# Agency Information Collection Activities; Submission for OMB Review; Comment Request
**AGENCY:**
Federal Deposit Insurance Corporation (FDIC).
**ACTION:**
Notice of information collection to be submitted to OMB for review and approval under the Paperwork Reduction Act of 1995.
**SUMMARY:**
In accordance with requirements of the Paperwork Reduction Act of 1995 (44 U.S.C. section 3501 *et seq.* ), the FDIC hereby gives notice that it plans to submit to the Office of Management and Budget (OMB) a request for OMB review and approval of the information collection system described below.
*Type of Review:* Renewal of a currently approved collection.
*Title:* Certified Statement for Semiannual Deposit Insurance Assessment.
*Form Number:* 6420/07A.
*OMB Number:* 3064-0057.
*Annual Burden:*
Estimated annual number of responses: 19,400.
Estimated time per response: 15 minutes.
Average annual burden hours: 4,850 hours.
*Expiration Date of OMB Clearance:* September 30, 2002.
*OMB Reviewer:* Joseph Lackey, (202) 395-4741, Office of Management and Budget, Office of Information and Regulatory Affairs, Washington, DC 20503.
*FDIC Contact:* Tamara R. Manly, (202) 898-7453, Legal Division, Room MB-3109, Federal Deposit Insurance Corporation, 550 17th Street NW., Washington, DC 20429.
*Comments:* Comments on this collection of information are welcome and should be submitted on or before September 23, 2002 to both the OMB reviewer and the FDIC contact listed above.
**ADDRESSES:**
Information about this submission, including copies of the proposed collection of information, may be obtained by calling or writing the FDIC contact listed above.
**SUPPLEMENTARY INFORMATION:**
Certified statements are prepared to report and certify deposit liabilities and to compute the assessment payment due for deposit insurance protection.
Federal Deposit Insurance Corporation.
Dated: August 7, 2002.
Robert E. Feldman,
Executive Secretary.