Information Collection

Interagency Notice of Change in Director or Executive Officer

IC 31859 under ICR 202306-3064-003 · OMB 3064-0097.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0097 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3064-0097 Interagency Notice of Change in Director or Executive Officer	Form and Instruction
Form 3064-0097 Interagency Notice of Change in Director or Executive Officer	Form and Instruction
3064-0097 Interagency Notice of Change in Director or Senior Execu 0097 - Interagency Notice of Change in Director or Senior Executive Officer – clean.pdf	Form and Instruction
3064-0097 Interagency Notice of Change in Director or Senior Execu 0097 - Interagency Notice of Change in Director or Senior Executive Officer – clean.pdf	Form and Instruction
Justification Memo Non Substantive Revisions 3064-0097 June 2023.docx Justification Memo for Noin-Substantive Revisions	IC Document
Justification Memo Non Substantive Revisions 3064-0097 June 2023.docx Justification Memo for Noin-Substantive Revisions	IC Document

IC Title:

Interagency Notice of Change in Director or Executive Officer

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

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 and Instruction	3064-0097	Interagency Notice of Change in Director or Senior Executive Officer	0097 - Interagency Notice of Change in Director or Senior Executive Officer â clean.pdf		Yes	No	Printable Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title: Financial Institution Investigative and Enforcement Records

FR Citation: 86 FR 19619

Number of Respondents: 107

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	Previously Approved
Annual Number of Responses for this IC	107	107
Annual IC Time Burden (Hours)	214	214
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification Memo for Noin-Substantive Revisions	Justification Memo Non Substantive Revisions 3064-0097 June 2023.docx	06/08/2023

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