View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	CFPB v CFLA Claims Worksheet	Agency IC Tracking Number:

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	N/A	CFPB v CFLA Claims Worksheet	CFPB v CFLA Claims Worksheet.docx		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.025 Civil Penalty and Bureau-Administered Redress Program Records	FR Citation: 83 FR 23435

Number of Respondents: 2,100	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	2,100	0	2,100	0	0	0
Annual IC Time Burden (Hours)	2,100	0	2,100	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
3170-0024 (CFLA Claims Worksheet) supporting statement	3170-0024 (CFLA Claims Worksheet) supporting statement.docx	01/21/2022

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