Information Collection

Interagency Notice of Change in Control

IC 31754 under ICR 201401-3064-004 · OMB 3064-0019.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0019 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6822/01 Interagency Notice of Change in Control	Form
6822/01 Interagency Notice of Change in Control FORM Notice of Change in Control.doc www.fdic.gov/formsdocuments/interag2.doc	Form

IC Title:

Interagency Notice of Change in Control

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 303.80

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	6822/01	Interagency Notice of Change in Control	FORM Notice of Change in Control.doc	http://www.fdic.gov/formsdocuments/interag2.doc	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 25

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	25	-20	45
Annual IC Time Burden (Hours)	750	-600	1,350
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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