Background Investigation Questionnaire for Contractor Personnel and Subcontractors (Form 1600/04)

Acquisition Services Information Requirements

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form 1600-04 Background Investigation Questionnaire for Contractor Personnel and Subcontractors (Form 1600/04) Form and Instruction
1600-04 FDIC Background Investigation Questionnaire for Contract 1600-04 (12-18).pdf www.fdic.gov Form and Instruction
1600-04 FDIC Background Investigation Questionnaire for Contract 1600-04 (12-18).pdf www.fdic.gov Form and Instruction

Information Collection (IC) Details

IC Title:	Background Investigation Questionnaire for Contractor Personnel and Subcontractors (Form 1600/04)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 12 CFR 366

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1600-04	FDIC Background Investigation Questionnaire for Contractor Personnel and Subcontractors	1600-04 (12-18).pdf	https://www.fdic.gov	Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title: FDIC 30–64–0015 Personnel Records	FR Citation: 80 FR 66981

Number of Respondents: 185	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	185	-2,215	2,400
Annual IC Time Burden (Hours)	61	-731	792
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.