Justification Memorandum 3064-0200 Diversity Self-Assessment Common Form

Federal Deposit Insurance Corporation

550 17th Street NW, Washington, D.C. 20429-9990

550 17th Street NW, Washington, D.C. 20429-9990

August 29, 2017

 

Memorandum to:        Shagufta Ahmed

                                    Policy Analyst 

                                    Office of Information and Regulatory Affairs

                                    Office of Management and Budget

 

From:                Manuel E. Cabeza

Counsel

                                    Federal Deposit Insurance Corporation

 

RE: Conversion to Common Form – Diversity Self-Assessment

The FDIC is converting the “Diversity Self-Assessment” form currently approved under its information collection entitled “Joint Standards for Assessing Diversity Policies and Practices” (3064-0200) to a common form so it can be used by other federal agencies.

There is no change to the methodology or substance of the information collection and the reported FDIC burden for the information collection remains the same. Agencies requesting the use of this common form are instructed to revise the title and the instructions of the form to remove references to FDIC and insert information and instructions appropriate to the requesting agency. The information collected in the form should not be changed in any way without prior OMB approval.