View Information Collection (IC)

View Information Collection (IC)

IC Title:	CFPB's Consumer Response Intake Form Improvement Study, Second Iteration (Intake Form Improvement Study II)	Agency IC Tracking Number:	10366

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-Informed Consent			CR3_UX Study_Informed Consent_2014-11-12.pdf		Yes	Yes	Fillable Fileable
Other-Screener			CR3_UX Study_Screener_FINAL.pdf		Yes	Yes	Fillable Fileable
Other-Moderator's Guide			CR3_Moderator's Guide_2014-11-12.pdf		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: Consumer Education and Engagement Records	FR Citation: 77 FR 60382

Number of Respondents: 200	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	255	0	255	0	0	0
Annual IC Time Burden (Hours)	34	0	34	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
IC Form CR UX Ph II	IC Form 3170-0042 CR UX Study II.pdf	11/17/2014

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