Occasional Qualitative Surveys

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Site Intercept Sur Qualtrics Site Intercept Survey	Form and Instruction	New	Available
Generic Qualitative Survey: Federal Home Loan Banks	Form and Instruction	New	Repair queued
Phase 4 HighLevelResearchQuestions Final 10-30-15	Form and Instruction	New	Available
Intake Survey Phase 4 Final 10-30-15	Form and Instruction	New	Available
Intake Survey Phase 4 Final 10-30-15	Form and Instruction	New	Available
Phase 3 Moderator Guide Final 10-30-15	Form and Instruction	New	Available
Money Smart Alliance Enrollment SurveyForm	Form and Instruction	New	Available
Phase 2 Interviewer Guide NPO Not Bank Partner	Form and Instruction	New	Available
Phase 2 Interviewer Guide NPO Bank Partner	Form and Instruction	New	Available
Draft Pre-Interview Questions for Phase 2 Interview Participants	Form and Instruction	New	Available
Form Not Applicable FDIC Technical Assistance Video Program Survey - Part B	Form and Instruction	New	Available
Form Not Applicable FDIC Technical Assistance Video Program Survey - Part A	Form and Instruction	New	Available
Phase 1 Interviewer Guide - Bank Executives	Form and Instruction	New	Available
Form FDIC 6900-01 Youth Savings Pilot (YSP)	Form and Instruction	New	Available
National Survey of Unbanked and Underbanked Households Cognitive Interviewing Protocol Questionnaire	Form and Instruction	New	Available
FDIC Consumer News Readership Survey	Form and Instruction	New	Available
Form Form 6494-06 Community Affairs Event Evaluation	Form and Instruction	New	Repair queued
Money Smart Train-the-Trainer Evaluation	Form and Instruction	New	Available
Form 6494/09 Money Smart For Older Adults Survey	Form and Instruction	New	Available
Small Dollar Bank Pilot Follow-Up Survey Instrument	Form and Instruction	New	Available
SPST 0127_2013 renewal.doc	Supporting Statement A	Uploaded 2013-10-29	Available
2013-07-15_notice.pdf	Supplementary Document	Uploaded 2013-10-29	Available
2013-05-10_notice.pdf	Supplementary Document	Uploaded 2013-10-29	Available
SPST Part B 0127 (2014).docx	Supporting Statement B	Uploaded 2014-03-24	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
225957	Money Smart Train the Trainer Focus Groups	Instruction	New
223910	FDIC.gov Website User Survey Qualitative Research	Form and Instruction	New	Qualtrics Site Intercept Survey
221118	Generic Qualitative Survey: Federal Home Loan Banks	Form and Instruction	New	Generic Qualitative Survey: Federal Home Loan Banks
218796	Generic Survey - Qualitative Research on Bank Strategies for Serving Unbanked and LMI Consumers. Phase 3 & 4	Form and Instruction	New	Phase 4 HighLevelResearchQuestions Final 10-30-15
218796	Generic Survey - Qualitative Research on Bank Strategies for Serving Unbanked and LMI Consumers. Phase 3 & 4	Form and Instruction	New	Intake Survey Phase 4 Final 10-30-15
218796	Generic Survey - Qualitative Research on Bank Strategies for Serving Unbanked and LMI Consumers. Phase 3 & 4	Form and Instruction	New	Intake Survey Phase 4 Final 10-30-15
218796	Generic Survey - Qualitative Research on Bank Strategies for Serving Unbanked and LMI Consumers. Phase 3 & 4	Form and Instruction	New	Phase 3 Moderator Guide Final 10-30-15
218103	Money Smart Alliance Enrollment Survey	Form and Instruction	New	Money Smart Alliance Enrollment SurveyForm
217911	Bank Efforts Qualitative Research Phase 2 Interviews – Non-Profit Executives	Form and Instruction	New	Phase 2 Interviewer Guide NPO Not Bank Partner
217911	Bank Efforts Qualitative Research Phase 2 Interviews – Non-Profit Executives	Form and Instruction	New	Phase 2 Interviewer Guide NPO Bank Partner
217911	Bank Efforts Qualitative Research Phase 2 Interviews – Non-Profit Executives	Form and Instruction	New	Draft Pre-Interview Questions for Phase 2 Interview Participants
217750	Technical Assistance Video Program (TAVP)	Form and Instruction	New	FDIC Technical Assistance Video Program Survey - Part B
217750	Technical Assistance Video Program (TAVP)	Form and Instruction	New	FDIC Technical Assistance Video Program Survey - Part A
217033	Bank Efforts Qualitative Research Phase 1 Interviews – Bank Executives	Form and Instruction	New	Phase 1 Interviewer Guide - Bank Executives
216634	Youth Savings Pilot Follow-Up Survey	Form and Instruction	New	Youth Savings Pilot (YSP)
214344	National Survey of Unbanked and Underbanked Households Cognitive Interviewing	Form and Instruction	New	National Survey of Unbanked and Underbanked Households Cognitive Interviewing Protocol Questionnaire
213414	FDIC Consumer News Readership Survey	Form and Instruction	New	FDIC Consumer News Readership Survey
212845	Event Evaluation	Form and Instruction	New	Community Affairs Event Evaluation
211761	Train-the-Trainer Evaluation	Form and Instruction	New	Money Smart Train-the-Trainer Evaluation
211731	Money Smart for Older Adults (MSOA) Survey	Other-Survey Entry Page	New
211731	Money Smart for Older Adults (MSOA) Survey	Form and Instruction	New	Money Smart For Older Adults Survey
211463	Small Dollar Loan (SDL) Pilot Institutions Follow Up Survey	Form and Instruction	New	Small Dollar Bank Pilot Follow-Up Survey Instrument

ICR Details

OMB Control No: 3064-0127	ICR Reference No: 201310-3064-006
Status: Historical Active	Previous ICR Reference No: 201212-3064-003
Agency/Subagency: FDIC	Agency Tracking No: 3064-0127
Title: Occasional Qualitative Surveys
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: 03/24/2014
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/30/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2017	36 Months From Approved	03/31/2014
Responses	12,750	0	12,750
Time Burden (Hours)	12,750	0	12,750
Cost Burden (Dollars)	0	0	0

---

Abstract: This is a generic collection covering the FDIC's use of qualitative surveys to gather anecdotal information about regulatory burden, bank customer satisfaction, problems or successes in the bank supervisory process, and similar concerns.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 27388	05/10/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 42073	07/15/2013
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 15

table that charts list of burden

IC Title	Form No.	Form Name
Bank Efforts Qualitative Research Phase 1 Interviews – Bank Executives	N/A	Phase 1 Interviewer Guide - Bank Executives
Bank Efforts Qualitative Research Phase 2 Interviews – Non-Profit Executives	None, None, None	Draft Pre-Interview Questions for Phase 2 Interview Participants ,   Phase 2 Interviewer Guide NPO Bank Partner ,   Phase 2 Interviewer Guide NPO Not Bank Partner
Event Evaluation	Form 6494-06	Community Affairs Event Evaluation
FDIC Consumer News Readership Survey	N/A	FDIC Consumer News Readership Survey
FDIC.gov Website User Survey Qualitative Research	Site Intercept Survey	Qualtrics Site Intercept Survey
Generic Qualitative Survey: Federal Home Loan Banks	N/A	Generic Qualitative Survey: Federal Home Loan Banks
Generic Survey - Qualitative Research on Bank Strategies for Serving Unbanked and LMI Consumers. Phase 3 & 4	N/A, N/A, N/A, N/A	Phase 3 Moderator Guide Final 10-30-15 ,   Intake Survey Phase 4 Final 10-30-15 ,   Intake Survey Phase 4 Final 10-30-15 ,   Phase 4 HighLevelResearchQuestions Final 10-30-15
Money Smart Alliance Enrollment Survey	NA	Money Smart Alliance Enrollment SurveyForm
Money Smart Train the Trainer Focus Groups
Money Smart for Older Adults (MSOA) Survey	6494/09	Money Smart For Older Adults Survey
National Survey of Unbanked and Underbanked Households Cognitive Interviewing	None	National Survey of Unbanked and Underbanked Households Cognitive Interviewing Protocol Questionnaire
Small Dollar Loan (SDL) Pilot Institutions Follow Up Survey	N/A	Small Dollar Bank Pilot Follow-Up Survey Instrument
Technical Assistance Video Program (TAVP)	Not Applicable , Not Applicable	FDIC Technical Assistance Video Program Survey - Part A ,   FDIC Technical Assistance Video Program Survey - Part B
Train-the-Trainer Evaluation	NA	Money Smart Train-the-Trainer Evaluation
Youth Savings Pilot Follow-Up Survey	FDIC 6900-01	Youth Savings Pilot (YSP)

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	12,750	12,750	0	0	0	0
Annual Time Burden (Hours)	12,750	12,750	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/30/2013

---