Information Collection

Assessment Reporting Review Survey

IC 201845 under ICR 201106-3064-002 · OMB 3064-0127.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0127 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FDIC Form 8200/03 Assessment Reporting Review Survey	Form and Instruction
FDIC Form 8200/03 Assessment Reporting Review Survey 8200-03 (3-12) (MS 2003 Document).doc	Form and Instruction
SPST Assessment Reporting Review Survey (3).doc Supporting Statement - Assessment Reporting Review Survey	IC Document

IC Title:

Assessment Reporting Review Survey

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FDIC Form 8200/03	Assessment Reporting Review Survey	8200-03 (3-12) (MS 2003 Document).doc		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement - Assessment Reporting Review Survey	SPST Assessment Reporting Review Survey (3).doc	04/05/2012

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.