Examination Questionnaire

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1557-0199 can be found here:

Documents and Forms

Document Name Document Type
Examination Questionnaire Form and Instruction
Examination and Supervisory Survey Bank Exam Questionnaire Revised w track edits 2014-05-22.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Examination Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Form and Instruction	N/A	Examination and Supervisory Survey	Bank Exam Questionnaire Revised w track edits 2014-05-22.doc		Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,212	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 20 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	788	82	706
Annual IC Time Burden (Hours)	131	13	118
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.