View Information Collection Request (ICR) Package
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
This script is used to control the display of information in this page.
Display additional information by clicking on the following:
All
Brief and OIRA conclusion
Abstract/Justification
Legal Statutes
Rulemaking
FR Notices/Comments
IC List
Burden
Misc.
Common Form Info.
Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
3170-0037
ICR Reference No:
201211-3170-001
Status:
Historical Inactive
Previous ICR Reference No:
Agency/Subagency:
CFPB
Agency Tracking No:
Title:
Advisory Boards, Groups and Committees
Type of Information Collection:
New collection (Request for a new OMB Control Number)
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Withdrawn
Conclusion Date:
04/23/2013
Retrieve Notice of Action (NOA)
Date Received in OIRA:
12/06/2012
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
36 Months From Approved
Responses
0
0
0
Time Burden (Hours)
0
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
On July 21, 2010, President Barack Obama signed into law the Dodd-Frank Wall Street Reform and Consumer Protection Act, P.L. 111-203, 124 Stat. 1376 (2010) (Dodd-Frank Act). Title X of the Dodd-Frank Act created the Consumer Financial Protection Bureau (CFPB or the Bureau) and provides that the Director of the CFPB "shall establish a Consumer Advisory Board to advise and consult with the Bureau in the exercise of its functions under the Federal consumer financial laws, and to provide information on emerging practices in the consumer financial products or services industry, including regional trends, concerns, and other relevant information." See Dodd-Frank Act ยง 1014. The Bureau seeks a clearance from OMB to collect selection-related information from nominees to the Consumer Advisory Board (CAB), such as background information, information related to financial holdings, and other supplemental information relevant to the application process. The Bureau may collect similar information from potential candidates for other Advisory Groups, members of other Advisory Groups, and Special Advisors to the CAB and other Advisory Groups, as relevant to the particular group. The Bureau may use this information to screen potential candidates for, members of, and advisors to CAB and other Advisory Groups for status as a federally registered lobbyist and/or status as a convicted felon.
Authorizing Statute(s):
PL:
Pub.L. 111 - 203 1014(b)
Name of Law: Dodd-Frank Wall Street Reform and Consumer Protection Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
77 FR 11073
02/24/2012
30-day Notice:
Federal Register Citation:
Citation Date:
77 FR 32594
06/01/2012
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
7
IC Title
Form No.
Form Name
CFPB FBI Name Check Form
3170-XXXX
CFPB FBI Name Check Form
CFPB IRS Tax Check Waiver Form
3170-XXXX
CFPB IRA Tax Check Waiver Form
Certifications
3170-XXXX, 3170-XXXX, 3170-XXXX
Certification Regarding Financial Interests (Academic Research Council)
,
Certification for Entity-Specific Projects (Academic Research Council)
,
Certification for Non-Entity-Specific Projects (Academic Research Council)
Nomination Form
3170-XXXX, 3170-XXXX, 3170-XXXX, 3170-XXXX, 3170-XXXX, 3170-XXXX, 3170-XXXX
Application to Serve on Advisory Board, Body, Panel, Committee, or Group (Background Information - Short Form)
,
Application to Serve on Advisory Board, Body, Panel, Committee, or Group (Background Information - Long Form)
,
Application to Serve on Advisory Board, Body, Panel, Committee, or Group (Positions)
,
Application to Serve on Advisory Board, Body, Panel, Committee, or Group (Liabilities)
,
Application to Serve on Advisory Board, Body, Panel, Committee, or Group (Affiliations and Representations)
,
Application to Serve on Advisory Board, Body, Panel, Committee, or Group (Assets and Income)
,
Application to Serve on Advisory Board, Body, Panel, Committee, or Group (Full Version)
Panel Application Form
3170-XXXX
Application to Serve as a Small Entity Representative
Survey - Consumer Advisory Board Member
3170-XXXX
Consumer Advisory Board Member Survey
TSA Travel Information Form
3170-XXXX
TSA Travel Information Form
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
This ICR is necessary for the creation of advisory boards, groups, and committees at the Bureau, and will be used to collect information from potential members of those boards, groups, and committees.
Annual Cost to Federal Government:
$0
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
Yes
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Stacy Kane 202 754-0135 stacy.kane@cfpb.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
12/06/2012
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.