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Agency Information Collection Activities: Submission for OMB Review; Comment Request

---
identifier: "/us/fr/03-4413"
source: "fr"
legal_status: "authoritative_unofficial"
title: "Agency Information Collection Activities: Submission for OMB Review; Comment Request"
title_number: 0
title_name: "Federal Register"
section_number: "03-4413"
section_name: "Agency Information Collection Activities: Submission for OMB Review; Comment Request"
positive_law: false
currency: "2003-02-25"
last_updated: "2003-02-25"
format_version: "1.1.0"
generator: "[email protected]"
agency: "Federal Deposit Insurance Corporation"
document_number: "03-4413"
document_type: "notice"
publication_date: "2003-02-25"
agencies:
  - "Federal Deposit Insurance Corporation"
fr_citation: "68 FR 8765"
fr_volume: 68
fr_action: "Notice of information collection to be submitted to OMB for review and approval under the Paperwork Reduction Act of 1995."
---

#  Agency Information Collection Activities: Submission for OMB Review; Comment Request

**AGENCY:**

Federal Deposit Insurance Corporation (FDIC).

**ACTION:**

Notice of information collection to be submitted to OMB for review and approval under the Paperwork Reduction Act of 1995.

**SUMMARY:**

In accordance with requirements of the Paperwork Reduction Act of 1995 (44 U.S.C. 3501 *et seq.* ), the FDIC hereby gives notice that it plans to submit to the Office of Management and Budget (OMB) a request for OMB review and approval of the following information collection systems described below.

*Type of Review:* Renewal of a currently approved collection.

*Title:* Certification of Compliance With Mandatory Bars to Employment.

*OMB Number:* 3064-0121.

*Form Number:* 2120/16.

*Annual Burden:*

* Estimated annual number of respondents:* 248.

* Estimated time per response:* 10 minutes.

* Estimated total annual burden hours:* 41.34 hours.

*Expiration Date of OMB Clearance:* June 30, 2005.

**SUPPLEMENTARY INFORMATION:**

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.

*OMB Reviewer:* Joseph F. Lackey, Jr. (202) 395-4741, Office of Management and Budget, Office of Information and Regulatory Affairs, Washington, DC 20503.

*FDIC Contact:* Tamara R. Manly, (202) 898-7453, Legal Division, Room MB-3109, Federal Deposit Insurance Corporation, 550 17th Street NW., Washington, DC 20429.

*Comments:* Comments on these collections of information are welcome and should be submitted on or before March 27, 2003, to both the OMB reviewer and the FDIC contact listed above.

**ADDRESSES:**

Information about this submission, including copies of the proposed collections of information, may be obtained by calling or writing the FDIC contact listed above.

Federal Deposit Insurance Corporation.

Dated: February 20, 2003.

Robert E. Feldman,

Executive Secretary.