Form 1660-02 Visitor Notification

Federal Deposit Insurance Corporation

FOREIGN NATIONAL VISITOR NOTIFICATION

ESTIMATED REPORTING BURDEN
Public reporting burden for this collection of information is estimated to average 15 minutes per response, including the time for
reviewing the instructions, searching existing data sources, gathering and maintaining the data needed, and completing the collection
of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including
suggestions for reducing this burden, to the Paperwork Reduction Act Officer, Legal Division, Federal Deposit Insurance Corporation,
550 17th Street, N.W., and to the Office of Management and Budget, Paperwork Reduction Project (3064-0072), Washington, D.C.
20503. An agency may not conduct or sponsor, and a person is not required to respond to, a collection unless it displays a currently
valid OMB control number.
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FDIC 1650/02 (8-24)

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Federal Deposit Insurance Corporation

FOREIGN NATIONAL VISITOR NOTIFICATION
INSTRUCTIONS: The FDIC host sends this form to foreign nationals (and their staff, if applicable) visiting the FDIC for any reason.
The visitor completes Sections I-II of the form. The FDIC host completes Section III and submits completed form to the FDIC,
Intelligence and Threat Sharing Unit (ITSU) for review.
SECTION I - FOREIGN NATIONAL VISITOR INFORMATION
1. Surname/Family Name/Last Name

2. Given Name/First Name

5. Date of Birth

4. Aliases (List All)
6. City and Country of Birth
8. Passport Country of Issue

3. Middle Name

7. City and Country of Residence
9. Passport Number

10. Expiration Date

SECTION II - EMPLOYER INFORMATION
11. Current Employer (Business/Organization Name)
12. Type of Business/Organization

13. Position Title

SECTION III - FDIC HOST INFORMATION
14. Event Host or Cognizant (Federal Employee)
Name:

Title:

15. Hosting Division/Office
16. Type of Visit or Event
17. Date(s) of Visit or Event
SECTION IV - ITSU REVIEW
18. Is a brief to sponsoring office required?:

Yes

No

Explain.

19. Completed By

FDIC 1650/02 (8-24)

20. Date

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