View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Submit a Complaint - Small Business Intake User Experience Test	Agency IC Tracking Number:	DI00459

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-Information					Yes	No	Printable Only
Other-Moderator's Guide					Yes	No	Printable Only
Form and Instruction	NA			www.forsmarshgroup.com	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 2144

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

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	159	0	159	0	0	0
Annual IC Time Burden (Hours)	33	0	33	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
IC Template - 3170-0042		12/15/2016

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

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