Information Collection Request

Customer Assistance

ICR 200904-3064-001 · OMB 3064-0134 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form FDIC-6422/04 Customer Assistance Form Modified Available
E9-8788.pdf Supplementary Document Uploaded 2009-04-17 Repair queued
E9-2669.pdf Supplementary Document Uploaded 2009-04-17 Repair queued
spst0134.doc Supporting Statement A Uploaded 2009-04-03 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
31943 Customer Assistance Form Modified
ICR Details
3064-0134 200904-3064-001
Historical Active 200602-3064-004
FDIC
Customer Assistance
Revision of a currently approved collection   No
Regular
Approved without change 06/24/2009
Retrieve Notice of Action (NOA) 04/17/2009
  Inventory as of this Action Requested Previously Approved
06/30/2012 36 Months From Approved 06/30/2009
15,000 0 5,000
7,500 0 2,500
0 0 0

This collection permits the FDIC to collect information from customers of financial institutions who have inquiries or complaints about service. Customers may document their complaints or inquiries to the FDIC using a letter or an optional form (6422/04).

None
None

Not associated with rulemaking

  74 FR 6626 02/10/2009
74 FR 17862 04/17/2009
No

1
IC Title Form No. Form Name
Customer Assistance FDIC-6422/04 Customer Assistance Form

  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 15,000 5,000 0 0 10,000 0
Annual Time Burden (Hours) 7,500 2,500 0 0 5,000 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
There has been an increase in respondents with the increase in bank failures.

$0
No
No
Uncollected
Uncollected
No
Uncollected
Herbert Messite 202 898-6834 [email protected]

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
04/17/2009