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Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Conversion; Proxy Statement; Offering Circular; Order Form

ICR 201601-7100-009 · OMB 7100-0335 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form Form 1683 Order Form Form and Instruction New Available
Form Form 1682 Offering Circular Form and Instruction New Available
Form Form 1681 Proxy Statement Form and Instruction New Available
Form Form 1680 Application for Conversion Form and Instruction Modified Available
Form1680_Form1681_Form1682_Form1683_20160126_omb.pdf Supporting Statement A Uploaded 2016-01-27 Available
IC Document Collections
IC IDCollectionTypeStatusForm
219602 Order Form Form and Instruction New
219601 Offering Circular Form and Instruction New
219600 Proxy Statement Form and Instruction New
19815 Application for Conversion Form and Instruction Modified
ICR Details
7100-0335 201601-7100-009
Historical Active 201107-7100-004
FRS Form 1680; Form 1681; Form 1682; Form 1683
Application for Conversion; Proxy Statement; Offering Circular; Order Form
Extension without change of a currently approved collection   No
Delegated
Approved without change 01/27/2016
Retrieve Notice of Action (NOA) 01/27/2016
  Inventory as of this Action Requested Previously Approved
01/31/2019 36 Months From Approved 01/31/2016
40 0 30
5,000 0 15,300
0 0 0
Sections 5(i) (standard conversions) and 5(p) (supervisory conversions) of the Home Owners’ Loan Act (HOLA) authorize mutual to stock conversions. The four individual forms are all one-time submissions that are used by mutual holding companies requesting approval to convert to a stock institution.
US Code: 12 USC 1467a(o)(7) Name of Law: Home Owners' Loan Act
   US Code: 12 USC 1467a(b)(2) Name of Law: Home Owners' Loan Act
   US Code: 12 USC 1467a(g)(1) Name of Law: Home Owners' Loan Act
  
None
Not associated with rulemaking
  80 FR 34641 06/17/2015
80 FR 54790 09/11/2015
No
4
IC Title Form No. Form Name
Proxy Statement Form 1681 Proxy Statement
Application for Conversion Form 1680 Application for Conversion
Offering Circular Form 1682 Offering Circular
Order Form Form 1683 Order Form
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 40 30 0 0 10 0
Annual Time Burden (Hours) 5,000 15,300 0 0 -10,300 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The decrease in total annual hours is due to an update in the number of respondents and estimated burden per response.
$0
No
No
No
No
No
Uncollected
Scott Farmer 202-452-2253 [email protected]
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
01/27/2016