appointed—select if the credit union has a credit
committee appointed by the board of directors.
c. No Committee—select if the credit union does not have a
credit committee.
2

Provide the credit union’s Employer Identification Number
(EIN). *◊

Identification

Report the credit union’s Employer Identification Number. This
is a nine-digit number assigned by the Internal Revenue Service.
Do not provide a social security number in this field.
3

Provide the Research, Statistics, Supervision, and Discount
(RSSD) ID.

Identification

Report the credit union’s RSSD ID number issued by the Board of
Governors of the Federal Reserve System. To confirm the credit
union’s RSSD ID, visit the Federal Financial Institutions
Examination Council’s National Information Center website.
4

Provide the credit union’s Legal Entity Identifier (LEI):
Report the credit union’s LEI. Every credit union that files a
HMDA submission is required to obtain and provide an LEI.

Identification

5

Is your credit union a member of the Federal Home Loan
Bank?

Identification

Check “Yes” if your credit union is a member of the Federal
Home Loan Bank.
6

Has your credit union filed an application to borrow from the
Federal Reserve Bank Discount Window? ◊

Identification

Check “Yes” if your credit union has filed an application to
borrow from the Federal Reserve Bank Discount Window.
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
4

DRAFT

GENERAL INFORMATION
NCUA FORM 4501A – PAGE 3
7

Has your credit union pre-pledged collateral with the Federal
Reserve Bank Discount Window? ◊

Identification

Check “Yes” if your credit union has pre-pledged collateral with
the Federal Reserve Bank Discount Window. “Pre-pledged”
means that the credit union’s collateral has been evaluated and
accepted for immediate borrowing access.
8

Does your credit union sponsor a qualified defined benefit
plan? ◊

Identification

Check “Yes” if your credit union sponsors a qualified benefit
plan.
9

Does your credit union participate in a multiemployer defined
benefit plan? ◊

Identification

Check “Yes” if your credit union is a participant in a
multiemployer defined benefit plan.
10

Is your credit union’s anti-money laundering monitoring
system automated, manual, or a combination of these?

Identification

Anti-money laundering monitoring systems typically include
employee identification or referrals, transaction-based (manual)
systems, surveillance (automated) systems, or any combination of
these.
Transaction-Based (Manual) systems typically target specific
types of transactions (for example those involving large amounts
of cash, or those to or from foreign geographies) and include a
manual review of various reports generated by the credit union’s
information technology sources, systems, and processes or vendor
systems in order to identify unusual activity. Examples of
information technology reports include currency activity reports,
funds transfer reports, monetary instrument sales reports, large
item reports, significant balance change reports, ATM transaction
reports, and nonsufficient funds (NSF) reports.
Surveillance Monitoring (Automated Account Monitoring) can
cover multiple types of transactions and use various rules to
identify potentially suspicious activity. These systems typically
use computer programs, developed in-house or purchased from
vendors, to identify individual transactions, patterns of unusual
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
5

DRAFT

GENERAL INFORMATION
NCUA FORM 4501A – PAGE 3
activity, or deviations from expected activity. These systems can
capture a wide range of account activity, such as deposits,
withdrawals, funds transfers, automated clearing house (ACH)
transactions, and automated teller machine (ATM) transactions,
directly from the credit union’s core data processing system.
Select “Automated” if your credit union’s anti-money laundering
monitoring system is automated. Select “Manual” if your credit
union’s anti-money laundering monitoring system is manual.
Select “Combination” if your credit union’s anti-money
laundering monitoring system is a combination of automated and
manual.
11

Provide the name of the credit union’s automated anti-money
laundering system. ◊

Identification

If the credit union’s anti-money laundering monitoring system is
automated, provide the name of the system.
Minority Depository Institution Questions
A credit union seeking designation as a Minority Depository
Institution (MDI) must complete this section. Answer “Yes” or
“No.” If you answer “Yes,” identify the minority groups
represented by your board of directors, current members, and the
community the credit union services, as designated in its field of
membership, by checking the appropriate box(es). See Factors to
Consider for MDI Designation below for guidance.
12

Identification

Is more than 50 percent of your credit union’s board of
directors:
a. Asian American
b. Black American
c. Hispanic American
d. Native American

13

Are more than 50 percent of your credit union’s current
members:
a. Asian American
b. Black American
c. Hispanic American

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
6

DRAFT

GENERAL INFORMATION
NCUA FORM 4501A – PAGE 3
d. Native American
14

Is more than 50 percent of your credit union’s field of
membership:
a. Asian American
b. Black American
c. Hispanic American
d. Native American

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
7

DRAFT

GENERAL INFORMATION
NCUA FORM 4501A – PAGE 3

Factors to Consider for MDI Designation
Return to instructions
To be classified as an MDI a credit union must meet all three conditions:
1. More than 50% of current members are from any of the eligible minority groups,
2. More than 50% of board members are from any of the eligible minority groups, and
3. More than 50% of the community it services are from any of the eligible minority
groups. The community it services is defined as a credit union’s field of membership in
its charter.
Eligible minority groups are Asian American, including individuals who are Native Hawaiian or
Other Pacific Islander, Black American, Hispanic American, and Native American, including
individuals who are American Indian or Alaska Native. For purposes of minority representation,
an individual who falls into more than one of the minority categories (multi-racial or multi-ethnic
individuals) will be considered as a single, eligible minority. Multi-racial or multi-ethnic
individuals should be counted in only one of the provided minority groups.
An MDI may participate in the NCUA’s Minority Depository Institution Preservation Program
subject to the eligibility requirements of any specific initiative. An eligible credit union’s
decision to designate as an MDI or to participate in the Minority Depository Institution
Preservation Program is voluntary.
A credit union defined as a “small credit union” by the NCUA may self-designate greater than 50
percent representation among its current members, and within the community it services (field of
membership), based solely on knowledge of those members.
A credit union not defined as small by the NCUA may rely on one of the methods below, as
applicable, to determine the minority composition of its current membership and of the
community it services. The credit union must maintain documentation supporting MDI selfdesignation.
a. U.S. Census Bureau website for demographic data based on the area(s) where the current
membership or field of membership resides.
b. Home Mortgage Disclosure Act data to calculate the reported number of minority mortgage
applicants divided by the total number of mortgage applicants within the credit union’s
membership.
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
8

DRAFT

GENERAL INFORMATION
NCUA FORM 4501A – PAGE 3
c. Collect data from members who voluntarily choose to participate in such collection about
their racial identity and use the data to determine minority representation among the credit
union’s membership.
d. Other reasonable forms of data, such as membership address list analyses or an employer’s
demographic analysis of employees.
An MDI credit union must assess whether it continues to meet the required definition of an MDI
and update its designation, if necessary, whenever there is a change in its board of directors,
current membership, or field of membership. An MDI may elect to withdraw its designation by
not completing the relevant questions in this section.
Refer to Interpretive Ruling and Policy Statement (IRPS) 13-1, regarding the Minority
Depository Institution Preservation Program for credit unions.

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
9

DRAFT

Contacts and Roles
NCUA FORM 4501A—Page 4

The Contacts and Roles section of the Profile collects information about individuals employed
by or associated with the credit union. If an individual holds more than one job title, check all
job titles held by that individual. If a mandatory job title is currently vacant, enter “Vacant” in
the first and last name fields.
If the manager or CEO position is currently vacant, enter the name of the individual who has
temporary responsibility for managing the credit union’s daily operations. When a vacant
position has been filled, the Profile needs to be updated to reflect current staffing.
Item No.
1

Instructions
Salutation*
Select the appropriate salutation from the list provided
(Mr., Mrs., Ms., or Dr.).

Reason
Catastrophic Act or
Continuity,
Identification,
Reporting to other
governmental agencies

2

First Name*
Report the first name of the credit union official.

Catastrophic Act or
Continuity,
Identification,
Reporting to other
governmental agencies

3

Middle Initial

Catastrophic Act or
Continuity,
Identification,
Reporting to other
governmental agencies

Report the middle initial of the credit union official.

4

Last Name*
Report the last name of the credit union official.

5

Job Titles
Select the appropriate title for the credit union official
identified in items 1-4.

Catastrophic Act or
Continuity,
Identification,
Reporting to other
governmental agencies
Catastrophic Act or
Continuity,
Identification,

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
10

DRAFT

CONTACTS AND ROLES
NCUA FORM 4501A – PAGE 4
a. Manager or CEO*—This person is responsible
for the overall daily operations of the credit
union. This job title may not be marked
“Vacant.” If the position is currently vacant,
enter the name of the individual that has
temporary responsibility for managing the credit
union’s daily operations. The credit union may
only identify one manager or CEO. The credit
union must provide an email address and phone
number for the manager or CEO position.

Reporting to other
governmental agencies

b. Board Chairperson*—This person is the
President of the Board. The credit union may
only identify one Chairperson and it cannot be
the same individual as the Manager or CEO,
Vice Chairperson, or Treasurer.
c. Board Vice Chairperson*—The credit union
may only identify one Vice Chairperson. This
person may not be the same individual as the
Chairperson or Treasurer.
d. Board Secretary—The credit union may only
identify one Secretary. This person may be the
same as the Treasurer.
e. Board Treasurer *—The credit union may only
identify one Treasurer. This position is
sometimes called a “Principal Financial
Officer.” This person may not be the same
individual as the Chairperson or Vice
Chairperson.
f. Board Member *—This title is assigned to
board members who are not the Chairperson,
Vice Chairperson, Secretary, or Treasurer.
There may be more than one Board Member in a
credit union. List all board members.
g. Supervisory or Audit Committee Chairperson
*—This position is mandatory for federal credit
unions. For some state-chartered credit unions,
the “audit committee” designated by state statute
or regulation is the equivalent of a Supervisory
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
11

DRAFT

CONTACTS AND ROLES
NCUA FORM 4501A – PAGE 4
Committee. If a state-chartered credit union
identifies the Chairperson, it must also identify
the individual members of the committee to
satisfy the NCUA regulation
§ 741.6(a) Financial and statistical and other
reports.
h. Supervisory or Audit Committee Member
*—This is mandatory for federal credit unions.
i. Credit Committee Chairperson *◊—This is
mandatory if you indicated your credit union has
a credit committee on the General page. If the
credit union has a Credit Committee, identify the
Credit Committee Chairperson.
j. Credit Committee Member *◊—This is
mandatory if you indicated your credit union has
a credit committee on the General page. If the
credit union has a Credit Committee, identify the
Credit Committee members.
k. Chief Financial Officer (CFO)—This person is
primarily responsible for managing the credit
union’s financial risks. Responsibilities may
also include financial planning, recordkeeping,
and financial reporting. A credit union may not
have a CFO and is not required to enter a contact
for this job title.
l. Chief Information Officer—This person is
responsible for the information technology and
computer systems that support the credit union’s
goals. A credit union may not have a Chief
Information Officer and is not required to enter a
contact for this job title.
m. Internal Auditor—This person is usually
responsible for analyzing business processes or
organizational problems and recommending
solutions. A credit union may not have an
internal auditor and is not required to enter a
contact for this job title.
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
12

DRAFT

CONTACTS AND ROLES
NCUA FORM 4501A – PAGE 4
n. Other—If the contact in fields 1-4 does not hold
any of the listed job titles but fills one or more of
the roles listed in Item 6, check “Other” in the
Job Titles area.
6

Does the manager or CEO also manage a different
credit union?* ◊

Identification

Select “Yes” if the manager or CEO actively serves as
manager of another credit union in addition to this credit
union. Select “No” if the manager or CEO does not
actively serve as manager of another credit union.
7

Roles ◊
Select the individual’s role with the credit union from the
list provided. Each individual provided on the form must
have at least one role.
a. Volunteer—This role may be entered more than
once to identify individuals who serve on the
board of directors or volunteer their time to the
credit union.

Catastrophic Act or
Continuity,
Identification,
Reporting to other
governmental agencies

b. General Credit Union Contact—This role is
the default if none of the other roles adequately
describe a contact. This role may be used
multiple times.
c. Call Report Contact *—This person can be
contacted if the NCUA or State Supervisory
Authority (SSA) (if applicable) has a question
about the Call Report. The NCUA will email
the Financial Performance Report to the Call
Report contacts after the Call Report has been
submitted and validated, if an email address is
provided.
d. Profile Information Contact *—This person
can be contacted if the NCUA or SSA (if
applicable) has a question about information in
the Profile.
e. Primary Patriot Act Contact *—Provide an
email address where the NCUA can send
information, such as 314(a) notifications. If the
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
13

DRAFT

CONTACTS AND ROLES
NCUA FORM 4501A – PAGE 4
credit union does not have an organizational
email address, you may provide a personal email
address. In the event the credit union has a
single email address, the Patriot Act information
must be treated as confidential and provided
only to credit union individuals responsible for
Bank Secrecy Act (BSA) compliance. NCUA
provides FinCEN bi-weekly updates to the
Patriot Act 314(a) point of contact, and it can
take up to three weeks for changes to take effect.
Patriot Act Contacts must login to the FinCEN
website and obtain the 314(a) lists when
FinCEN emails a request or every 14 days,
whichever occurs first. Because matches must be
reported to FinCEN within 14 days, it is
important to provide additional Patriot Act
Contacts. If you have questions about the Patriot
Act or BSA compliance, contact your NCUA
district examiner or respective SSA.
f. Secondary Patriot Act Contact *—Provide an
email address where information, such as 314(a)
notifications, can be sent to the secondary
contact person.
g. Third Patriot Act Contact (Optional)—
Provide an email address where the NCUA can
send information, such as 314(a) notifications.
h. Fourth Patriot Act Contact (Optional)—
Provide an email address where the NCUA can
send information, such as 314(a) notifications.
i. Primary Emergency Contact *—Provide an
email address for senior credit union officials
with decision-making authority for the credit
union and who can be contacted in the event of
an emergency.
j. Secondary Emergency Contact *—Provide an
email address for senior credit union officials
with decision-making authority for the credit
union and who can be contacted in the event of
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
14

DRAFT

CONTACTS AND ROLES
NCUA FORM 4501A – PAGE 4
an emergency. The Primary Emergency
Contact and the Secondary Emergency
Contact cannot be the same person.
k. Credit Union Employee—This role may be
entered more than once to identify individuals
employed by the credit union. The credit union
is not required to submit the names of all its
employees.
l. Information Security Contact *—Provide the
name, email address, and phone number for the
designated information security contact. Report
the credit union employee that NCUA should
contact for questions about the credit union’s
Information Security Program. Appendix A to
Part 748 – Guidelines for Safeguarding Member
Information provides guidance standards for the
Information Security Program.
m. Cyber Incident Notification Contact,
primary* - Provide the name, email address,
and phone number of the designated cyber
incident notification primary contact. NCUA
regulations 748.1(c)(2) – Definitions defines a
cyber incident as an occurrence that actually or
imminently jeopardizes, without lawful
authority, the integrity, confidentiality, or
availability of information on an information
system, or actually or imminently jeopardizes,
without lawful authority, an information system.
Report the credit union employee that NCUA
should contact for questions about cyber
incidents.
n. Cyber Incident Notification Contact,
secondary* - Provide the name, email address,
and phone number for the designated cyber
incident notification secondary contact.
8

Credit Union Employment Type *◊

Catastrophic Act or
Continuity,
Identification,
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
15

DRAFT

CONTACTS AND ROLES
NCUA FORM 4501A – PAGE 4
Indicate whether the credit union employs the contact
full-time or part-time. If the contact is not employed by
the credit union, select “Volunteer.”

Reporting to other
governmental agencies

Credit unions must provide a home address, home phone number, work phone number, or cell
phone number and an email address for contacts as indicated in CUOnline.◊
9

Home Address Information*◊
Provide the home address for the contact. The zip code
for a contact in the United States must be 5 or 9 digits.
a. Home email—Provide a home email address, if
available. Indicate if this is the preferred email
address that NCUA or the credit union’s state
supervisory authority should use for credit union
correspondence.

Catastrophic Act or
Continuity,
Identification,
Reporting to other
governmental agencies

b. Home Phone—Provide the complete phone
number (including area code).
c. Home Cell Phone Number—Provide the
complete cell phone number(s) (including area
code). Cell phone numbers will not be made
public and only be used by NCUA staff in case
of emergency.
d. Home Fax Number—Provide complete fax
number (including area code).
e. Home County—Provide the name of the county
where the contact resides.
10

Work Address Information ◊
Provide the work address for the contact. If a contact is
retired, the work-related fields could be blank. The zip
code for a contact in the United States must be 5 or 9
digits.

Catastrophic Act or
Continuity,
Identification,
Reporting to other
governmental agencies

a. Work email—Provide a work email address, if
available. Indicate if this is the preferred email
address that NCUA or the credit union’s state
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
16

DRAFT

CONTACTS AND ROLES
NCUA FORM 4501A – PAGE 4
supervisory authority should use for credit union
correspondence.
b. Work Phone—Provide the complete phone
number (including area code). Provide
extension numbers, if applicable.
c. Work Cell Phone Number—Provide the
complete cell phone number(s) (including area
code). The NCUA will not make cell phone
numbers public and will only call in an
emergency.
d. Work Fax Number—Provide complete fax
number (including area code).
e. Work County—Provide the name of the county
where the contact works.

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
17

DRAFT

Sites
NCUA FORM 4501A—Page 5

The Sites section of the Profile is mandatory and includes information about the credit union’s
main and branch offices, disaster recovery location, vital records center, and location of records.
Report at least one corporate office and all branch offices.
Item
No.
1

Instructions

Reason

Does your credit union operate exclusively online?

Identification

Select “Yes” if the credit union operates exclusively online. If
“Yes” is selected, the credit union website will be available in the
Credit Union Locator application.
2

Site Name*
Provide a name to identify the site. A site name can be a specific
name, letter, identifying acronym, or other form of identification
that the credit union has assigned to an office. This field will be
used to identify different credit union sites.

3

Operational Status*◊
Provide the operational status of each site.
a. Normal—Fully functional site.

Catastrophic Act
or Continuity,
Identification

Catastrophic Act
or Continuity,
Identification

b. Planned—A new site that is not operational yet.
c. Suspended - Emergency—Site has been impacted by a
disaster or some other event and is currently not
operational.
4

Site Type*

Accurately identifying the Site Type is important for the Home Mortgage Disclosure Act
(HMDA) Loan Application Register. The Federal Credit Union Act defines a branch office as
a location where member accounts are established or loans are made. Members may or may
not be able to establish accounts or apply for loans at a Corporate Office.

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
18

DRAFT

SITES
NCUA FORM 4501A – PAGE 5
Item
No.

Instructions

Reason

A Shared Service Center location should be identified as a Branch Office if members can open
accounts or apply for loans at the Shared Service Center. If not, the Shared Service Center
location should be identified as an Other Site Type.
An ATM is specifically excluded from the definition of a Branch Office by HMDA. If a standalone ATM is reported, it should be identified as an Other Site Type.

Report the type of site as one of the following:
a. Corporate Office—Site is the main office of the credit
union.

Catastrophic Act
or Continuity,
Identification

b. Branch Office—Site is separate from the main
office/corporate office.
c. Other—Site is not a corporate or branch office. This could
be a site that functions as a shared service center/network.
5

Is Main Office*

Catastrophic Act
Identify the main office for the credit union by checking the Main or Continuity,
Office box. A credit union may only identify one main office. For Identification
federal credit unions, NCUA will utilize the physical address state
associated with the site designated as "main office" for internal
reporting purposes. For state chartered or non-federally insured
credit unions, NCUA will utilize your designated charter state for
internal reporting purposes.

6

Hours of Operation*
Provide the hours of operation for the site, if applicable. (For
example, M–F 8:00 am—3:00 pm.) Credit unions are required to
enter the hours of operation for the main office location. Some
site functions may not have hours of operation (for example, an
ATM). For these sites, leave this line blank.

7

Physical Address*
This address is the physical location of the site and is required for
all sites. Include the street address, city, state, zip code, county,
and country. If the site is in a foreign country, enter the name of

Catastrophic Act
or Continuity,
Identification

Catastrophic Act
or Continuity,
Identification

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
19

DRAFT

SITES
NCUA FORM 4501A – PAGE 5
Item
No.

Instructions

Reason

the foreign state, province, territory, etc. in the City data field and
select the Country from the dropdown list.
A P.O. Box is not an adequate street address. The physical
address may be the same as or different from the mailing address.
The zip code for sites in the United States must be 5 or 9 digits.
8

Mailing Address*
Catastrophic Act
or Continuity,
Provide the full mailing address for the site. Include the street
Identification
address or P.O. Box number, city, state, zip code, county, and
country. The zip code for sites in the United States must be 5 or 9
digits.

9

Phone numbers
Provide complete phone* and fax◊ numbers (including area code)
for the site, if applicable.

Catastrophic Act
or Continuity,
Identification

10

Site Function(s)

Catastrophic Act
or Continuity,
Identification

Complete the form for the three mandatory site functions
(Location of Records, Disaster Recovery Location, Vital Records
Center) and provide the site function for any other sites reported
from the following list:
Non-Public Site Functions
a. Disaster Recovery Location*◊—The disaster recovery
location is where the credit union will resume operations
if required to leave the main office during a disaster.
This may include a branch office located far enough from
the main office to assume it will not be affected by the
same disaster. This location may be the same as the Vital
Records Center but may not be the same as the Location
of Records. A P.O. Box is not an adequate Disaster
Recovery location.

b. Location of Records*◊—Location of Records refers to
the site(s) where the credit union maintains records
(accounting, recordkeeping, lending, investment, etc.).
Credit union records may be at one or more sites but must
be identified at all sites where records are maintained.
This field may be completed more than once. The
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
20

DRAFT

SITES
NCUA FORM 4501A – PAGE 5
Item
No.

Instructions

Reason

location of records does not include the Vital Records
Center.
c. Vital Records Center*◊—A vital records center is
required per the NCUA regulations part 749, Records
Preservation Program and Appendices—Record
Retention Guidelines; Catastrophic Act Preparedness
Guidelines, and is defined as a storage facility at any
location far enough from the credit union’s offices to
avoid the simultaneous loss of both sets of records in the
event of disaster. The location may be the same as the
Disaster Recovery Location but may not be the same as
the Location of Records. A P.O. Box is not an adequate
Vital Records Center location.
d. Backup Generator ◊—A backup generator provides
power to the credit union’s main office or branch during
a power outage. If the credit union has a backup
generator, please check this box.
e. Future Office ◊—A future office is a site that is planned
but not yet operational. It can be a corporate office,
branch office, or shared service center. The site type
should be listed as Other in Item 3 until the site is
functional.
f. Hot Site ◊—A hot site is fully configured with
compatible computer equipment and can typically be
operational within several hours. Credit unions may rely
on the services of a third party to provide backup
facilities.
g. Planned Evacuation Site ◊—The evacuation site is the
location to move people from a dangerous place due to a
threat or disastrous event (earthquakes, hurricanes,
floods, industrial accidents, fire, chemical accidents,
bomb threats, etc.). The evacuation site may be the same
as the disaster recovery location. A P.O. Box is not an
adequate evacuation site.
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
21

DRAFT

SITES
NCUA FORM 4501A – PAGE 5
Item
No.

Instructions

Reason

h. Other ◊—Other should be selected if none of the above
site functions are accurate.
Public Site Functions
A credit union must select at least one public site function for the
site to be published in the Credit Union Locator on NCUA.gov.
a. Shared Service Center/Network—Shared service
centers/networks are sites where members can access
their accounts and perform credit union transactions and
may include branch locations or other credit unions that
belong to a shared network and are separate from the
main office location. Do not include the member service
branch operations maintained at the credit union’s
corporate office location. Identify all shared service
centers/networks as “Branch Office” or “Other” Site
Type in Item 3. This field may be used more than once.
b. ATM—The credit union may enter its ATM locations in
the Profile. This field may be selected more than once.
Credit unions are not required to report all their ATM
locations.
c. Drive Thru—Members do not have to leave their
vehicles to conduct transactions at a drive thru site. It
can be located at the corporate office, branch office, and
shared service centers. This site may include ATMs.
This field may be used more than once.
d. Member Services—Any site where members can access
their accounts and conduct transactions is a Member
Services site. Member services include deposits,
withdrawals, loans, new account services, etc. Member
services may be conducted at the corporate office, branch
office, and shared service centers.
e. Interactive Teller Machine (ITM)—The credit union
may enter its ITM locations in the Profile. This field may

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
22

DRAFT

SITES
NCUA FORM 4501A – PAGE 5
Item
No.

Instructions

Reason

be selected more than once. Credit unions are not
required to report all their ITM locations.

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
23

DRAFT

Payment Systems Service Provider (PSSP)
Information
NCUA FORM 4501A—Page 6

Item
No.
1

Instructions

Reason

Select the credit union’s Primary Settlement Agent (member
share draft clearing, ACH transactions, etc.) *◊

Identification

Select the applicable primary settlement agent the credit union
uses to process member share drafts, ACH transactions, and other
item processing services. If multiple settlement agents are used,
report the settlement agent that processes the most transactions
for the credit union. If none of the options apply, select “Not
Applicable.”
a. Federal Reserve Bank—Select this option if the Federal
Reserve Bank processes the majority of the credit
union’s transactions.
b. Credit Union Service Organization (CUSO)—Select
this option if a CUSO processes the majority of the credit
union’s transactions.
c. Corporate Credit Union—Select this option if a
corporate credit union processes the majority of the
credit union’s transactions.
d. Federal Credit Union—Select this option if a federal
credit union processes the majority of the credit union’s
transactions.
e. Bank—Select this option if a bank processes the
majority of the credit union’s transactions.
f. Other Credit Union—Select this option if a credit union
other than a federal credit union or corporate credit union
processes the majority of the credit union’s transactions.
g. Not Applicable—Select this option if the credit union
does not use a settlement agent or if the settlement agent
is an entity other than those listed.

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
24

DRAFT

PAYMENT SYSTEM SERVICE PROVIDER (PSSP) INFORMATION
NCUA FORM 4501A – Page 6
2

Select the systems used to process electronic payments (select
all that apply). ◊

Identification

Select all systems the credit union uses to process electronic
payments. Electronic payments generally mean any transfer of
funds between the credit union and another party (corporate credit
union, Federal Reserve Bank, financial institution, or other
parties) through electronic systems.
a. FedLine Solutions—A full suite of applications offering
access to electronic payment solutions and information
services provided by the Federal Reserve to facilitate the
electronic transfer of funds.
b. Corporate Credit Union
c. Correspondent Bank—Banks that perform services,
such as the electronic transfer of funds to another party
(financial institution, merchant, credit union, government
entity, etc.) for the credit union.
d. CUSO
e. CHIPS—The Clearing House Interbank Payments
System
f. SWIFT
g. Other (Please Specify)—If selected, provide the name of
the system in the space provided.
3

Select the ACH operator the credit union uses for domestic
ACH processing. (select all that apply) ◊

Identification

If the credit union performs ACH transfers, select the ACH
operator the credit union uses for domestic ACH processing.
a. FedACH
b. EPN—The Electronic Payments Network
4

Does the credit union participate in The Clearing House
(TCH) Real-Time Payments (RTP) or Federal Reserve
FedNow Service for instant payments or plan to participate
within the next 24 months? ◊

Identification

If the credit union participates in instant payments or plans to
participate in the next 24 months, select the service or indicate
planned participation.
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
25

DRAFT

PAYMENT SYSTEM SERVICE PROVIDER (PSSP) INFORMATION
NCUA FORM 4501A – Page 6
a. Yes, RTP
b. Yes, FedNow Service
c. Plan to within 24 months
5

Specify the Agents and Technology Service Provider(s) the
credit union uses or plans to use. ◊

Identification

a. FedNow Liquidity Provider—enter the name of the
FedNow Liquidity Provider
b. FedNow Settlement Agent—enter the name of the
FedNow Settlement Agent
c. RTP Funding Agent—enter the name of the RTP
Funding Agent.
d. Technology Service Provider(s)—enter the name(s) of
the technology service providers used for FedNow and
RTP, if applicable.
6

Specify the payment system service provider the credit union
uses for each of the following payment services (select all that
apply). ◊

Identification

For each of the following payment services the credit union uses,
indicate the name of the payment service provider. If you use a
corporate credit union for settlement only (and not for any
processing services), select “Other” and enter “Settlement Only”
in the space provided.
a. ACH Origination
b. ACH Receipt
c. ATM and Debit Card Processing
d. Bill Payment
e. Credit Card Processing
f. Domestic Wires
g. International Wires/Remittance Transfer
h. Person-2-Person (P2P)
i. Remote Deposit Capture
j. Share Draft Processing and Settlement
k. Other (Please specify)

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
26

DRAFT

PAYMENT SYSTEM SERVICE PROVIDER (PSSP) INFORMATION
NCUA FORM 4501A – Page 6
7

Will the credit union add new payment service(s) or change
payment system service providers within the next 24 months?
*◊ If yes, complete Item8.

Identification

If the credit union plans to add new payment service(s) or change
payment systems service providers, select yes and complete Item
8.
8

If yes, select the new payment system service and provide the
new payment system services provider (select all that apply). ◊

Identification

Provide the name of the payment system service provider for each
payment system the credit union will add within the next 24
months. Also, provide the name of the payment system service
provider the credit union plans to change to within the next 24
months.
a. ACH Origination
b. ACH Receipt
c. ATM and Debit Card Processing
d. Bill Payment
e. Credit Card Processing
f. Domestic Wires
g. International Wires/Remittance Transfer
h. Person-2-Person (P2P)
i. Remote Deposit Capture
j. Share Draft Processing and Settlement
k. Other (Please Specify)
9

Does the credit union digitally issue or instant issue cards at
any of its locations?◊

Identification

a. Yes
b. No
10

Does the credit union own or lease Automated Teller
Machines (ATMs) or Interactive Teller Machines (ITMs)? ◊

Identification

a. ATM
b. ITM
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
27

DRAFT

PAYMENT SYSTEM SERVICE PROVIDER (PSSP) INFORMATION
NCUA FORM 4501A – Page 6
11

Does the credit union originate Same-day ACH Transactions? Identification
◊
a. Yes
b. No

12

If the credit union is an Originating Depository Financial
Institution, what types of ACH transactions are originated by
the credit union? (select all that apply) ◊

Identification

Select the box next to each type of ACH transaction the credit
union originates.
a. PPD—Prearranged Payment and Deposit Entry
b. WEB—Internet Initiated/Mobile Entry
c. TEL—Telephone Initiated Entry
d. IAT—International ACH Transactions
e. Other Consumer Entry Codes—Provide Standard Entry
Class codes for other consumer ACH transactions
originated by the credit union
f. Other Business Entry Codes—Provide Standard Entry
Class codes for other business ACH transactions
originated by the credit union
13

Which method(s) can a member use to initiate electronic
payments (wire transfer, ACH, etc.) from the credit union?
(select all that apply) ◊

Identification

Select the box(es) next to each process a member can use to
initiate electronic payments (wire transfer, ACH, etc.) from the
credit union.
a. Email
b. Fax
c. Online banking (web-based)
d. Telephone
e. In person
f. Mobile Banking application
g. Mail (postal service)
h. Lockbox
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
28

DRAFT

PAYMENT SYSTEM SERVICE PROVIDER (PSSP) INFORMATION
NCUA FORM 4501A – Page 6
i. Other (Please specify)—provide the method in the
space provided.

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
29

DRAFT

Information Technology (IT)
NCUA FORM 4501A—Page 7

Item
No.
1

Instructions

Reason

Does the credit union have a website?

Identification

a. Yes
b. No
c. Website Address—If you selected yes, provide the
domain name and domain extension. Please do not
include the “http://www.” or “https://www.” as part of
your entry. The NCUA will provide this website address
on Credit Union Locator.
2

Where is the website hosted? Select one of the following: ◊

Identification

a. Internal—Select if the website is hosted at a credit union
owned facility.
b. External—Select if the website is hosted at a third-party
vendor-owned facility.
c. External website vendor— Provide the name of the
external website vendor that hosts the credit union
website.
3

Select the service(s) offered.

Identification

a. Informational website—This service provides general
information such as loan and share rates, printable forms,
contact information, privacy notices, etc. through a
website.
b. Mobile Application—Products and services a credit
union provides to members through mobile devices. This
includes applications for mobile devices, such as notebook
and laptop computers, cellular telephones and
smartphones, tablets, and audio recording devices.
c. Online Banking—Automated delivery of products and
services directly to customers through electronic,
interactive communication channels. This allows
members to access accounts, transact business, or obtain
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
30

DRAFT

INFORMATION TECHNOLOGY
NCUA FORM 4501A – PAGE 7
Item
No.

Instructions

Reason

information on financial products and services through the
Internet. Members access online banking services using
an electronic device, such as a personal computer.
4

If a credit union has online or mobile banking, how many
members use it? ◊

Identification

Report the number of members (not the number of transactions)
using online or mobile banking.
5

If the credit union offers digital banking services, please
indicate if the services are internal or external. If external,
provide the vendor and product name. ◊

Identification

For each service described below, indicate if the service is
internal, meaning hosted at a credit union-owned facility, or
external, meaning hosted at a third-party vendor-owned facility. If
external, provide the vendor and product name.
a. Consumer online banking - consumer use of an internet
banking site using a URL.
b. Consumer mobile banking – consumer use of a mobile
phone or mobile device app for banking.
c. Consumer mobile deposit – consumer use of a mobile
phone or mobile device app for deposits.
d. Commercial online banking - use of an internet banking
site using a URL by a commercial account
member/customer.
e. Commercial mobile banking – use of a mobile phone or
mobile device app for banking by a commercial account
member/customer.
f. Other – enter the other digital banking services offered.
6

Select the core applications the credit union uses. Indicate if
the core application is hosted internally (systems hosted by
affiliated organizations are external) or externally. If vendor
supplied or vendor hosted, provide the vendor and product
name.

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
31

DRAFT

INFORMATION TECHNOLOGY
NCUA FORM 4501A – PAGE 7
Item
No.

Instructions

Reason

For each application listed below, indicate if the credit union
maintains these records using a manual system, an internal
system, or an external application. Indicate the vendor and
product name for each vendor-supplied or vendor-hosted
application.
a. General Ledger ◊
b. Shares/Loans
c. Other – enter the other core applications the credit union
uses. ◊
7

Which wireless networks, if any, does the credit union
operate: ◊

Identification

a. Public or Guest Network—A public or guest network
allows the general public to connect to a network,
generally the Internet.
b. Private or Restricted Network—A private or restricted
network is a non-public network where connections are
secured. Access is normally arranged by providing a
password, passcode, or security key.
8

If the credit union plans to undergo a Core Application
Conversion, please provide the following: ◊

Identification

Select the type of application and provide the anticipated
conversion date and the core application the credit union will
convert to.
a. General Ledger
b. Shares/Loans
c. Other
d. Anticipated Conversion Date—Provide the date the
credit union is planning to undergo a core application
conversion, if applicable. You may enter a future date in
this field. Report conversions that are expected to occur in
the next 24 months.
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
32

DRAFT

INFORMATION TECHNOLOGY
NCUA FORM 4501A – PAGE 7
Item
No.

Instructions

Reason

e. Core Application Converting to—Provide the name of
the core application the credit union will convert to.
9

Select the service(s) the credit union offers electronically:

Identification

a. External or Third-Party Account Aggregation—
Service that consolidates and presents account information
from many websites.
b. Bill Payment—Allows members to transfer money
electronically from their account to a creditor, vendor, or
an individual to be credited against a specific account.
Bill payment lets members schedule one-time or automatic
recurring payments.
c. Person-to-Person (P2P)—Allows members to send
money from their credit union account to another account
(either within or outside of the credit union).
d. Electronic Signature Authentication/Certification—
Service that allows members to verify, identify, and
certify related electronic signatures.
e. E-Statements—Allows members to receive periodic
statements electronically rather than receiving a paper
statement in the mail.
f. External Transfers/Payments - ACH—Service that
allows members to transfer money to accounts held at
other financial institutions.
g. Loan Payments—Allows members to make loan
payments electronically.
h. Member Application—Service that allows members to
access and submit an application via the Internet. Do not
report this item if members must print, mail, or physically
deliver the application.
i. Point-of-Sale Processing—Provides point-of-sale
transaction equipment (debit/credit card terminals, etc.)
and processing services to business customers. This is
also applicable if the credit union has contracted with a
third party to provide these services.
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
33

DRAFT

INFORMATION TECHNOLOGY
NCUA FORM 4501A – PAGE 7
Item
No.

Instructions

Reason

j. Mobile Payments—Allows members to make payments
(individuals, businesses, purchase goods or services,
charitable donations, etc.) using a mobile device.
Transaction methods include point-of-sale terminal or
near-field communication (NFC) technology, mobile
applications, text messages (SMS), or taking a photograph
of a check and sending it as a payment (not deposit). The
amount of the payment may be withdrawn directly from a
member’s bank account, charged to their credit card, or
applied to their phone bill. Do not report bill payment
service offered through mobile banking here if the service
is comparable to an internet-based bill payment service
offered by the credit union.
k. Loan Application—Service that allows members to
access and submit an application via the Internet. Do not
report this item if members must print, mail, or physically
deliver the application.
l. New Share Account—Service that allows members to
access and submit an application via the Internet. Do not
report this item if members must print, mail, or physically
deliver the application.
m. Remote Deposit Capture—Allows members to remotely
scan checks and transmit the scanned image and/or ACH
data to the credit union for posting and clearing.
n. Other (Please Specify)—Indicate any electronic
service(s) the credit union offers that do not fit in any
other category.
10

Cloud Services (check all that apply)

Identification

a. Infrastructure as a Service (IaaS)—IaaS is a type of
cloud computing service that offers essential computing,
storage, and networking resources on demand, on a payas-you-go basis, as opposed to purchasing or leasing the
hardware.
b. Platform as a Service (PaaS)—PaaS is a complete
development and deployment environment located in the
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
34

DRAFT

INFORMATION TECHNOLOGY
NCUA FORM 4501A – PAGE 7
Item
No.

Instructions

Reason

cloud, with resources enabling each customer to deliver
everything from simple cloud-based applications to
sophisticated, cloud-enabled enterprise applications and
solutions.
c. Software as a Service (SaaS)—SaaS allows users to
connect to and use cloud-based applications over the
internet. Most SaaS applications run directly through a
web browser, which means they rarely require downloads
or installations.
11

Email Services (check one)

Identification

a. On-premises—The credit union maintains its email server
in-house.
b. Cloud—The credit union relies upon a cloud provider for
email services (an email solution hosted by a third party).
c. Hybrid—The credit union uses both an on-premises (inhouse) solution as well as a hosted solution for
communications.
12

Select the Managed Security Service Provider (MSSP)
service(s) the credit union uses (check all that apply). ◊

Identification

a. 24/7 network security monitoring—The credit union’s
network security devices and infrastructure are monitored
by a third party for anomalous activity, 24 hours per day,
365 days per year. Report the vendor and product name if
network security monitoring is outsourced.
b. Security Operations Center—A facility where enterprise
information systems (websites, applications, databases,
data centers and servers, networks, desktops, and other
endpoints) are monitored, assessed, and defended. Report

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
35

DRAFT

INFORMATION TECHNOLOGY
NCUA FORM 4501A – PAGE 7
Item
No.

Instructions

Reason

the vendor and product name if network operations are
outsourced.
c. Systems Patching—Select if a vendor monitors for and
installs operating systems and software updates to credit
union workstations and/or servers.
d. Security and Information Event Management—System
that provides centralized logging capabilities and the
ability to gather security data from information system
components and present that data as actionable
information via a single interface.
e. Ransomware backups—Backups that are designed to
avoid being affected by data encryption or other
destructive cyber-attacks impacting primary systems and
data.
f. DDoS Mitigation—A denial-of-service (DoS) attack
occurs when legitimate users are unable to access
information systems, devices, or other network resources
due to the actions of a malicious cyber threat actor.
Services affected may include email, websites, online
accounts (e.g., banking), or other services that rely on the
affected computer or network. A denial-of-service
condition is accomplished by flooding the targeted host or
network with traffic until the target cannot respond or
simply crashes, preventing access for legitimate users.
g. Dark Web Monitoring—The Dark Web uses the Internet
and requires specific software or credentials to access.
Illicit activity conducted on the Dark Web includes
trafficking of sensitive financial institution information,
including compromised credentials and/or customer data.

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
36

DRAFT

Regulatory Information
NCUA FORM 4501A—Page 8

Item
No.
1

Instructions

Reason

Please provide the date of the most recent annual meeting
held by the credit union.

Required by
regulation

Report the date of the most recent annual meeting the credit union
has held.
2

Please provide the effective date of the most recent
supervisory committee or financial statement audit.

Required by
regulation

Provide the effective date of the most recent Supervisory
Committee or financial statement audit. The NCUA regulations
§§ 715.4, Audit responsibility of the Supervisory Committee
through 715.7, Supervisory Committee audit alternatives to a
financial statement audit, establish requirements for the annual
audit.
3

Please select the last type of audit performed for the credit
union’s records.

Required by
regulation

Select the type of audit by entering the letter of the description
that best characterizes the last audit. The types of audits are
identified in the NCUA’s Examiner’s Guide Types of Audits.
a. Financial statement audit per GAAS by independent,
state-licensed persons. Also known as an “opinion
audit”. Refers to an audit of the financial statements in
accordance with Generally Accepted Auditing Standards
(GAAS) by an independent, state-licensed person. The
objective of a financial statement audit is to express an
opinion as to whether the credit union’s financial
statements taken as a whole present fairly, in all material
respects, the financial position and the results of its
operations and its cash flows in conformity with Generally
Accepted Accounting Principles (GAAP).
b. Supervisory Committee audit performed by statelicensed person—Refers to an engagement in accordance
with the procedures prescribed in NCUA’s Examiner’s
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
37

DRAFT

REGULATORY INFORMATION
NCUA FORM 4501A – PAGE 8
Item
No.

Instructions

Reason

Guide performed by a certified public accountant, public
accountant, or other state-licensed persons.
c. Supervisory Committee audit performed by other
external auditors—Refers to an engagement in
accordance with the procedures prescribed in NCUA’s
Examiner’s Guide performed by a qualified, non-licensed
individual that is not a member of the supervisory
committee or the credit union’s internal auditor.
d. Supervisory Committee audit performed by the
supervisory committee or designated staff—Refers to
an engagement in accordance with the procedures
prescribed in NCUA’s Examiner’s Guide performed by
the supervisory committee or its internal auditor.
4

Provide the name of the Audit Firm or Auditor. ◊

Identification

Provide the name of the auditor (if individual) or audit firm that
performed the last audit. If the Supervisory Committee
performed the audit, report the Supervisory Committee in this
field.
5

Please provide the effective date of the most recent
Supervisory Committee verification of members’ accounts.

Required by
regulation

The NCUA regulation § 715.3(c)(3) establishes the requirement
for the Supervisory Committee to verify members’ accounts, and
§ 715.8, Requirements for verification of accounts and passbooks,
establishes the requirements for the verification of accounts.
6

Please select who completed the verification of members’
accounts.

Required by
regulation

a. Supervisory Committee
b. Third-Party
7

Provide your Supervisory or Audit Committee contact
information for official correspondence. ◊

Identification

Provide the mailing and email addresses for your supervisory
committee or audit committee. This information will be used for
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
38

DRAFT

REGULATORY INFORMATION
NCUA FORM 4501A – PAGE 8
Item
No.

Instructions

Reason

official correspondence with the Supervisory or Audit Committee
(such as forwarding member complaints).
8

Please provide the effective date of the most recent Bank
Secrecy Act Independent Test. ◊

Required by
regulation

The NCUA regulation § 748.2(c)(2) requires all federally insured
credit unions to provide for independent testing. Report the date
of the most recent Bank Secrecy Act independent test.
9

Indicate the Fidelity Bond Provider name.

10

Indicate the amount of Fidelity Coverage for any Single Loss.
◊

Required by
Provide the name of the fidelity bond provider used to cover fraud regulation
and dishonesty by all employees, directors, officers, Supervisory
Committee members, and credit committee members. Fidelity
Bond also provides insurance coverage for losses such as theft,
holdup, vandalism, etc. caused by persons outside the credit
union.
Required by
regulation

Report the maximum coverage your fidelity bond provides for
any single loss. Your fidelity bond provider may refer to this as
blanket bond coverage. The minimum required coverage is based
on the credit union’s total assets, as outlined in the NCUA
regulation § 713.5, What is the required minimum dollar amount
of coverage?. The minimum fidelity bond requirements also
apply to state-chartered credit unions, as indicated in the NCUA
regulation § 741.201, Minimum fidelity bond requirements. If
you need further assistance, contact your examiner or Regional
Office.
11

Please provide Section 701.4 Certification Date (Federal
Credit Unions Only). ◊

Required by
regulation

Provide the date the credit union complied with the NCUA
regulation § 701.4, General authorities and duties of Federal
credit union directors. The NCUA regulation § 701.4(b)(3)
requires directors to receive training to provide financial
knowledge commensurate with the size and complexity of the
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
39

DRAFT

REGULATORY INFORMATION
NCUA FORM 4501A – PAGE 8
Item
No.

Instructions

Reason

federal credit union. See Letter to Federal Credit Unions
11-FCU-02, Duties of Federal Credit Union Boards of Directors,
for further guidance.
12

Please provide Section 701.4 certifier’s name (Federal Credit
Unions Only). ◊

Required by
regulation

Provide the name of the official that certifies the credit union’s
compliance with the NCUA regulation § 701.4, General
authorities and duties of Federal credit union directors.
13

Please provide Section 701.4 certifier’s job title (Federal
Credit Unions Only). ◊

Required by
regulation

Provide the job title of the official that certifies the credit union’s
compliance with the NCUA regulation § 701.4, General
authorities and duties of Federal credit union directors.
14

Does your credit union meet any of the following criteria? ◊
Credit union with 100 or more employees; or
Credit union with 50 or more employees and:
a. Has a contract of at least $50,000 with the Federal
government; or

Reporting to
other
governmental
agencies

b. Serves as a depository of U.S. government funds of any
amount; or
c. Serves as a paying agent for U.S. Savings Bonds.
i.

Yes

ii.

No

Credit unions that answer “yes” must respond to item 14a and b
and file an EEO-1 Report with the U.S. Equal Employment
Opportunity Commission’s (EEOC) EEO-1 Joint Reporting
Committee. The EEOC provides additional information on the
requirements to file the EEO-1 Report.
14a

If yes, what is the last date (MM/DD/YYYY) you filed an
EEO-1 Report with the EEOC? ◊
Provide the last date the credit union filed an EEO-1 Report with
the EEOC’s EEO-1 Joint Reporting Committee.

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
40

DRAFT

REGULATORY INFORMATION
NCUA FORM 4501A – PAGE 8
Item
No.
14b

Instructions

Reason

If yes, do you have a diversity policy and/or program in your
credit union? ◊
Indicate whether the credit union has a diversity policy or
program by selecting “yes” or “no.”
Home Mortgage Disclosure Act – Loan Application Register
criteria
Please refer to the NCUA’s annual Letter to Credit Unions that
conveys HMDA data collection requirements by using this link https://ncua.gov/regulation-supervision/letters-credit-unionsother-guidance and searching HMDA. Additional information on
HMDA reporting is available in the HMDA Reporting Getting it
Right guide - https://www.ffiec.gov/hmda/guide.htm. Accurately
identifying the Site Type is important for the Home Mortgage
Disclosure Act (HMDA) Loan Application Register. Please
ensure each site is identified and reported correctly on the Sites
tab.

15

Is your credit union located in a Metropolitan Statistical Area
(MSA)? ◊

Identification

Indicate whether the credit union is in an MSA by selecting “yes”
or “no”. The U.S. Department of Housing and Urban
Development provides an application, the Metropolitan Area
Look-Up Tool, to determine if your credit union is in an MSA.
16

Did your credit union originate at least one home purchase
loan or refinance a home purchase loan secured by a first lien
on a one-to-four unit dwelling during the preceding calendar
year? ◊

Identification

Indicate whether the credit union originated at least one home
purchase loan or refinanced a home purchase loan secured by a
first lien on a one-to-four unit dwelling during the preceding
calendar year by selecting “yes” or “no.
17

Did your credit union originate closed-end mortgages in each
of the two preceding calendar years OR originate open-end

Identification

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
41

DRAFT

REGULATORY INFORMATION
NCUA FORM 4501A – PAGE 8
Item
No.

Instructions

Reason

lines of credit in each of the two preceding calendar years in
excess of the HMDA Loan-Volume Threshold? ◊
Indicate whether your credit union originated closed-end
mortgages in each of the two preceding calendar years OR
originated open-end lines of credit in each of the two preceding
calendar years in excess of the HMDA Loan-Volume Threshold
by selecting “yes” or “no”.
18

If you answered yes to all three questions, please provide your
HMDA LAR filing date.

Identification

The annual filing period opens on January 1 and the submission
deadline is March 1.
Trade Names
19

List any trade names the credit union uses for signage or
advertising.

Identification

List any names the credit union uses for signage or advertising
that are not the name on file with the NCUA.

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
42

DRAFT

Catastrophic Act/Business Continuity
Information
NCUA FORM 4501A—Page 9

Item
No.
1

Instructions

Reason

In the event of a disaster, will the credit union communicate
with members through a website? ◊

Catastrophic Act
or Continuity

Indicate whether the credit union will communicate with its
members through a website in the event of a disaster.
2

Please check the resources or services you have available and
would be willing to share with other credit unions during the
time of an emergency if you did not need them. ◊

Catastrophic Act
or Continuity

Checking a box does not constitute an obligation on the part of
the credit union. Check all that apply:
a. Cash Non-Member Share Drafts—The credit union is
willing to cash share drafts for non-members during an
emergency.
b. Generator—The credit union has a generator to loan or
share with another credit union during an emergency.
c. IT Support—The credit union has information
technology resources that another credit union could use
after a disaster occurs. These resources could include
equipment, staff, excess server capacity, and
telecommunication equipment.
d. Mobile Branch—A mobile facility available to serve
members. A mobile branch is usually a specialized van,
bus, or RV that contains the necessary telecommunication
and computer equipment to process member transactions.
e. Office Space—The credit union has space it would be
willing to share with another credit union after a disaster.
f. Staff/Management Services—The credit union has
employees that would be willing to assist another credit
union after a disaster occurs.
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
43

DRAFT

DISASTER RECOVERY INFORMATION
NCUA FORM 4501A – PAGE 9
Item
No.
3

Instructions

Reason

Please provide the date of the last catastrophic act/business
continuity test completed by the credit union. ◊

Catastrophic Act
or Continuity

Do not include a future date. Catastrophic act/business continuity
testing does not have to include a full-scale shutdown of the credit
union’s information system.

For more information on Disaster Recovery/Business Continuity Testing, see the FFIEC IT
Examination Handbook Business Continuity Management Booklet.
4

Indicate the method(s) used for the last catastrophic
act/business continuity test completed by the credit union. ◊

Catastrophic Act
or Continuity

Select the box that describes the method(s) used in the last
disaster recovery test:
a. Orientation/Walk Through—Assemble the disaster
recovery team to discuss the critical areas of your disaster
recovery plan and their duties and responsibilities in the
event of an emergency.
b. Tabletop/Mini-Drill—Devise a simulated scenario
designed to test the response capability of personnel and
their understanding of the disaster recovery plan.
c. Functional Testing—Test the credit union’s
communications and/or software restoration capabilities
according to your disaster recovery plan to ensure the
credit union can restore operations to fully functional.
This type of testing can include sending personnel to the
recovery site to restore operations remotely, per the credit
union’s disaster recovery plan.
d. Full-Scale Testing—Implement all or portions of the
disaster recovery plan by processing data and transactions
using backup media at the recovery site.

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
44

DRAFT

Credit Union Programs and Member Services
NCUA FORM 4501A—Page 10

The Programs and Member Services section of the Profile reports various programs and services
offered by the credit union.
Item
No.
1

Instructions

Reason

Credit Union Programs.

Identification

Select the programs the credit union currently offers.
a. Approved Mortgage Seller—This applies if the credit union
has filed an application and been approved to sell mortgages
on the secondary market.
b. Brokered Certificates of Deposit—This applies if the credit
union purchased certificates of deposits through or from a
broker.
c. Brokered Deposits (All Deposits acquired through a 3rd
party)—This applies if the credit union regularly (in the last
six months) acquires deposits from a third party that is
compensated for that function, regardless of whether the
funds were transferred through the third party or directly
from the depositor. This applies to all deposits (certificates,
share drafts, or other share types).
d. Investment Pilot Program (FCU Only)—This applies if the
credit union has investments on the Statement of Financial
Condition that were purchased under the requirements of the
NCUA regulation § 703.19, Investment Pilot Program.
e. Deposits and Shares Meeting 703.10(a)— The NCUA
regulation § 703.10(a) applies if the credit union holds a nonsecurity deposit or shares in a bank, credit union, or other
financial institution that has any of the following features:
•

Embedded options

•

Remaining maturities greater than 3 years

•

Coupon formulas that are related to more than one index
or are inversely related to, or multiples of, an index

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
45

DRAFT

CREDIT UNION PROGRAMS AND MEMBER SERVICES
NCUA FORM 4501A – PAGE 10
f. Mortgage Processing—The act of originating, processing,
and closing mortgage applications from borrowers for sale
directly on the secondary market or for another funding
source.
Payday Alternative Loans (PALs I & II—FCU Only)—Select
the type(s) of PALs loans currently offered by the credit union.
g. PALs I (FCU Only)—In September 2010, NCUA amended
its general lending rule to enable FCUs to offer Payday
Alternative Loans (PALs) as a viable alternative to predatory
payday loans. The amendment permits FCUs to charge a
higher interest rate for a PAL than is permitted under the
general lending rule, but imposes limitations on the
permissible term, amount, and fees associated with a PAL.
According to the NCUA regulations § 701.21(c)(7)(iii),
Payday alternative loans (PALs I), PALs I are defined as
closed-end loans with the following conditions:
i.

The principal of the loan is not less than $200 or more
than $1,000;

ii.

The loan has a minimum maturity term of one month
and a maximum maturity term of six months;

iii.

The Federal credit union does not make more than
three PALs I or PALs II loans in any rolling sixmonth period to any one borrower and makes no
more than one PALs I or II loans at a time to any
borrower;

iv.

The Federal credit union must not roll over any PALs
I or PALs II loans. The prohibition against roll-overs
does not apply to an extension of the loan term within
the maximum loan terms in paragraph (c)(7)(iii)(3)
provided the Federal credit union does not charge any
additional fees or extend any new credit;

v.

The Federal credit union fully amortizes the PALs I
loan;

vi.

The Federal credit union requires the borrower to be a
member for at least one month before receiving a
PALs I loan;

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
46

DRAFT

CREDIT UNION PROGRAMS AND MEMBER SERVICES
NCUA FORM 4501A – PAGE 10
vii.

The Federal credit union charges a reasonable
application fee to all members applying for a new
PALs I loan that reflects the actual costs associated
with processing the application, but in no case may
the application fee exceed $20; and

viii.

The Federal credit union includes, in its written
lending policies, a limit on the aggregate dollar
amount of PALs I and PALs II loans that does not
exceed 20 percent of net worth and implements
appropriate underwriting guidelines to minimize risk;
for example, requiring a borrower to verify
employment by providing at least two recent pay
stubs.

h. PALs II (FCU Only)—According to NCUA regulations
§ 701.21(c)(7)(iv), Payday alternative loans (PALs II), a
Payday Alternative Loan (PALs II) is defined as a closed-end
loan with the following conditions:
i.

The principal of the loan is not more than $2,000;

ii.

The loan has a minimum maturity term of one month
and a maximum maturity term of 12 months;

iii.

The Federal credit union does not make more than
three PALs I or II loans in any rolling six-month
period to any one borrower, and makes no more than
one PALs I or II loans at a time to any borrower;

iv.

The Federal credit union must not roll over any PALs
I or PALs II loan. The prohibition against roll-overs
does not apply to an extension of the loan term within
the maximum loan terms in paragraph
(c)(7)(iv)(A)(3) provided the Federal credit union
does not charge any additional fees or extend any new
credit;

v.

The Federal credit union fully amortizes the loan;

vi.

The Federal credit union charges a reasonable
application fee to all members applying for a new
PALs II loan that reflects the actual costs associated
with processing the application, but that in no case
exceeds $20;

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
47

DRAFT

CREDIT UNION PROGRAMS AND MEMBER SERVICES
NCUA FORM 4501A – PAGE 10

2

vii.

The Federal credit union does not assess a fee or
charge, including a non-sufficient funds fee, on the
borrower’s account under the federal credit union’s
overdraft service in connection with any PALs II
loan; and

viii.

The Federal credit union includes, in its written
lending policies, a limit on the aggregate dollar
amount of PALs I and II loans made that does not
exceed an aggregate of 20 percent of net worth and
implements appropriate underwriting guidelines to
minimize risk; for example, requiring a borrower to
verify employment by providing at least two recent
pay stubs.

Member Service and Product Offerings (select all that apply)
Select each member service or product the credit union currently
offers.
Financial Literacy Education
a. Financial Counseling—Programs designed to help
individuals make the best use of their financial assets and
achieve specific economic objectives, such as adequate
funding of a child's college education expenses, or postretirement needs. This can include assisting with budgeting
and debt management.

Identification

b. Financial Education—Programs focusing on building basic
money management skills that lead to an understanding of
financial services, personal finance, savings, and the
importance of good credit.
c. Financial Literacy Workshops—Workshops to improve
members’ knowledge of financial issues.
d. First Time Homebuyer Program—Special counseling or
education to assist members with the purchase of their first
home.
e. Credit Management and Repair—Programs to assist
members in correcting and learning from previous financial
mistakes (for example, credit report/score improvement).

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
48

DRAFT

CREDIT UNION PROGRAMS AND MEMBER SERVICES
NCUA FORM 4501A – PAGE 10
f. Online Financial Literacy— Programs that focus on basic
money management skills through online content or courses.
Consumer Initiated Remittance Transfers

Identification

a. International Remittances ◊—International transfers that
are “remittance transfers” under subpart B of Regulation E
(12 CFR § 1005.30(e)).
b. Low-cost wire transfers ◊—Wire transfer services to
consumer members in the United States for less than $20 per
transfer.
c. Proprietary remittance transfer services operated by the
CU ◊—Proprietary services other than wires or ACH
transfers for purposes of sending international remittances.
This applies if your credit union is the provider. The types of
services may include cash-based transfers, bill payment
services, prepaid card services, or others that qualify as
international remittances.
d. Proprietary remittance transfer services operated by
another person ◊—Proprietary services other than wires or
ACH transfers, for purposes of sending international
remittances. This applies if another person (such as a statelicensed money transmitter) is the provider and the credit
union is an agent or similar type of business partner. The
types of services may include cash-based transfers, bill
payment services, prepaid card services, or others that
qualify as international remittances.
Other Member Services and Products
a. No Cost Share Drafts—Share draft accounts with no
monthly maintenance fee.

Identification

b. No Cost Bill Payer—Online bill payment services offered to
members at no charge.
c. No Cost Tax Preparation Services (i.e. IRS Volunteer
Income Tax Assistance)—Credit union works with the IRS
to sponsor a VITA site. The site or sites may not be located
at the credit union or its branches.

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
49

DRAFT

CREDIT UNION PROGRAMS AND MEMBER SERVICES
NCUA FORM 4501A – PAGE 10
d. Share Certificates with a low minimum balance
requirement—Share certificates with a minimum balance of
$500 or less.
e. Student Scholarship
f. Credit Builder
g. Bilingual Services—Offer disclosures, information, and/or
member services in additional languages other than English.
Youth Savings Accounts/Programs
These programs are often structured as in-school credit union
programs that offer students basic savings accounts. They are
generally linked to an array of financial education efforts, including
personal financial management, banking operations, or both. They
are intended to help students understand the value of saving for the
future by opening and managing savings accounts. These accounts
generally have very low minimum balance requirements and low or
no monthly maintenance fees.

Identification

Material account terms and conditions are also explained in an ageappropriate manner. Select the type of account(s) the credit union
offers through these types of programs.
a. Offer Custodial Accounts
b. Offer Non-Custodial Accounts
In-School Branches (Specify number of branches for each type
of school selected)

Identification

Credit union maintains branches in schools to promote financial
education, knowledge of the credit union system, and thrift to school
students. Students usually run these branches. If the branch solely
serves school faculty and staff, this item does not apply.
a. Elementary School—Report the number of branches.
b. Middle School—Report the number of branches.
c. High School—Report the number of branches.
3

Does the credit union offer an ATM Network that is surcharge
free? * If yes, complete Item 4.

Identification

Select Yes if the credit union’s ATM Network is surcharge-free.
4

Provide the name of the surcharge free ATM Network.

Identification

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
50

DRAFT

CREDIT UNION PROGRAMS AND MEMBER SERVICES
NCUA FORM 4501A – PAGE 10
Enter the name of the surcharge-free ATM Network.
5

Does the credit union participate in Shared Service
Centers/Networks? * If yes, complete Item 6.

Identification

Select Yes if the credit union participates in Shared Service
Centers/Networks, if not, select No.
6

Provide the name of the Shared Service Center/Network.

Identification

Enter the name of the Shared Service Center/Network.
7

Payday Alternative Loans (PALs I & II loans) program (FCUs
Only). ◊

Identification

Place a “” in the associated box for all services the credit union
offers (Check all that apply). The NCUA amended its general
lending rule to enable federal credit unions to offer short-term, small
amount loans as a viable alternative to predatory payday loans. This
amendment permits federal credit unions to charge a higher interest
rate for a PAL loan than is permitted under the general lending rule,
but imposes limitations on the permissible term, amount, and fees
associated with PAL loans. Refer to the NCUA regulations
§ 701.21(c)(7)(iii), Payday alternative loans (PALs I) for PALs loan
requirements.
a. Credit Bureau Reporting
b. Financial Education
c. Forced Savings Component
d. Payroll Deduction
8

Does the credit union use financial technology companies to
provide member services? * If yes, complete Item 9.

Identification

Select Yes if the credit union uses financial technology companies to
provide member services, if not, select No.
9

If the credit union uses financial technology companies to
provide member services, select the services offered:

Identification

a. Auto Lending
Include both direct and indirect
b. Mortgage Lending
c. Secured personal loans
d. Unsecured personal loans
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
51

DRAFT

CREDIT UNION PROGRAMS AND MEMBER SERVICES
NCUA FORM 4501A – PAGE 10
e. Lead generation for new members
f. Lead generation for share accounts
g. Acquire participation loans
h. Person-to-person payments
i. Investment security exchange services
Including buying, selling, and holding securities
j. Communication
Including artificial intelligence to interact with members
10

Does the credit union offer cryptocurrency services to members?
* If yes, complete Item 11.

Identification

Select Yes if the credit union offers cryptocurrency services to
members, if not, select No.
11

If the credit union offers cryptocurrency services to members
select the services offered:

Identification

a. Exchange services
Including buying, selling, and holding cryptocurrency
b. Non-custodial wallets
c. Custodial wallets
Including digital storage solutions
d. Loans secured by digital assets
e. Depository for stablecoin reserves
f. Mobile application
The credit union’s mobile application provides information
on a member’s cryptocurrency holdings
12

Does the credit union use blockchain or distributed ledger
technology to offer services to members or to record and store
data? *

Identification

Select Yes if the credit union uses blockchain or distributed ledger
technology to offer services to members or to record and store data,
if not, select No.

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
52

DRAFT

Merger Partner Registry
NCUA FORM 4501A—Page 11

In the Merger Partner Registry section of the Profile, credit unions can express an interest in
being considered for credit union consolidations through either a business combination (merger)
or purchase and assumption. This information is optional, and credit unions are not required to
complete this information. If you provide this information, NCUA staff may contact the credit
union about potential credit union consolidations.
The NCUA will not release this information to the public.
Item
No.
1

Instructions

Reason

Is your credit union interested in being considered a merger
partner for a Minority Depository Institution? ◊

Identification

If you selected at least one eligible minority group for each of the
three Minority Depository Institution questions on the General
Information tab, a response is required.
2

Is your credit union interested in expanding its field of
membership through a consolidation? ◊

Identification

If you answer “Yes,” the credit union is required to provide the
information in item 2. Item 3 is optional.
3

Please provide the name and phone number of the person at the
credit union who can be contacted regarding any potential
consolidation. ◊

Identification

Provide the job title, name, and phone number of the person NCUA
may contact.
4

Please identify the geographic areas in which the credit union is
interested. (Select only ONE box) ◊
•

Anywhere in the United States—If this option is selected, no
additional information is required.

•

Anywhere within selected states (please specify state(s)—If this
option is selected, identify one or more states for consideration.

•

Specific counties/cities within the selected state(s)—State
selection and county/city input are required. Identify the state(s)

Identification

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
53

DRAFT

MERGER PARTNER REGISTRY
NCUA FORM 4501A – PAGE 11
and county(ies) or city(ies) for consideration. Enter only one
county or city per line.

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
54

DRAFT

Definitions
Term
Digital Asset

Definition
Distributed ledger technology-based tokens such as virtual
currencies, cryptocurrencies, crypto-assets, utility tokens, etc.
Return to instructions

Financial Technology

The use of technology service providers to offer member financial
services, or to improve member experience, through automated
platforms and delivery channels.
Return to instructions

IAT—International
ACH Transactions

An SEC code that can be a consumer or non-consumer debit or
credit. Part of a payment transaction involving a financial agency’s
office that is not located in the territorial jurisdiction of the US. IAT
transactions focus on where the financial institution that handles the
payment transaction (movement of the funds) is located and not
where any other party to the transaction (the Originator or Receiver)
is located.
Return to instructions

Official

A member of the board of directors, committee members, and senior
executive officers.

Payment System Service
Provider

A third party, other than the Originating Depository Financial
Institution (ODFI) or Receiving Depository Financial Institution
(RDFI), that performs any function on behalf of the ODFI or the
RDFI related to payment processing. These functions would include
the creation and sending of files or acting as a sending or receiving
point on behalf of a participating depository financial institution.
Return to instructions

PPD—Prearranged
Payment and Deposit
Entry

An SEC code that identifies recurring consumer debit (prearranged
payment) or consumer credit (direct deposit) entries.

Primary Settlement
Agent

Settlement agents (typically financial institutions) record the debit
and credit positions of the parties involved in a transfer of funds. The
settlement agent is responsible for transferring the funds (settlement)
and recording the details of the transaction.

Return to instructions

55

DRAFT

DEFINITIONS
Return to instructions
Senior executive officers A credit union’s chief executive officer, any assistant chief executive
officer, and the CFO. This includes employees of an entity, such as a
consulting firm, hired to perform the functions of positions covered
by the NCUA regulations. For additional information refer to the
NCUA regulation § 701.14(b), Definitions.
Standard Entry Class
Code

A specific three-digit code, appearing in the ACH record format that
identifies each ACH application. Also known as an SEC code.
Return to instructions

TEL—Telephone
Initiated Entry

An SEC code that identifies a consumer debit entry pursuant to an
authorization obtained from the Receiver via the telephone.
Return to instructions

WEB—Internet
Initiated/Mobile Entry

An SEC code that identifies a consumer debit entry initiated pursuant
to an authorization obtained from the Receiver via the internet or
wireless network. Can be either a recurring or a one-time debit.
Return to instructions

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this information
to the public.
56

DRAFT


File Typeapplication/pdf
File TitleNCUA 4501A Credit Union Profile Instructions DRAFT
AuthorNational Credit Union Administration
File Modified2024-10-03
File Created2024-10-03

© 2024 OMB.report | Privacy Policy