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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Consumer Response Intake Form Improvement Study
Agency IC Tracking Number:
TI 10307
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Screener
2014_9_18_Screening Questionnaire for Study Participation ICR 3170-0042_Revised.pdf
Yes
Yes
Fillable Fileable
Other-Informed Consent
CR1_UX Study_Informed Consent_2014-9-16.pdf
Yes
Yes
Fillable Fileable
Other-Moderator's Guide
IC 3170-0042 Study CR1_Moderator's Guide_2014-9-15.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Financial Sector Oversight
Privacy Act System of Records
Title:
CFPB Consumer Education and Engagement Records
FR Citation:
77 FR 60382
Number of Respondents:
250
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
302
0
302
0
0
0
Annual IC Time Burden (Hours)
27
0
27
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
IC Form CR UX Study
IC Form 3170-0042 Usability Testing Screening Questionnaires and Study Revised.pdf
09/18/2014
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.