Assessment Reporting Review Survey

Occasional Qualitative Surveys - 2011 Money Smart

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form FDIC Form 8200/03 Assessment Reporting Review Survey Form and Instruction
FDIC Form 8200/03 Assessment Reporting Review Survey 8200-03 (3-12) (MS 2003 Document).doc Form and Instruction
SPST Assessment Reporting Review Survey (3).doc Supporting Statement - Assessment Reporting Review Survey IC Document

Information Collection (IC) Details

IC Title:	Assessment Reporting Review Survey	Agency IC Tracking Number:

IC Status: New

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	FDIC Form 8200/03	Assessment Reporting Review Survey	8200-03 (3-12) (MS 2003 Document).doc		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement - Assessment Reporting Review Survey	SPST Assessment Reporting Review Survey (3).doc	04/05/2012

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