Information Collection Request

Occasional Qualitative Surveys

ICR 201507-3064-004 · OMB 3064-0127 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Not applicable Technical Assistance Video Survey - Part B Form and Instruction New Available
Form Not applicable Technical Assistance Video Survey (Part A) Form and Instruction New Available
Phase 1 Interviewer Guide - Bank Executives Form and Instruction Unchanged Available
Form FDIC 6900-01 Youth Savings Pilot (YSP) Form and Instruction Unchanged Repair queued
National Survey of Unbanked and Underbanked Households Cognitive Interviewing Protocol Questionnaire Form and Instruction Unchanged Available
FDIC Consumer News Readership Survey Form and Instruction Unchanged Available
Form Form 6494-06 Community Affairs Event Evaluation Form and Instruction Unchanged Available
Money Smart Train-the-Trainer Evaluation Form and Instruction Unchanged Available
Form 6494/09 Money Smart For Older Adults Survey Form and Instruction Unchanged Available
Small Dollar Bank Pilot Follow-Up Survey Instrument 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 IDCollectionTypeStatusForm
217734 Qualitative Survey: FDIC Technical Assistance Video Program Form and Instruction NewTechnical Assistance Video Survey - Part B
217734 Qualitative Survey: FDIC Technical Assistance Video Program Form and Instruction NewTechnical Assistance Video Survey (Part A)
217033 Bank Efforts Qualitative Research Phase 1 Interviews – Bank Executives Form and Instruction UnchangedPhase 1 Interviewer Guide - Bank Executives
216634 Youth Savings Pilot Follow-Up Survey Form and Instruction UnchangedYouth Savings Pilot (YSP)
214344 National Survey of Unbanked and Underbanked Households Cognitive Interviewing Form and Instruction UnchangedNational Survey of Unbanked and Underbanked Households Cognitive Interviewing Protocol Questionnaire
213414 FDIC Consumer News Readership Survey Form and Instruction UnchangedFDIC Consumer News Readership Survey
212845 Event Evaluation Form and Instruction UnchangedCommunity Affairs Event Evaluation
211761 Train-the-Trainer Evaluation Form and Instruction UnchangedMoney Smart Train-the-Trainer Evaluation
211731 Money Smart for Older Adults (MSOA) Survey Other-Survey Entry Page Unchanged
211731 Money Smart for Older Adults (MSOA) Survey Form and Instruction UnchangedMoney Smart For Older Adults Survey
211463 Small Dollar Loan (SDL) Pilot Institutions Follow Up Survey Form and Instruction UnchangedSmall Dollar Bank Pilot Follow-Up Survey Instrument

ICR Details

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  Inventory as of this Action Requested Previously Approved
03/31/2017 03/31/2017 06/30/2017
12,750 0 12,750
12,750 0 12,750
0 0 0





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IC Title Form No. Form Name
Bank Efforts Qualitative Research Phase 1 Interviews – Bank Executives N/A
Event Evaluation Form 6494-06
FDIC Consumer News Readership Survey N/A
Money Smart for Older Adults (MSOA) Survey 6494/09
National Survey of Unbanked and Underbanked Households Cognitive Interviewing None
Qualitative Survey: FDIC Technical Assistance Video Program Not applicable, Not applicable ,  
Small Dollar Loan (SDL) Pilot Institutions Follow Up Survey N/A
Train-the-Trainer Evaluation NA
Youth Savings Pilot Follow-Up Survey FDIC 6900-01



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