Uniform Application/Uniform Termination for Municipal Securities Principal or Representative

OMB 3064-0022

OMB 3064-0022

An insured state nonmember bank that serves as a municipal securities dealer must file Form MSD-4 or MSD-5, as applicable, to permit an employee to become associated, or to terminate the association, with the municipal securities dealer. FEB 2017 - The agencies are making nonsubstantive revisions to the forms and instructions associated with this information collection to remove a requirement to provide Social Security Number information and to permit alternative means of filing.

The latest form for Uniform Application/Uniform Termination for Municipal Securities Principal or Representative expires 2021-04-30 and can be found here.

All Historical Document Collections
Extension without change of a currently approved collection 2024-04-24
Approved without change
Extension without change of a currently approved collection 2021-04-28
Approved without change
No material or nonsubstantive change to a currently approved collection 2018-12-06
Approved without change
Extension without change of a currently approved collection 2018-03-13
Approved without change
No material or nonsubstantive change to a currently approved collection 2017-02-08
Approved without change
Extension without change of a currently approved collection 2014-12-30
Approved without change
Extension without change of a currently approved collection 2011-12-27
Approved with change
Extension without change of a currently approved collection 2008-10-06
Approved without change
Extension without change of a currently approved collection 2005-08-12
Approved without change
Extension without change of a currently approved collection 2002-07-15
Approved without change
Extension without change of a currently approved collection 1999-06-02
Approved without change
Extension without change of a currently approved collection 1996-05-28
Approved without change
Revision of a currently approved collection 1993-02-25
Approved without change
Revision of a currently approved collection 1990-03-12
Approved with change
No material or nonsubstantive change to a currently approved collection 1989-06-01
Approved with change
No material or nonsubstantive change to a currently approved collection 1988-08-11
Approved with change
No material or nonsubstantive change to a currently approved collection 1987-08-13
Approved without change
Revision of a currently approved collection 1987-04-24
Approved with change
No material or nonsubstantive change to a currently approved collection 1986-09-08
Approved with change
No material or nonsubstantive change to a currently approved collection 1985-10-25
Approved without change
Revision of a currently approved collection 1984-06-04
Approved with change
No material or nonsubstantive change to a currently approved collection 1983-10-15
Approved without change
Revision of a currently approved collection 1981-11-02
Approved without change
Revision of a currently approved collection 1981-04-30
OMB Details

Uniform Application for Municipal Securities Principal or Representative

Federal Enterprise Architecture: Economic Development - Financial Sector Oversight

Form FDIC 6200-54 Revised August 2018Form MSD-4 Uniform Application for Municipal Securities Principal or Municipal Securities Representative Associated With a Bank Municipal Securities DealerFillable FileableForm

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.


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