Information Collection

Background Investigation Questionnaire for Contractor Personnel & Subcontractors

IC 31818 under ICR 201511-3064-008 · OMB 3064-0072.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0072 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1600/04 Background Investigation Questionnaire for Contractor Personnel & Subcontractors	Form
1600/04 Background Investigation Questionnaire for Contractor Pe 1600-04 (31 DEC 2015).doc www.fdic.gov/buying/goods/acquisition/1600-04.doc	Form

IC Title:

Background Investigation Questionnaire for Contractor Personnel & Subcontractors

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 366

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
Form	1600/04	Background Investigation Questionnaire for Contractor Personnel and Subcontractors	1600-04 (31 DEC 2015).doc	https://www.fdic.gov/buying/goods/acquisition/1600-04.doc	Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,000

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,000	-1,000	4,000
Annual IC Time Burden (Hours)	990	-330	1,320
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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