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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

IC Title:

Federal Deposit Insurance Corporation's 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
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 %

table that charts list of burden
	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

table that charts IC Documents
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.