OMB control number

Notice of Change of Officials and Senior Executive Officers

OMB 3133-0121 · NCUA.

OMB 3133-0121

In order to comply with statutory requirements, the agency must obtain sufficient information from new officials or senior executive officers of troubled or newly chartered credit unions to determine their fitness for the position. This is established by the Financial Institutions Reform, Recovery, and Enforcement Act of 1989 (FIRREA), Pub.L. 101-73. The forms provide a standardize format to collect the information needed.

The latest form for Notice of Change of Officials and Senior Executive Officers expires 2028-04-30 and is listed under ICR 202412-3133-005.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form 4063 Notice of Change In Official or Senior Executive Officer	Form and Instruction
Form 4063 Form 4063 - Notice of Change In Official or Senior Executive Officer; Waiver to Notice	Form and Instruction
Form 4063a Individual Application for Approval of Official or Senior Executive Officer	Form and Instruction
Form 4063a Form 4063a - Individual Application for Approval of Official or Senior Executive Officer	Form and Instruction
12CFR701-14_(1-1-21 ED).pdf	Supplementary Document
12CFR701-14_(1-1-21 ED).pdf	Supplementary Document
3133-0121 Supporting Statement Burden Justification Draft Clean.docx	Supporting Statement A
3133-0121 Supporting Statement Burden Justification Draft Clean.docx	Supporting Statement A
Form 4063 - Notice of Change In Official or Senior Executive Officer; Waiver to Notice	Form and Instruction
Form 4063 - Notice of Change In Official or Senior Executive Officer; Waiver to Notice	Form and Instruction
Form 4063a - Individual Application for Approval of Official or Senior Executive Officer	Form and Instruction
Form 4063a - Individual Application for Approval of Official or Senior Executive Officer	Form and Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Action
202412-3133-005	Revision of a currently approved collection	2024-12-30
202109-3133-002	Extension without change of a currently approved collection	2021-11-30	Approved without change
201804-3133-001	Revision of a currently approved collection	2018-09-28	Approved without change
201505-3133-004	Reinstatement with change of a previously approved collection	2015-08-05	Approved without change
201107-3133-001	Reinstatement without change of a previously approved collection	2011-08-10	Approved without change
200609-3133-002	Revision of a currently approved collection	2006-09-26	Approved without change
200308-3133-002	Reinstatement with change of a previously approved collection	2003-08-07	Approved without change
199908-3133-005	Extension without change of a currently approved collection	1999-08-24	Approved without change
199607-3133-003	Reinstatement without change of a previously approved collection	1996-07-26	Approved without change
199305-3133-001	Reinstatement with change of a previously approved collection	1993-05-17	Approved without change
199004-3133-001	New collection (Request for a new OMB Control Number)	1990-04-12	Approved without change

OMB Details

Form 4063 - Notice of Change In Official or Senior Executive Officer; Waiver to Notice

Federal Enterprise Architecture: Economic Development - Financial Sector Oversight

Information collection instruments
Form	Name	Electronic access	Type
Form 4063	Notice of Change In Official or Senior Executive Officer	Fillable Fileable	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.