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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Consumer Response Intake Form (Web)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Removed
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-Screen shot
Screenshot 1.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
Screenshot 2.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
Screenshot 3.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
Screenshot 4 - Mortgage ONLY.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
Screenshot 4.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
10.6.11 intake screenshot 1.1.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
10.6.11 Mortgage intake screenshot 3.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
10.6.11 Mortgage intake screenshot 5.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
Steering Committee Mortgage intake screenshot 1.2.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
Steering Committee Mortgage intake screenshot 1.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
Steering Committee Mortgage intake screenshot 2.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
Steering Committee Mortgage intake screenshot 4.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
10.6.11 intake screenshot 1.1.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
Steering Committee Mortgage intake screenshot 1.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
Steering Committee Mortgage intake screenshot 1.2.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
Steering Committee Mortgage intake screenshot 2.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
Steering Committee Mortgage intake screenshot 4.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
10.6.11 Mortgage intake screenshot 3.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
10.6.11 Mortgage intake screenshot 5.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
2.17.12 - 1 - Bank accounts and services.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
2.17.12 - 1 - Student loan.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
2.17.12 - 1 - Vehicle and consumer loans.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
2.17.12 - 1.1 - Bank accounts and services.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
2.17.12 - 1.1 - Student loan - Federal.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
2.17.12 - 1.1 - Vehicle and consumer loans - vehicle loan, vehicle lease, installment loan.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
2.17.12 - 1.2 - Student loan - Not sure.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
2.17.12 - 1.2 - Vehicle and consumer loans - personal line of credit.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
2.17.12 - 1.3 - Student loan - Non-federal.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
2.17.12 - 2 - Bank accounts and services.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
2.17.12 - 2 - Student loan.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
2.17.12 - 2 - Vehicle and consumer loans.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
2.17.12 - 3 - Bank accounts and services.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
2.17.12 - 3 - Student loan.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
2.17.12 - 3 - Vehicle and consumer loans.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
2.17.12 - 4 - Bank accounts and services.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
2.17.12 - 4 - Student loan.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
2.17.12 - 4 - Vehicle and consumer loans.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
2.17.12 - 5 - Bank accounts and services.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
2.17.12 - 5 - Student loan.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
2.17.12 - 5 - Vehicle and consumer loans.png
Yes
Yes
Fillable Fileable
Other-Screen Shot
2.17.12 - Universal confirmation page.png
Yes
Yes
Fillable Fileable
Other-Screen Shots
Screenshots for Debt Collection Complaint (July 2013).pdf
Yes
Yes
Fillable Fileable
Other-Screenshot Intake Form with Payday Lending
Attachment 1 Screenshots Web Version Payday Intake Form 3170_0011.pdf
Yes
Yes
Fillable Fileable
Other-Screenshot
Attachment A Screenshots Credit Reporting Intake Form 3170-0011 (12-11-13).pdf
Yes
Yes
Fillable Fileable
Other-Screenshot
3170_0011 Updated Website Intake Form Screenshots 7-2-2014 (A).pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Industry Sector Income Stabilization
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,250,000
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
0
0
0
-2,250,000
0
2,250,000
Annual IC Time Burden (Hours)
0
0
0
-262,500
0
262,500
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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The .gov means it's official.
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