Background Investigation Questionnaire for Contractor Personnel & Subcontractors

Acquisition Services Information Requirements

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0072 can be found here:

Documents and Forms

Document Name Document Type
Form 3064-1600/04 Background Investigation Questionnaire for Contractor Personnel & Subcontractors Form
3064-1600/04 Background Investigation Questionnaire for Contractor Pe 1600-04.pdf fdic01/division/doa/adminservices/records/forms/1000/1600-04.pdf Form

Information Collection (IC) Details

IC Title:	Background Investigation Questionnaire for Contractor Personnel & Subcontractors	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 366

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	3064-1600/04	Background Investigation Questionnaire for Contractor Personnel & Subcontractors	1600-04.pdf	http://fdic01/division/doa/adminservices/records/forms/1000/1600-04.pdf	No		Fillable Printable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,000	-4,810	8,810
Annual IC Time Burden (Hours)	1,320	-1,793	3,113
Annual IC Cost Burden (Dollars)	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.