Information Collection

Application Pursuant to Secton 19 of the Federal Deposit Insurance Act

IC 44169 under ICR 201202-3064-004 · OMB 3064-0018.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0018 can be found here:

Documents and Forms

Document Name Document Type
Form 6710/07 Application Pursuant to Secton 19 of the Federal Deposit Insurance Act Form and Instruction
6710/07 Application Pursuant to Secton 19 of the Federal Deposit Reformatted 6710-07.doc Form and Instruction
6710-07 currently approved (2).doc Currently Approved 6710/07 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application Pursuant to Secton 19 of the Federal Deposit Insurance Act	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	6710/07	Application Pursuant to Secton 19 of the Federal Deposit Insurance Act	Reformatted 6710-07.doc		Yes	No	Printable Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 26	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	26	26
Annual IC Time Burden (Hours)	416	416
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Currently Approved 6710/07	6710-07 currently approved (2).doc	04/24/2012

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.