OMB control number
Certification of Compliance with Mandatory Bars to Employment
OMB 3064-0121 · FDIC.
OMB 3064-0121
Prior to an offer of employment, job applicants to the FDIC must sign a certification that they have not been convicted of a felony or been in other circumstances that prohibit persons from becoming employed by or providing services to the FDIC.
The latest form for Certification of Compliance with Mandatory Bars to Employment expires 2028-06-30 and is listed under ICR 202412-3064-001.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form FDIC-2120/16 Applicant Certification Statement | Form |
| Form FDIC-2120/16 Certification of Compliance with Mandatory Bars to Employment | Form |
| FR2 - 0121 - 03032025.pdf (document unavailable) | Supplementary Document |
| ICR 0121 - 60 Day Notice - 12092024.pdf | Supplementary Document |
 SPST-0121 Certification of Compliance with Mandatory Bars to Employment 2025.pdf | Supporting Statement A |
 Certification of Compliance with Mandatory Bars to Employment |
Form |
| Certification of Compliance with Mandatory Bars to Employment |
Form |