View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Debt Collection Disclosure Forms Focus Groups and User Experience Study (Round 2) 10038 (Rev)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Privacy Statement Debt Disclosure Privacy Statement_2014-5-14.docx (1).pdf No   Printable Only
Other-Questionnaire Debt Disclosure_Pre-Session Questionnaire_2014-5-14 (2).pdf No   Paper Only
Other-Screenr Debt Disclosure_Screener (1).pdf Yes Yes Fillable Fileable
Other-Consent form FINAL Debt Disclosure_Consent Form_2014_5-14-14 (1).pdf No   Paper Only
Other-sample notice G-Notice 1_2014-5-14.docx (1).pdf No   Paper Only
Other-sample notice G-Notice 2_2014-5-14.docx (1).pdf No   Paper Only
Other-Discussion Guide Debt Disclosure User Experience Test Discussion Guide.pdf No   Paper Only

Economic Development Financial Sector Oversight

Consumer Education and Engagement Records  77 FR 60382

140 0
   
Individuals or Households
 
   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 250 0 250 0 0 0
Annual IC Time Burden (Hours) 45 0 45 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Submission Template IC Template_Debt Disclosure revised 2 5 15.docx 02/05/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.