Information Collection

Securities of State Nonmember Banks and State Savings Associations

IC 193340 under ICR 201609-3064-002 · OMB 3064-0030.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0030 can be found here:

Documents and Forms

Document Name Document Type
Form 6800-04 Securities of State Nonmember Banks and State Savings Associations Form and Instruction
6800-04 Statement of Changes in Beneficial Ownership of Securiti 6800-04 Statement of Change in Beneficial Ownership 2016.pdf fdicnet.fdic.gov/content/dam/DOA/documents/rim/forms/6000/6800-04.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Securities of State Nonmember Banks and State Savings Associations	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	6800-04	Statement of Changes in Beneficial Ownership of Securities	6800-04 Statement of Change in Beneficial Ownership 2016.pdf	https://fdicnet.fdic.gov/content/dam/DOA/documents/rim/forms/6000/6800-04.pdf	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 297	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,188	4	1,184
Annual IC Time Burden (Hours)	594	2	592
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.