OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Certification of Compliance with Mandatory Bars to Employment

OMB 3064-0121 · FDIC.

OMB 3064-0121

Prior to an offer of employment, job applicants to the FDIC must sign a certification that they have not been convicted of a felony or been in other circumstances that prohibit persons from becoming employed by or providing services to the FDIC.

The latest form for Certification of Compliance with Mandatory Bars to Employment expires 2028-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Form
Supplementary Document
Supporting Statement A
All Historical Document Collections
 Extension without change of a currently approved collection 2025-02-28
Approved without change
 No material or nonsubstantive change to a currently approved collection 2023-06-14
Approved without change
 Extension without change of a currently approved collection 2021-12-21
Approved without change
 Extension without change of a currently approved collection 2018-10-30
Approved without change
 Extension without change of a currently approved collection 2015-06-26
Approved without change
 Extension without change of a currently approved collection 2012-08-03
Approved without change
 Revision of a currently approved collection 2009-05-26
Approved without change
 Extension without change of a currently approved collection 2006-04-26
Approved without change
 Extension without change of a currently approved collection 2003-02-21
Approved without change
 Extension without change of a currently approved collection 2002-04-09
Approved without change
 Reinstatement without change of a previously approved collection 1999-04-22
Approved without change
 New collection (Request for a new OMB Control Number) 1996-02-09