OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Interagency Notice of Change in Director or Executive Officer

OMB 3064-0097 · FDIC.

OMB 3064-0097

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.

The latest form for Interagency Notice of Change in Director or Executive Officer expires 2027-08-31 and can be found here.

Latest Forms, Documents, and Supporting Material
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Name
Form and Instruction
Supplementary Document
Supporting Statement A
Supplementary Document
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 Extension without change of a currently approved collection 2024-07-02
Approved without change
 No material or nonsubstantive change to a currently approved collection 2023-06-08
Approved without change
 Extension without change of a currently approved collection 2021-06-24
Approved without change
 Revision of a currently approved collection 2018-05-11
Approved without change
 Revision of a currently approved collection 2015-06-24
Approved without change
 Extension without change of a currently approved collection 2012-06-19
Approved without change
 Extension without change of a currently approved collection 2009-04-21
Approved without change
 Extension without change of a currently approved collection 2006-02-23
Approved without change
 Extension without change of a currently approved collection 2003-01-16
Approved without change
 Extension without change of a currently approved collection 1999-12-02
Approved without change
 Revision of a currently approved collection 1996-12-10
Approved without change
 Extension without change of a currently approved collection 1995-06-26
Approved without change
 Revision of a currently approved collection 1992-11-13
Approved without change
 New collection (Request for a new OMB Control Number) 1989-11-13