FDIC Community Affairs Event Evaluation Form

Fast-Track Generic Clearance for the Collection of Qualitative Feedback

⚠️ Notice: This information collection may be referencing outdated material.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 6494/06 FDIC Community Affairs Event Evaluation Form Form and Instruction
6494/06 Community Affairs Event Evaluation 6494-06 Community Affairs Event Evaluation Form.pdf Form and Instruction
Justification Memo CA Event Evaluation FINAL.docx Justification Memo FDIC Community Affairs Evaluation Form IC Document

Information Collection (IC) Details

IC Title:	FDIC Community Affairs Event Evaluation Form	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	6494/06	Community Affairs Event Evaluation	6494-06 Community Affairs Event Evaluation Form.pdf		Yes	Yes	Fillable Printable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 9,120	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	9,120	9,120
Annual IC Time Burden (Hours)	760	760
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification Memo FDIC Community Affairs Evaluation Form	Justification Memo CA Event Evaluation FINAL.docx	09/02/2020

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