OCC MDI BSA/AML Outreach

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

CSM MDI BSA-AML ParticipantRspForm

Minority Depository Institution BSA/AML Outreach

OMB: 1557-0248

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OCC MDI BSA/AML Outreach
Participant Response Form – Please Respond by Friday, December 14, 2018
☐ Yes, my institution is interested in participating in the 2019 OCC Minority Depository
Institution BSA/AML Outreach. Select your preferred location(s) below (no more than two (2))
and indicate estimated number of bank executives who would attend each session. We can
accommodate up to three (3) participants, with one being the BSA/AML Compliance Officer.
We will hold up to five (5) full day sessions (9am to 3pm) between March and May 2019.
Session

Number of Bank
Executives Attending

Irvine, California
Santa Ana, California
Orlando, Florida
Minneapolis, Minnesota
New York, New York
Dallas, Texas
Houston, Texas
Other (please specify):

☐ Yes, my institution is interested in participating in the 2019 OCC Minority Depository
Institution BSA/AML Outreach, but we are unable attend due to the above locations and/or
dates.
☐ No, my institution is not interested in participating in the 2019 OCC Minority Depository
Institution BSA/AML Outreach.
Participant Information
Bank Name:
Participant Name

Title

Please return this form to Monique Parkmon at Monique.Parkmon@occ.treas.gov by Friday,
December 14, 2018


File Typeapplication/pdf
AuthorParkmon, Monique
File Modified2018-11-26
File Created2018-11-23

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