| In order for the Federal Deposit Insurance Corporation to pay
insurance on your accounts at the failed institution, the following Affidavits
and Declarations must be completed, as applicable. Descriptions
of the Affidavits and Declarations are provided under the Affidavits and Declarations
Checklist to enable you to determine whether a particular form is required
in your situation. Generally, an affidavit
and/or declaration is required when an investor's deposits total or exceed
$100,000 in the aggregate.
Paperwork Reduction Act. OMB No. 3064-0143 - expires June 30, 2005. The information provided in this collection allows the FDIC analyze ownership interest and provide deposit insurance coverage in situations where deposit brokers place deposits in an insured institution that subsequently fails. Deposit brokers must provide this information for the FDIC to pay deposit insurance. The FDIC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number. The estimated burden for this information collection is 70 responses and 140 hours per year. Comments about the accuracy of this burden estimate or suggestions about reducing the burden should be sent to Federal Deposit Insurance Corporation, 550 17th Street N.W., Washington, D.C. 20429, marked "Attention, Paperwork Reduction Act, Collection 3064-0143." |
