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Securities of Insured Nonmember Banks
Securities of Insured Nonmember Banks
OMB: 3064-0030
IC ID: 31785
OMB.report
FDIC
OMB 3064-0030
ICR 200703-3064-003
IC 31785
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0030 can be found here:
2023-02-22 - Revision of a currently approved collection
2021-02-04 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 5
Securities of Insured Nonmember Banks
Form
5 Annual Statement of Beneficial Ownership of Securities
6800-05.pdf
fdic01/division/doa/adminservices/records/forms/6000/6800-05.doc
Form
3 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
6800-03.pdf
fdic01/division/doa/adminservices/records/forms/6000/6800-03.pdf
Form
4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITI
6800-04.pdf
fdic01/division/doa/adminservices/records/forms/6000/6800-04.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Securities of Insured Nonmember Banks
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
5
Annual Statement of Beneficial Ownership of Securities
6800-05.pdf
http://fdic01/division/doa/adminservices/records/forms/6000/6800-05.doc
Yes
Yes
Fillable Fileable
Form
3
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
6800-03.pdf
http://fdic01/division/doa/adminservices/records/forms/6000/6800-03.pdf
Yes
Yes
Fillable Fileable
Form
4
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
6800-04.pdf
http://fdic01/division/doa/adminservices/records/forms/6000/6800-04.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Financial Sector Oversight
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,333
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,800
0
0
0
0
1,800
Annual IC Time Burden (Hours)
1,100
0
0
0
0
1,100
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.