Information Collection

FDIC Financial Institution Diversity Self-Assessment Satisfaction Survey

IC 244303 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⚠️ Notice: This information collection may be referencing outdated material.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 2710/07 FDIC Financial Institution Diversity Self-Assessment Satisfaction Survey	Form and Instruction
2710/07 FDIC Financial Institution Diversity Self-Assessment Use Survey-BankerUserExperience(Version2).pptx	Form and Instruction
0127 - Justification Memo FID_SA Survey.docx Justification Memo	IC Document

IC Title:

FDIC Financial Institution Diversity Self-Assessment Satisfaction Survey

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	2710/07	FDIC Financial Institution Diversity Self-Assessment User Satisfaction Survey	Survey-BankerUserExperience(Version2).pptx		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	500	500
Annual IC Time Burden (Hours)	42	42
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification Memo	0127 - Justification Memo FID_SA Survey.docx	10/28/2020

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