Appendix A to Part 304 - List of Forms

Note:

See footnotes at end of table.

FormTitleSection of FDICs regulations (12 CFR chapter III) where the form is referencedOMB No.FDIC 6112/01 Initial Statement of Beneficial Ownership of Equity Securities (Form F-7)335.4133064-0030FDIC 6112/02 Statement of Changes in Beneficial Ownership of Equity Securities (Form F-8)335.4143064-0030FDIC 6120/06Notification of Bank Services304.5(b)3064-0029FDIC 6200/05Application for Federal Deposit Insurance (Commercial Banks) 303.13064-0001FDIC 6200/06Financial Report(1)3064-0006FDIC 6200/07Application for Federal Deposit Insurance for Operating Noninsured Institutions303.13064-0069FDIC 6200/09Application for Consent to Exercise Trust Powers(2)3064-0025FDIC 6220/01Application for a Merger or Other Transaction Pursuant to Section 19(c) of the Federal Deposit Insurance Act303.33064-0016FDIC 6220/07Application for a Merger or Other Transaction Pursuant to Section 18(c) of the Federal Deposit Insurance Act (Phantom or Corporate Reorganization)303.7(b)(1) and 303.33064-0015FDIC 6342/12Request for Deregistration Registered Transfer Agent341.53064-0027FDIC 6420/07Certified Statement304.3(a)3064-0057FDIC 6440/12Loan/Application Register338.8(3)7100-0247FDIC 6710/06Suspicious Activity Report353.13064-0077FDIC 6710/07Application Pursuant to Section 19 of the Federal Deposit Insurance Act(4)3064-0018FDIC 6810/01Notification of Addition of a Director or Employment of a Senior Executive Officer333.23064-0097FDIC 6822/01Notice of Acquisition of Control303.4(b)3064-0019FDIC 8020/05Summary of Deposits304.5(a)3064-0061FFIEC 001Annual Report of Trust Assets304.5(c)3064-0024FFIEC 002Report of Assets and Liabilities of U.S. Branches and Agencies of Foreign Banks304.5(d)7100-0032FFIEC 004Report on Indebtedness of Executive Officers and Principal Shareholders and their Related Interests to Correspondent Banks304.5(e)3064-0023FFIEC 009Country Exposure Report351.3(b)3064-0017FFIEC 009aCountry Exposure Information Report351.33064-0017FFIEC 019Country Exposure Report for U.S. Branches and Agencies of Foreign Banks(5)3064-0017FFIEC 030Foreign Branch Report of Condition347.6(b)3064-0011FFIEC 031Consolidated Reports of Condition and Income for a Bank with Domestic and Foreign Offices304.43064-0052FFIEC 032Consolidated Reports of Condition and Income for a Bank with Domestic Offices Only and Total Assets of $300 Million or More304.43064-0052FFIEC 033Consolidated Reports of Condition and Income for a Bank with Domestic Offices Only and Total Assets of $100 Million or More But Less Than $300 Million304.43064-0052FFIEC 034Consolidated Reports of Condition and Income for a Bank with Domestic Offices Only and Total Assets of Less than $100 Million304.43064-0052FFIEC 035Monthly Consolidated Foreign Currency Report of Banks in the United States(6)1557-0156GFINNotice of Government Securities Broker or Government Securities Dealer Activities to be Filed by a Financial Institution Under Section 15C(a)(1)(B)(7)1535-0089GFIN-WNotice by Financial Institutions of Termination of Activities as a Government Securities Broker or Government Securities Dealer(7)7100-0224GFIN-4Disclosure Form for Person Associated With a Financial Institution Government Securities Broker or Dealer(7)1535-0089GFIN-5Uniform Termination Notice for Person Associated With a Financial Institution Government Securities Broker or Dealer(7)1535-0089MSD 4Uniform Application for Municipal Securities Principal or Municipal Securities Representative Associated With a Bank Municipal Securities Dealer343.33064-0022MSD 5Uniform Termination for Municipal Securities Principal or Municipal Securities Representative Associated With a Bank Municipal Securities Dealer343.33064-0022TA-1Transfer Agent Registration and Amendment Form341.63064-0026Notes:1 Not referenced in 12 CFR chapter III. The report form is submitted by each individual director or officer of a proposed or operating bank applying to the FDIC for federal deposit insurance as a state nonmember bank, or by a person proposing to acquire ownership or control of an insured state nonmember bank.2 The report form can be obtained from the HMDA Assistance line by telephoning [phone].3 Not referenced in 12 CFR chapter III. The application form is submitted by insured state nonmember banks applying for FDIC consent to exercise trust powers.4 Not referenced in 12 CFR chapter III. The application form is submitted by FDIC-insured banks applying for FDIC consent to employ persons who have been convicted of crimes involving dishonesty or breach of trust.5 Not referenced in 12 CFR chapter III. The report form is submitted by state chartered and federally-licensed branches and agencies of foreign banks in the U.S. with $30 million or more in total direct claims on foreign residents. The Federal Reserve Board collects and processes the report on behalf of FDIC-supervised branches. The report is submitted quarterly to the appropriate Federal Reserve district bank.6 Not referenced in 12 CFR chapter III. The report form is submitted by banks (other than savings banks) and bank holding companies with a dollar equivalent of $100 million or more in assets, liabilities, foreign exchange contracts bought and foreign exchange contracts sold in any six specific foreign currencies as of the end of a month. The Office of the Comptroller of the Currency collects and processes this monthly report on behalf of insured state nonmember banks.7 Not referenced in 12 CFR chapter III. The report form is submitted by banks or persons associated with banks required to file under section 15C of the Securities and Exchange Act of 1934.