Notice of Change of Officials and Senior Executive Officers

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 2021-11-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 4063 Form 4063 - Notice of Change In Official or Senior Executive Officer; Waiver to Notice Form and Instruction
Form 4062a Form 4063a - Individual Application for Approval of Official or Senior Executive Officer Form and Instruction
12CFR701-14_(1-1-21 ED).pdf Supplementary Document
Final_3133-0121_SS_EXT_112921.docx Supporting Statement A
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

All Historical Document Collections

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

OMB Details

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

Federal Enterprise Architecture: Economic Development - Financial Sector Oversight

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.