| 
		Federal Deposit Insurance Corporation Survey of Banks’ Efforts to Serve the Unbanked & Underbanked  | 
	
[Affix label here]Bank Name: <<Bank Name>>Bank Holding Company: <<Bank Holding Company>>Assets (as of Dec. 31, 2007) : <<Assets>>Number of Deposit Branches (as of Dec. 31, 2007): <<Branches>>Full-Service (Brick and Mortar) Offices: <<#>>Full Service Retail (In-Store) Offices: <<#>>Limited Service Offices (Drive-thru facilities, mobile or seasonal offices, military facilities): <<#>>Other offices reported on Summary of Deposits: <<#>>Respondent Name: <<Respondent Name>>Respondent Title: <<Respondent Title>>Address: <<Address 1>><<Address 2>><<City>>, <<State>> <<Zip>>Telephone Number: <<Phone>>(Data for December 31, 2007, as reported in the Summary of Deposits (SOD) submitted to the FDIC or the Branch Office Survey submitted to the Office of Thrift Supervision (OTS). Please see Survey Terms and Definitions for information about branch classifications.) | 
			Please mark any edits hereBank Name: _________________________________________Bank Holding Company: _______________________________Assets (as of Dec. 31, 2007) _______________________________Number of Deposit Branches (as reported on Dec. 31, 2007 Summary of Deposits (Non OTS-supervised institutions) or Branch Office Survey (OTS-supervised institutions)): ___________________________________________________Full-Service (Brick and Mortar) Offices: ________________Full Service Retail (In-Store) Offices: __________________Limited Service Offices (Drive-thru facilities, mobile or seasonal offices, military facilities): ____________________Other offices: _____________________________________Respondent Name: ___________________________________Respondent Title: ____________________________________Address: _________________________________________________________________________________________________________________________________Telephone Number: __________________________________
  | 
		
617-482-2100 (telephone) / 617-482-1470 (fax)
www.doveconsulting.com
Public Burden Statement
This survey collects information to fulfill a mandate in Section 7 of the Federal Deposit Insurance Reform Conforming Amendments Act of 2005 (Pub. L, 109-173) that the FDIC conduct ongoing surveys and submit periodic reports to Congress on efforts by insured depository institutions to bring unbanked and underbanked individuals into the conventional finance system. The FDIC believes this survey takes an average 290 minutes per response to complete. Send comments regarding the estimate or any other aspect of this form, including suggestions for reducing completion time, to the Office of Management and Budget, OIRA, Washington, D.C. 20503, or the Paperwork Clearance Officer, FDIC, 550 17th Street, N.W., Washington, D.C. 20429.
Confidentiality Notice
Any information you provide will be strictly confidential. Individual responses to the survey will not be shared with the public or the industry. The FDIC will be informed of your bank’s participation, but your responses will only be used in the aggregate with responses from other banks to ensure the confidentiality of your submission.
Survey Contacts and Assistance
If
you have any questions or concerns about the survey, please call Ed
Bachelder
at 617-753-9223 or 
FDIC contacts:
Barbara A. Ryan, Deputy to the Vice Chairman, (202) 898-3841
Angelisa M. Harris, Senior Community Affairs Specialist, Division of Supervision & Consumer Protection, (202) 898-6645
Yazmin E. Osaki, Special Assistant to the Deputy to the Vice Chairman, (202) 898-6553
Survey Instructions
Your bank has been selected for the FDIC Survey of Banks’ Efforts to Serve the Unbanked & Underbanked. The FDIC would appreciate your confidential participation in this important effort.
We have provided a few guidelines to help you complete this survey below:
Please review all of the survey sections first to best assess the effort and input that your bank will require to complete the survey. FDIC ran a Pilot Test of the survey in November 2007 and most participating banks found that they required the input of several groups or departments within their bank to successfully complete all of the questions.
Please provide all responses for your bank on one copy of the survey (either in hard-copy or electronic form). However, if policies, product & service offerings, and/or pricing structures vary significantly across your retail bank operations, please complete a separate survey form for each entity. To limit the effort needed to participate, large banking organizations do not need to fill out more than three surveys.
For an electronic MS-Word version of the survey please email Ed Bachelder at ebachelder@doveconsulting.com.
Please return your completed survey to Dove Consulting in the business reply envelope provided, fax it to 617-482-1470, or email it to FDICsurvey@doveconsulting.com.
Important:
				  | 
			For additional survey forms or assistance please contact Ed Bachelder at (617) 753-9223 or ebachelder@doveconsulting.com  | 
		
				  | 
			Please return your completed survey by MAY 30th, 2008  | 
		
Survey Terms & Definitions
Term  | 
			Definition  | 
		
Bank  | 
			An FDIC-insured financial institution (bank or thrift)  | 
		
Bank Footprint  | 
			Census tracts in the bank’s current CRA evaluation area  | 
		
Conventional Checking Account  | 
			Checking, NOW, DDA, MMDA  | 
		
Debit Card  | 
			Card linked to a transaction account  | 
		
Established Customer  | 
			An individual who has had a deposit account for more than 30 days  | 
		
Full-Service (Brick and Mortar) Offices  | 
			SOD office service type code 11 (not reported in the Branch Office Survey (OTS-supervised institutions); see fdic.gov/sod/pdf/SOD_2007_Instructions.pdf.  | 
		
Full-Service Retail (In store) Offices  | 
			SOD office service type code 12 (not reported in the Branch Office Survey (OTS-supervised institutions); see fdic.gov/sod/pdf/SOD_2007_Instructions.pdf.  | 
		
Limited Service Offices  | 
			SOD office service type codes 22, 23, and 29 not reported in the Branch Office Survey (OTS-supervised institutions); see fdic.gov/sod/pdf/SOD_2007_Instructions.pdf.  | 
		
Low and Moderate Income (LMI)  | 
			
				Low
				income: Income equal to or less than 50% of the median income of
				the local metropolitan area (MSA) or appropriately defined rural
				area  | 
		
Non-Customer  | 
			An individual who does not have a deposit account or credit relationship with your bank  | 
		
Number of Deposit Branches  | 
			As of December 31, 2007, as reported in the Summary of Deposits (SOD) submitted to the FDIC or in the Branch Office Survey (reported to the OTS by OTS-supervised institutions).  | 
		
Other offices reported on the Summary of Deposits  | 
			SOD office service type codes 13, 21, and 30 (not reported in the Branch Office Survey (OTS-supervised institutions); see fdic.gov/sod/pdf/SOD_2007_Instructions.pdf.  | 
		
Prepaid Card  | 
			Not linked to a transaction account. Money can be loaded onto the card. Excludes gift cards.  | 
		
Savings Account  | 
			Statement savings, Passbook, Certificates of Deposit, etc.  | 
		
Unbanked  | 
			Individuals who do not have an account with a depository institution (a commercial bank, savings institution or credit union) or a transaction account with a money market mutual fund or brokerage firm  | 
		
Underbanked  | 
			Individuals who have a deposit account but also rely on alternative non-bank financial service providers (such as check cashing firms or payday lenders) for transaction or credit services  | 
		
Location | 
					Number | 
					Functionality | 
					Number | 
				|
Inside LMI tracts | 
					_________ | 
					Basic cash dispense only | 
					_________ | 
				|
Outside LMI tracts | 
					_________ | 
					Basic cash dispense and deposit acceptance | 
					_________ | 
				|
Advanced functionality with bill payment and/or automated money order and/or prepaid card | 
					_________ | 
				|||
Total ATMs | 
					_________ | 
					= | 
					Total ATMs | 
					________ | 
				
* “Entry deposit accounts” may include limited features designed to serve individuals with insufficient financial history or derogatory data in ChexSystems needed for a conventional transaction account.
					  | 
				For Unbanked  | 
				For Underbanked  | 
			
Basic Banking (Deposit and Credit Products)  | 
				  | 
				  | 
			
Predatory /Abusive Lending Prevention  | 
				  | 
				  | 
			
Savings Programs  | 
				  | 
				  | 
			
Home Ownership/Mortgage Products  | 
				  | 
				  | 
			
Credit Counseling  | 
				  | 
				  | 
			
Other (Explain)  | 
				  | 
				  | 
			
Bank does not provide financial educational materials for this population (Skip to I.B.3 below)  | 
				  | 
				  | 
			
a) Unbanked:
b) Underbanked:
a) Unbanked individuals?  Yes  No  Have not evaluated
b) Underbanked individuals?  Yes  No  Have not evaluated
 Working poor  | 
						 Consumers on public assistance  | 
						 Post disaster assistance  | 
					
 Urban residents  | 
						 Rural residents  | 
						 Immigrants  | 
					
 African-Americans  | 
						 Hispanic-Americans  | 
						 Asian-Americans  | 
					
 Other:__________  | 
						
							  | 
						
							  | 
					
Programs: | 
				Please comment about the advantages and disadvantages: | 
			
____ Financial Education Materials | 
				|
____ Providing Financial Education Sessions | 
				|
____ Outreach Visits | 
				|
____ Participation in Other Organizations | 
				|
____ Targeted Marketing | 
				|
____ Other: __________________________ | 
				
				  | 
			Extended Weekday Evening Hours (After 5 pm)  | 
			Saturday Afternoon Hours (After 1 pm)  | 
			Sunday Hours  | 
		
Full Service Brick and Mortar Branches  | 
			 Until ____ pm  | 
			 Until ____ pm  | 
			 Hours ____ to ____  | 
		
Full Service Retail (In-store) Branches  | 
			 Until ____ pm  | 
			 Until ____ pm  | 
			 Hours ____ to ____  | 
		
Limited Service Branches  | 
			 Until ____ pm  | 
			 Until ____ pm  | 
			 Hours ____ to ____  | 
		
Type of check  | 
				Cash check for non-customer?  | 
				If yes:  | 
			|
Is a fee is charged?  | 
				Typical fee per check cashed by non-customers Please indicate either a the fixed dollar amount or percentage of face value  | 
			||
Business check drawn on your bank (On-us)  | 
				 Yes  No  | 
				 Yes  No  | 
				
					  | 
			
Personal check drawn on your bank (On-us)  | 
				 Yes  No  | 
				 Yes  No  | 
				
					  | 
			
Business check not drawn on your bank (Local)  | 
				 Yes  No  | 
				 Yes  No  | 
				
					  | 
			
Payroll check not drawn on your bank (Local)  | 
				 Yes  No  | 
				 Yes  No  | 
				
					  | 
			
Personal check not drawn on your bank (Local)  | 
				 Yes  No  | 
				 Yes  No  | 
				
					  | 
			
Government check  | 
				 Yes  No  | 
				 Yes  No  | 
				
					  | 
			
Double endorsed check from a third-party  | 
				 Yes  No  | 
				 Yes  No  | 
				
					  | 
			
					 Identification Forms  | 
				
					Not
					Accepted
					as ID for   | 
				Primary: Sufficient alone by itself  | 
				Secondary: Insufficient alone but acceptable with another secondary ID  | 
			
Driver’s license  | 
				  | 
				 Yes  No  | 
				 Yes  No  | 
			
State-issued photo ID  | 
				  | 
				 Yes  No  | 
				 Yes  No  | 
			
Social security number  | 
				  | 
				 Yes  No  | 
				 Yes  No  | 
			
Passport (US. or foreign)  | 
				  | 
				 Yes  No  | 
				 Yes  No  | 
			
Military ID  | 
				  | 
				 Yes  No  | 
				 Yes  No  | 
			
Student/school ID card  | 
				  | 
				 Yes  No  | 
				 Yes  No  | 
			
Employer letters/pay stub  | 
				  | 
				 Yes  No  | 
				 Yes  No  | 
			
Matrícula consular  | 
				  | 
				 Yes  No  | 
				 Yes  No  | 
			
Utility bills/payments  | 
				  | 
				 Yes  No  | 
				 Yes  No  | 
			
Housing lease  | 
				  | 
				 Yes  No  | 
				 Yes  No  | 
			
Individual Taxpayer Identification Number (ITIN)  | 
				  | 
				 Yes  No  | 
				 Yes  No  | 
			
Other: _________________  | 
				  | 
				 Yes  No  | 
				 Yes  No  | 
			
Product/Service  | 
			Offer for non-deposit customers?  | 
			For a Non-Customer  | 
			For Customer  | 
		||
If a fixed fee is charged per item please indicate the typical fee  | 
			If a fee is a percentage of the dollar amount, please indicate the typical percentage rate  | 
			If a fixed fee is charged per item please indicate the typical fee  | 
			If a fee is a percentage of the dollar amount, please indicate the typical percentage rate  | 
		||
Bank/official checks  | 
			 Yes  No  | 
			$  | 
			%  | 
			$  | 
			%  | 
		
Money orders  | 
			 Yes  No  | 
			$  | 
			%  | 
			$  | 
			%  | 
		
Domestic wire transfers  | 
			 Yes  No  | 
			$  | 
			%  | 
			$  | 
			%  | 
		
International remittances (not ACH)  | 
			 Yes  No  | 
			$  | 
			%  | 
			$  | 
			%  | 
		
International ACH transfers  | 
			 Yes  No  | 
			$  | 
			%  | 
			$  | 
			%  | 
		
Foreign currency exchange  | 
			 Yes  No  | 
			$  | 
			%  | 
			$  | 
			%  | 
		
Bill payment (e.g., utility)  | 
			 Yes  No  | 
			$  | 
			%  | 
			$  | 
			%  | 
		
Reloadable prepaid debit cards (Visa, MasterCard, etc.)  | 
			 Yes  No  | 
			$  | 
			%  | 
			$  | 
			%  | 
		
Product | 
					Included at no cost | 
					Available for a fee | 
					
						Not
					 | 
					
						Monthly Fee 
					 | 
					
						Per-Transaction Fee 
					 | 
				
Check writing | 
					 | 
					 | 
					 | 
					$ _________ | 
					$ _________ | 
				
ATM card (PIN-only) | 
					 | 
					 | 
					 | 
					$ _________ | 
					$ _________ | 
				
Debit card signature (Visa/MasterCard) | 
					 | 
					 | 
					 | 
					$ _________ | 
					$ _________ | 
				
Online bill payment | 
					 | 
					 | 
					 | 
					$ _________ | 
					$ _________ | 
				
Product/Service  | 
				Offer for customer?  | 
				Interest rate offered (as of Dec. 31, 2007)  | 
			
Basic Savings (non-transactional)  | 
				 Yes  No  | 
				
					  | 
			
Individual Development Accounts  | 
				 Yes  No  | 
				
					  | 
			
IRS VITA Program (direct deposit or split refund)  | 
				 Yes  No  | 
				
					  | 
			
Money Market Deposit Accounts  | 
				 Yes  No  | 
				
					  | 
			
Specialized Savings Clubs  | 
				 Yes  No  | 
				
					  | 
			
Workplace-based Programs  | 
				 Yes  No  | 
				
					  | 
			
Other (please describe)  | 
				 Yes  No  | 
				
					  | 
			
Check value is $2,500 or less  | 
			Current Business Day  | 
			Next Business Day  | 
			Second Business Day  | 
			Three or More Business Days  | 
		
Business check drawn on your bank (On-us)  | 
			  | 
			  | 
			  | 
			  | 
		
Personal check drawn on your bank (On-us)  | 
			  | 
			  | 
			  | 
			  | 
		
Payroll check not drawn on your bank (Local)  | 
			  | 
			  | 
			  | 
			  | 
		
Business check not drawn on your bank (Local)  | 
			  | 
			  | 
			  | 
			  | 
		
Personal check not drawn on your bank (Local)  | 
			  | 
			  | 
			  | 
			  | 
		
Government check  | 
			  | 
			  | 
			  | 
			  | 
		
Double endorsed check from a third-party  | 
			  | 
			  | 
			  | 
			  | 
		
Minimum Loan Size  | 
					Maximum Loan Size  | 
					Origination Fee  | 
					Acct. Maintenance Fee  | 
					Minimum APR  | 
					Maximum APR  | 
					Typical APR  | 
					Maximum Term (Mos)  | 
				
						  | 
					
						  | 
					
						  | 
					
						  | 
					
						  | 
					
						  | 
					
						  | 
					
						  | 
				
Minimum Loan Size  | 
					Maximum Loan Size  | 
					Origination Fee  | 
					Acct. Maintenance Fee  | 
					Minimum APR  | 
					Maximum APR  | 
					Typical APR  | 
					Maximum Term (Mos)  | 
				
						  | 
					
						  | 
					
						  | 
					
						  | 
					
						  | 
					
						  | 
					
						  | 
					
						  | 
				
Initiation Fee  | 
					Annual Fee  | 
					Acct. Maintenance Fee  | 
					Late Payment Fee  | 
					Over the Limit Fee  | 
					Typical Credit Limit  | 
					Minimum APR  | 
					Maximum APR  | 
					Typical APR  | 
					Maximum Term (Months)  | 
				
						  | 
					
						  | 
					
						  | 
					
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Minimum Credit Score  | 
					Initiation Fee  | 
					Annual Fee  | 
					Acct. Maintenance Fee  | 
					Late Payment Fee  | 
					Over the Limit Fee  | 
					Typical Credit Limit  | 
					Minimum APR  | 
					Maximum APR  | 
					Typical APR  | 
				
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Thank you for taking the time to complete this survey.
We appreciate your participation and input.
	
| File Type | application/msword | 
| File Title | Instructions: Please complete the following for each NBFI facility in the market area | 
| Author | User1741--EdB | 
| Last Modified By | leneta gregorie | 
| File Modified | 2008-02-13 | 
| File Created | 2008-02-13 |