Occasional Qualitative Surveys

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Not applicable Qualitative Survey: FDIC Technical Assistance Video Program	Form and Instruction	New	Available
Bank Efforts Qualitative Research Phase 1 Interviews – Bank Executives	Form and Instruction	Unchanged	Available
Form FDIC 6900-01 Youth Savings Pilot Follow-Up Survey	Form and Instruction	Unchanged	Repair queued
National Survey of Unbanked and Underbanked Households Cognitive Interviewing	Form and Instruction	Unchanged	Available
FDIC Consumer News Readership Survey	Form and Instruction	Unchanged	Available
Form Form 6494-06 Event Evaluation	Form and Instruction	Unchanged	Available
Train-the-Trainer Evaluation	Form and Instruction	Unchanged	Available
Form 6494/09 Money Smart for Older Adults (MSOA) Survey	Form and Instruction	Unchanged	Available
Small Dollar Loan (SDL) Pilot Institutions Follow Up Survey	Form and Instruction	Unchanged	Available
Justification for change to the collection of information pertaining to Occasional Qualitative Surveys.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2015-07-31	Available
SPST Part B 0127 (2014).docx	Supporting Statement B	Uploaded 2015-07-31	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

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
217734	Qualitative Survey: FDIC Technical Assistance Video Program	Form and Instruction	New
217033	Bank Efforts Qualitative Research Phase 1 Interviews – Bank Executives	Form and Instruction	Unchanged
216634	Youth Savings Pilot Follow-Up Survey	Form and Instruction	Unchanged
214344	National Survey of Unbanked and Underbanked Households Cognitive Interviewing	Form and Instruction	Unchanged
213414	FDIC Consumer News Readership Survey	Form and Instruction	Unchanged
212845	Event Evaluation	Form and Instruction	Unchanged
211761	Train-the-Trainer Evaluation	Form and Instruction	Unchanged
211731	Money Smart for Older Adults (MSOA) Survey	Form and Instruction	Unchanged
211463	Small Dollar Loan (SDL) Pilot Institutions Follow Up Survey	Form and Instruction	Unchanged

ICR Details

OMB Control No: 3064-0127	ICR Reference No: 201507-3064-004
Status: Historical Inactive	Previous ICR Reference No: 201310-3064-006
Agency/Subagency: FDIC	Agency Tracking No: 3064-0127
Title: Occasional Qualitative Surveys
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted and continue	Conclusion Date: 07/31/2015
	Date Received in OIRA: 07/31/2015
Terms of Clearance: FDIC will resubmit this as a Gen IC request.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2017	03/31/2017	06/30/2017
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: 9

table that charts list of burden

IC Title	Form No.	Form Name
Youth Savings Pilot Follow-Up Survey	FDIC 6900-01	Youth Savings Pilot (YSP)
Qualitative Survey: FDIC Technical Assistance Video Program	Not applicable, Not applicable	Technical Assistance Video Survey (Part A) ,   Technical Assistance Video Survey - Part B
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
Bank Efforts Qualitative Research Phase 1 Interviews – Bank Executives	N/A	Phase 1 Interviewer Guide - Bank Executives
FDIC Consumer News Readership Survey	N/A	FDIC Consumer News Readership Survey
Train-the-Trainer Evaluation	NA	Money Smart Train-the-Trainer Evaluation
Event Evaluation	Form 6494-06	Community Affairs Event Evaluation
Small Dollar Loan (SDL) Pilot Institutions Follow Up Survey	N/A	Small Dollar Bank Pilot Follow-Up Survey Instrument

---

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: 07/31/2015

---