Interagency Appraisal Complaint Form

Forms and Documents

Document Name	Status
Form FDIC 3064-0190 Interagency Appraisal Complaint Form Form and Instruction	Modified
Justification Memo 0190- Nonsubstantive Revisions to Interagency Appraisal Complaint Form.docx Justification for No Material/Nonsubstantive Change	2017-07-19
FR2-0190 Interagency Complaint Form 81 FR 9585 (25 FEB 2016).pdf Supplementary Document	2016-03-07
FR1-0190 Interagency Complaint Form 80 FR 75896 (4 DEC 2015).pdf Supplementary Document	2016-03-07
SPST Appraisal Complaint Form ( Extension 2016).doc Supporting Statement A	2016-03-07

IC Document Collections

IC ID	Document Title	Status
205564	Interagency Appraisal Complaint Form Form and Instruction	Modified

ICR Details

OMB Control No: 3064-0190	ICR Reference No: 201707-3064-004
Status: Historical Active	Previous ICR Reference No: 201512-3064-008
Agency/Subagency: FDIC	Agency Tracking No:
Title: Interagency Appraisal Complaint Form
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/19/2017
	Date Received in OIRA: 07/19/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2019	05/31/2019	05/31/2019
Responses	200	0	200
Time Burden (Hours)	50	0	100
Cost Burden (Dollars)	0	0	0

---

Abstract: The Interagency Appraisal Complaint Form will be used to collect information on complaints of non-compliance with appraisal standards and Uniform Standards of Professional Appraisal Practice, including complaints from appraisers, individuals, or other entities concerning the improper influencing or attempted improper influencing of appraisers or the appraisal process.

---

Authorizing Statute(s): PL: Pub.L. 111 - 203 1473 Name of Law: Dodd-Frank Wall Street Reform and Consumer Protection Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 75896	12/04/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 9585	02/25/2016
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Interagency Appraisal Complaint Form	FDIC 3064-0190	Interagency Appraisal Complaint Form

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	200	200	0	0	0	0
Annual Time Burden (Hours)	50	100	0	0	-50	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government:

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Yes

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/19/2017

---