View Information Collection (IC)
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Prepaid Interview Testing Phase 2
Agency IC Tracking Number:
TI 10499
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-Interview Protocol
Attachment A - Prepaid Interview Testing Phase 2 Interview Protocol -final.pdf
No
Printable Only
Other-Model Disclosure
Attachment B1 - Prepaid Model Sample Forms Proposed Rule.pdf
No
Printable Only
Other-Sample Disclosure
Attachment B2 - Prepaid Model Forms and Clauses for Phase 2.pdf
No
Printable Only
Other-Recruitment Screener
Attachment C - Prepaid InterviewTesting Phase 2 Recruitment Screener (4-16-15).pdf
No
Printable Only
Other-Consent Form
Attachment D - Prepaid Consent Form.pdf
No
Printable Only
Other-Privacy Act Statement-one on one interviews
RMR Prepaid Disclosure Testing (Phase 2) One on One Privacy Act Statement-final.pdf
No
Printable Only
Other-Privacy act Statement for screener
RMR Prepaid Disclosure Testing (Phase 2) Telephone Screener Privacy Act Statement-final.pdf
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Financial Sector Oversight
Privacy Act System of Records
Title:
CFPB.022 Market and Consumer Research Records
FR Citation:
77 FR 67802
Number of Respondents:
100
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
120
0
120
0
0
0
Annual IC Time Burden (Hours)
38
0
38
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
IC Submission Template
OMB GenericSubmissionForm - Prepaid Interview Testing Phase 2 (4-16-15) (2).pdf
04/16/2015
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.