Information Collection

Notice of Hiring or Indemnifying Senior Executive Officers or Directors

IC 19878 under ICR 201103-1550-001 · OMB 1550-0047.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1624 Notice of Hiring or Indemnifying Senior Executive Officers or Directors	Form
1550.0047.1624.Handbook.pdf	Instruction
1624 Interagency Notice of Change in Director or Senior Execu 1550.0047.Form1624.pdf	Form
1606 Applicant Certification 1550.0047.Form1606.pdf	Form
1550.0047.12CFR545.121.mht 12 CFR 545.121	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 545

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	1624	Interagency Notice of Change in Director or Senior Executive Officer	1550.0047.Form1624.pdf	No	Printable Only
Instruction			1550.0047.1624.Handbook.pdf	No	Printable Only
Form	1606	Applicant Certification	1550.0047.Form1606.pdf	No	Printable Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 120

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	120	20	100
Annual IC Time Burden (Hours)	280	47	233
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
12 CFR 545.121	1550.0047.12CFR545.121.mht	01/30/2008

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