Information Collection

Securities of State Nonmember Banks and State Savings Associations

IC 193340 under ICR 202512-3064-001 · OMB 3064-0030.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6800-04 Securities of State Nonmember Banks and State Savings Associations	Form and Instruction
Form 6800-04 Statement of Changes in Beneficial Ownership of Securities Securities of State Nonmember Banks and State Savings Associations	Form and Instruction
6800-04 Statement of Changes in Beneficial Ownership of Securiti Form 6800-04 Statement of Change in Beneficial Ownership 2020.pdf fdicnet.fdic.gov/content/dam/DOA/documents/rim/forms/6000/6800-04.pdf	Form and Instruction
6800-04 Statement of Changes in Beneficial Ownership of Securiti Form 6800-04 Statement of Change in Beneficial Ownership 2020.pdf fdicnet.fdic.gov/content/dam/DOA/documents/rim/forms/6000/6800-04.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 335.612

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	6800-04			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: 20

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,590	1,590
Annual IC Time Burden (Hours)	795	795
Annual IC Cost Burden (Dollars)	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.

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