Interagency Notice of Change in Director or Executive Officer

OMB 3064-0097

P.L. 103-73, sec. 714, requires certain insured state nonmember banks to notify the FDIC of the addition of a director or the employment of a senior executive officer.

The latest form for Interagency Notice of Change in Director or Executive Officer expires 2021-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
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
Justification Memo Non Substantive Revisions 3064-0097 June 2023.docx Justification for No Material/Nonsubstantive Change
Justification Memo Non Substantive Revisions 3064-0097 June 2023.docx Justification for No Material/Nonsubstantive Change
FR2 0097 Interagency Notice of Change in Director or Executive Officer 86 FR 33287 June 24 2021.pdf Supplementary Document
FR2 0097 Interagency Notice of Change in Director or Executive Officer 86 FR 33287 June 24 2021.pdf Supplementary Document
SPST-0097 Notice of Change in Director or Executive Officer Renewal (2021) FINAL.docx Supporting Statement A
SPST-0097 Notice of Change in Director or Executive Officer Renewal (2021) FINAL.docx Supporting Statement A
FR1 0097 Interagency Notice of Change in Director or Executive Officer 86 FR 19265 April 13 2021.pdf Supplementary Document
FR1 0097 Interagency Notice of Change in Director or Executive Officer 86 FR 19265 April 13 2021.pdf Supplementary Document
Interagency Notice of Change in Director or Executive Officer Form and Instruction
Interagency Notice of Change in Director or Executive Officer Form and Instruction

All Historical Document Collections

202306-3064-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2023-06-08
202104-3064-006 Approved without change	Extension without change of a currently approved collection	2021-06-24
201805-3064-004 Approved without change	Revision of a currently approved collection	2018-05-11
201506-3064-001 Approved without change	Revision of a currently approved collection	2015-06-24
201203-3064-002 Approved without change	Extension without change of a currently approved collection	2012-06-19
200903-3064-005 Approved without change	Extension without change of a currently approved collection	2009-04-21
200602-3064-003 Approved without change	Extension without change of a currently approved collection	2006-02-23
200301-3064-002 Approved without change	Extension without change of a currently approved collection	2003-01-16
199912-3064-001 Approved without change	Extension without change of a currently approved collection	1999-12-02
199612-3064-002 Approved without change	Revision of a currently approved collection	1996-12-10
199506-3064-005 Approved without change	Extension without change of a currently approved collection	1995-06-26
199211-3064-004 Approved without change	Revision of a currently approved collection	1992-11-13
198911-3064-001 Approved without change	New collection (Request for a new OMB Control Number)	1989-11-13