Information Collection

Interagency Notice of Change in Control

IC 31754 under ICR 201401-3064-004 · OMB 3064-0019.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0019 can be found here:

Documents and Forms

Document Name Document Type
Form 6822/01 Interagency Notice of Change in Control Form
6822/01 Interagency Notice of Change in Control FORM Notice of Change in Control.doc www.fdic.gov/formsdocuments/interag2.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Interagency Notice of Change in Control	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 303.80

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	6822/01	Interagency Notice of Change in Control	FORM Notice of Change in Control.doc	http://www.fdic.gov/formsdocuments/interag2.doc	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	25	-20	45
Annual IC Time Burden (Hours)	750	-600	1,350
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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