View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	CFPB's Consumer Response Intake Form Improvement Study	Agency IC Tracking Number:	DI00442

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
Form and Instruction	NA	Consumer Response Intake Form	Net new complaint form fields.pdf	www.consumerfinance.gov/complaint	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.005—Consumer Response System	FR Citation: 79 FR 21440

Number of Respondents: 110,241	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 85 %

	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	110,241	0	110,241	0	0	0
Annual IC Time Burden (Hours)	27,807	0	27,807	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
IC Template	IC Template - 3170-0042 (Product_Issue_Test Final).pdf	10/14/2016

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.