Securities of Insured Nonmember Banks

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 6800-03 Initial Statement of Beneficial Ownership of Securities	Form and Instruction	Modified	Available
Form 6800-05 Annual Statement of Changes in Beneficial Ownership	Form and Instruction	Modified	Available
Form 6800-04 Statement of Changes in Beneficial Ownership	Form and Instruction	Modified	Available
SPST-0030 Securities of Insured Nonmember Banks.doc	Supporting Statement A	Uploaded 2013-07-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
31785	Securities of Insured Nonmember Banks	Form and Instruction	Modified	Initial Statement of Beneficial Ownership of Securities
193342	Securities of Insured Nonmember Banks	Form and Instruction	Modified	Annual Statement of Changes in Beneficial Ownership
193340	Securities of Insured Nonmember Banks	Form and Instruction	Modified	Statement of Changes in Beneficial Ownership

ICR Details

OMB Control No: 3064-0030	ICR Reference No: 201304-3064-004
Status: Historical Active	Previous ICR Reference No: 201002-3064-002
Agency/Subagency: FDIC	Agency Tracking No:
Title: Securities of Insured Nonmember Banks
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/11/2013
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/25/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2016	36 Months From Approved	09/30/2013
Responses	1,309	0	1,309
Time Burden (Hours)	717	0	717
Cost Burden (Dollars)	0	0	0

---

Abstract: Officers, directors, and persons who beneficially own more than 10% of a specified class of securities must report on and disclose their status as insiders, and certain of their transactions in the securities.

---

Authorizing Statute(s): PL: Pub.L. 107 - 204 116 Stat. 745 Name of Law: Sarbanes-Oxley Act of 2002
   US Code: 15 USC 781 Name of Law: Securities Exchange Act of 1934
  

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:
	78 FR 23932	04/23/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 44951	07/25/2013
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Securities of Insured Nonmember Banks	6800-03	Initial Statement of Beneficial Ownership of Securities
Securities of Insured Nonmember Banks	6800-05	Annual Statement of Changes in Beneficial Ownership
Securities of Insured Nonmember Banks	6800-04	Statement of Changes in Beneficial Ownership

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,309	1,309	0	0	0	0
Annual Time Burden (Hours)	717	717	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	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:

---

Annual Cost to Federal Government:

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

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/25/2013

---