Information Collection

Federal Deposit Insurance Corporation's Survey

IC 217095 under ICR 201312-0607-004 · OMB 0607-0725.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0725 can be found here:

Documents and Forms

Document Name Document Type
OMB1515_FDIC_enc1.docx Other-Enclosure 1 - Screener
OMB1515_FDIC_enc2.docx Other-Enclosure 2 - Research Questio
OMB1515_FDIC.docx FDIC OMB Justification IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Federal Deposit Insurance Corporation's Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Enclosure 1 - Screener			OMB1515_FDIC_enc1.docx		Yes	Yes	Fillable Fileable
Other-Enclosure 2 - Research Questions			OMB1515_FDIC_enc2.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 160	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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	160	160
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
FDIC OMB Justification	OMB1515_FDIC.docx	06/18/2015

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