Information Collection

Background Investigation Questionnaire for Contractor Personnel and Subcontractors (Form 1600/04)

IC 31818 under ICR 202503-3064-001 · OMB 3064-0072.

Documents and Forms

Document Name Document Type
Form 1600-04 Background Investigation Questionnaire for Contractor Personnel and Subcontractors (Form 1600/04) Form and Instruction
Form 1600-04 FDIC Background Investigation Questionnaire for Contractor Personnel and Subcontractors Background Investigation Questionnaire for Contractor Personnel and Subcontractors (Form 1600/04) Form and Instruction
1600-04 FDIC Background Investigation Questionnaire for Contract 1600-04 (12-18).pdf www.fdic.gov Form and Instruction
1600-04 FDIC Background Investigation Questionnaire for Contract 1600-04 (12-18).pdf www.fdic.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Background Investigation Questionnaire for Contractor Personnel and Subcontractors (Form 1600/04)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 12 CFR 366

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1600-04	FDIC Background Investigation Questionnaire for Contractor Personnel and Subcontractors	1600-04 (12-18).pdf	https://www.fdic.gov	Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title: FDIC 30â64â0015 Personnel Records	FR Citation: 80 FR 66981

Number of Respondents: 581	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	581	396	185
Annual IC Time Burden (Hours)	194	133	61
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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

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