Information Collection

FDIC Community Affairs Event Evaluation Form

IC 243450 under ICR 202003-3064-004 · OMB 3064-0127.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0127 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6494/06 FDIC Community Affairs Event Evaluation Form	Form and Instruction
6494/06 Community Affairs Event Evaluation 6494-06 Community Affairs Event Evaluation Form.pdf	Form and Instruction
Justification Memo CA Event Evaluation FINAL.docx Justification Memo FDIC Community Affairs Evaluation Form	IC Document

IC Title:

FDIC Community Affairs Event Evaluation Form

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
Form and Instruction	6494/06	Community Affairs Event Evaluation	6494-06 Community Affairs Event Evaluation Form.pdf		Yes	Yes	Fillable Printable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 9,120

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	9,120	9,120
Annual IC Time Burden (Hours)	760	760
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification Memo FDIC Community Affairs Evaluation Form	Justification Memo CA Event Evaluation FINAL.docx	09/02/2020

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