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Form Ffiec 009a - Country Exposure Information Report - Federal Deposit Insurance Corporation

Form FFIEC 009a

Board of Governors of the Federal Reserve System

OMB No. 7100–0035 (FRB)

Comptroller of the Currency

1557–0100 (OCC)

3064–0017 (FDIC)

Federal Deposit Insurance Corporation

Approval expires March 31, 2000

Page 1 of 2

Country Exposure Information Report

as of

Reporting Institution

This report is required to be filed by national banks, state member

City

State

banks and bank holding companies, and insured state nonmember

commercial banks pursuant to authority contained in Section 907 of

12 U.S.C. 3906.

Public reporting burden for this collection of information is estimated to average

5.25 hours per response, including the time for reviewing instructions, searching

Name, title, and phone number of bank officer to whom inquiries

existing data sources, gathering and maintaining the data needed, and completing

regarding this report may be directed:

and reviewing the collection of information. A Federal agency may not conduct or

sponsor, and an organization (or a person) is not required to respond to a collection

of information, unless it displays a currently valid OMB control number. Send

Name

comments regarding this burden estimate or any other aspect of this collection of

information, including suggestions for reducing this burden, to Secretary, Board of

Governors of the Federal Reserve System, Washington, DC 20551; and to the

Title

Office of Management and Budget, Paperwork Reduction Project (7100–0035),

Washington, DC 20503.

Area Code/Phone Number

A photocopy of this report will be released to the public upon request.

Form Ffiec 009a - Country Exposure Information Report - Federal Deposit Insurance Corporation