View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 3064-0121	ICR Reference No: 200604-3064-001
Status: Historical Active	Previous ICR Reference No: 200302-3064-001
Agency/Subagency: FDIC	Agency Tracking No:
Title: Certification of Compliance with Mandatory Bars to Employment
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/23/2006
	Date Received in OIRA: 04/26/2006
Terms of Clearance: Kindly add to the form: (1) the control number; (2) a statement of the consequences of failure to display a valid control number; and (3) where to submit the completed form.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2009	06/30/2009	06/30/2006
Responses	200	0	248
Time Burden (Hours)	33	0	41
Cost Burden (Dollars)	0	0	0

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