Interagency Notice of Change in Director or Executive Officer

ICR 201506-3064-001 · OMB 3064-0097 · Historical Active

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 3064-0097 can be found here:

Forms and Documents

Document	Type	Status	Availability
Form 3064-0097 Interagency Notice of Change in Director or Executive Officer	Form and Instruction	Modified	Available
2015 SPST 0097.DOC	Supporting Statement A	Uploaded 2015-06-24	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
31859	Interagency Notice of Change in Director or Executive Officer	Form and Instruction	Modified

ICR Details

OMB Control No: 3064-0097	ICR Reference No: 201506-3064-001
Status: Historical Active	Previous ICR Reference No: 201203-3064-002
Agency/Subagency: FDIC	Agency Tracking No:
Title: Interagency Notice of Change in Director or Executive Officer
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/06/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/24/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2018	36 Months From Approved	10/31/2015
Responses	325	0	840
Time Burden (Hours)	650	0	1,680
Cost Burden (Dollars)	0	0	0

Abstract: P.L. 103-73, sec. 714, requires certain insured state nonmember banks to notify the FDIC of the addition of a director or the employment of a senior executive officer.

Authorizing Statute(s): PL: Pub.L. 103 - 73 714 Name of Law: null

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 19318	04/10/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 34639	06/17/2015
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Interagency Notice of Change in Director or Executive Officer	3064-0097	Interagency Notice of Change in Director or Senior Executive Officer

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	325	840	-515
Annual Time Burden (Hours)	650	1,680	-1,030
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The new number of respondents is estimated to be approximately 325, a decrease of 515 from the previously-approved burden. The respondents each submit the report only once. The average burden time remains estimated at 2 hours per report. Therefore, the total new annual burden is estimated as 325 x 2 = 650 hours, a decrease of 1030 hours from the currently-approved burden.

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: John Popeo 703 562-2528

Common Form ICR: No