FDIC Financial Institution Diversity Self-Assessment Satisfaction Survey

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⚠️ Notice: This information collection may be referencing outdated material.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 2710/07 FDIC Financial Institution Diversity Self-Assessment Satisfaction Survey Form and Instruction
2710/07 FDIC Financial Institution Diversity Self-Assessment Use Survey-BankerUserExperience(Version2).pptx Form and Instruction
0127 - Justification Memo FID_SA Survey.docx Justification Memo IC Document

Information Collection (IC) Details

IC Title:	FDIC Financial Institution Diversity Self-Assessment Satisfaction 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	2710/07	FDIC Financial Institution Diversity Self-Assessment User Satisfaction Survey	Survey-BankerUserExperience(Version2).pptx		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	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	500	500
Annual IC Time Burden (Hours)	42	42
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification Memo	0127 - Justification Memo FID_SA Survey.docx	10/28/2020

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