Form FDIC No. 8200/03 FDIC No. 8200/03 Assessment Reporting Review Survey

OMB Number: 3064-0127

Expiration Date: 07/31/2013

Federal Deposit Insurance Corporation Division of Finance

3 501 Fairfax Drive, Arlington, VA 22226-3500 Assessment Compliance Section

Date:

Certificate:

Chief Executive Officer:

Bank Name:

Location:

Assessment Reporting Review Survey

Your institution was a recent participant in an Assessment Compliance Review. We are interested in your opinion and feedback on the review process. Our goal is to improve the compliance review process and the reporting information we have made available to institutions. All responses will be confidential.

Your response may be e-mailed to Alex Hoang at hhoang@fdic.gov.

Please rate the following:	Outstanding (5)	Good (4)	Satisfactory (3)	Fair (2)	Poor (1)	Not Rated (NR)
Your understanding of what was expected of you during the review process.
The clarity and quality of communications and guidance provided throughout the review (engagement email/letter, instructions, forms/templates, phone calls, final report, etc.).
The adequacy of the amount of time provided to respond to our information request and compile information.
The professionalism and knowledge of the compliance staff you interacted with.
The ease of using the Examination File Exchange to communicate and transfer files.
The effectiveness of the guidance and information provided during the review in improving your knowledge of proper reporting for assessment purposes.
Your overall experience with the compliance review.

If you have additional comments on how to improve the quality of our compliance reviews, especially if you rated any area Fair (2) or Poor (1), please comment below or attach additional sheets.

Have you visited the Assessments website? Yes No

(http://www.fdic.gov/deposit/insurance/assessments)

If so, did you find the information presented useful? Yes No

Was it easy to find/navigate to the website? Yes No

Do you have any suggestions on how we can improve the website or make its existence more widely known?

We appreciate your time and feedback to help us improve the quality of the compliance review program. If you have any other comments or questions, please contact me at bhalper@fdic.gov (703-562-2101) or Alex Hoang at hhoang@fdic.gov (703-562-2319).

Sincerely,

Bruce W. Halper

Manager, Assessment Compliance Section

PAPERWORK REDUCTION ACT NOTICE

Public reporting burden for this collection of information is estimated to be .25 hours per response, including the time to gather data in the required form and to review instructions and complete the information collection. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Paperwork Reduction Act Clearance Officer, Legal Division, Federal Deposit Insurance Corporation, 550 17th Street, N.W., Washington, D.C. 20429, or via e-mail to comments@fdic.gov; and to the Office of Management and Budget, Paperwork Reduction Project (3064-0127) , Washington, D.C. 20503. The Federal Deposit Insurance Corporation may not conduct or sponsor, and an organization (or a person) is not required to respond to, a collection of information unless it displays a currently valid OMB control number.

FDIC 8200/03 (4-12) Page 1