Information Collection Request
Certification of Compliance with Mandatory Bars to Employment
ICR 202306-3064-005 · OMB 3064-0121 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 3064-0121 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form FDIC-2120/16 Certification of Compliance with Mandatory Bars to Employment |
Form | Modified | Repair queued |
 Justification Memo Non Substantive Revisions 3064-0121 June 2023.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2023-06-14 | Missing upstream |
| SPST-0121 Certification of Compliance with Mandatory Bars to Employment 2021.docx |
Supporting Statement A | Uploaded 2021-12-21 | Missing upstream |
 FR2 - 0121 Certification of Compliance with Mandatory Bars to Employment 86 FR 72234 Dec 21 2021.pdf |
Supplementary Document | Uploaded 2021-12-21 | Repair queued |
| FR1- 0121 Certification of Compliance with Mandatory Bars to Employment 86 FR 62812 November 12 2021.pdf |
Supplementary Document | Uploaded 2021-12-21 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 31915 |  Certification of Compliance with Mandatory Bars to Employment |
Form | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | FDIC |
| OMB Control No | 3064-0121 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202108-3064-004 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |