FDIC.gov Website User Survey Qualitative Research

Occasional Qualitative Surveys

⚠️ Notice: This information collection may be referencing outdated material.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 Site Intercept Sur FDIC.gov Website User Survey Qualitative Research Form and Instruction
Site Intercept Sur Qualtrics Site Intercept Survey Site Intercept Survey.docx Form and Instruction
Justification Memo 0127 - Qualtrics Site Intercept Survey.docx Justification Memo - Qualtrics Site Intercept Survey IC Document

Information Collection (IC) Details

IC Title:	FDIC.gov Website User Survey Qualitative Research	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	Site Intercept Survey	Qualtrics Site Intercept Survey	Site Intercept Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,200	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,200	1,200
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification Memo - Qualtrics Site Intercept Survey	Justification Memo 0127 - Qualtrics Site Intercept Survey.docx	10/12/2016

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