Information Collection Request

Customer Assistance

ICR 201506-3064-002 · OMB 3064-0134 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 6422/04 Customer Assistance Form and Instruction Modified Repair queued
Form FDIC Form 6422/11 Business Assistance Form Form and Instruction Modified Repair queued
SPST-0134 2015 Renewal.doc Supporting Statement A Uploaded 2015-06-24 Available
IC Document Collections
IC IDCollectionTypeStatusForm
31943 Customer Assistance Form and Instruction Modified
202928 Business Assistance Form Form and Instruction Modified
ICR Details
3064-0134 201506-3064-002
Historical Active 201206-3064-007
FDIC
Customer Assistance
Extension without change of a currently approved collection   No
Regular
Approved without change 09/16/2015
Retrieve Notice of Action (NOA) 06/25/2015
  Inventory as of this Action Requested Previously Approved
09/30/2018 36 Months From Approved 09/30/2015
15,000 0 15,000
7,500 0 7,500
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 or 6422/11).

None
None

Not associated with rulemaking

  80 FR 19318 04/10/2015
80 FR 34639 06/17/2015
No

2
IC Title Form No. Form Name
Customer Assistance 6422/04 Customer Assistance Form
Business Assistance Form FDIC Form 6422/11 Business 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 15,000 0 0 0 0
Annual Time Burden (Hours) 7,500 7,500 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
No
No
No
Uncollected
John Popeo 703 562-2528

  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.
06/25/2015