Information Collection

Joint Standards for Assessing Diversity Policies and Practices - Electronic Form

IC 238632 under ICR 202112-3064-001 · OMB 3064-0200.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0200 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form 2710/06 Joint Standards for Assessing Diversity Policies and Practices - Electronic Form	Form and Instruction
Form 2710/06 Diversity Self-Assessment of FDIC Regulated Financial In Proposed Form 2710-06 Diversity Self-Assessment Screen Shots.docx	Form and Instruction
Form 2710/06 Diversity Self-Assessment of FDIC Regulated Financial In Proposed Form 2710-06 Diversity Self-Assessment Screen Shots.docx	Form and Instruction
OMWI Request for OMB Approval for FIDSA_REV.docx Justification for Non-Substantive Form Revision	IC Document
OMWI Request for OMB Approval for FIDSA_REV.docx Justification for Non-Substantive Form Revision	IC Document
OMWIAssessmentPDF(RedlinedChanges)REV.docx Diversity Self Assessment Form - Redliuned	IC Document
OMWIAssessmentPDF(RedlinedChanges)REV.docx Diversity Self Assessment Form - Redliuned	IC Document

IC Title:

Joint Standards for Assessing Diversity Policies and Practices - Electronic Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 12 CFR Part 362 (To search for a specific CFR, visit the Code of Federal Regulations.)

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	Form 2710/06	Diversity Self-Assessment of FDIC Regulated Financial Institutions	Proposed Form 2710-06 Diversity Self-Assessment Screen Shots.docx	- https://fdic-wwwdev.app.cloud.gov/regulations/laws/federal/2019/3064-0200/proposed-on-line-form.pdf;	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60

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	Previously Approved
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	420	420
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification for Non-Substantive Form Revision	OMWI Request for OMB Approval for FIDSA_REV.docx	04/07/2021
Diversity Self Assessment Form - Redliuned	OMWIAssessmentPDF(RedlinedChanges)REV.docx	04/07/2021

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