View Information Collection Request (ICR) Package

OMB Control No: 3170-0011	ICR Reference No: 202205-3170-001
Status: Historical Active	Previous ICR Reference No: 202204-3170-002
Agency/Subagency: CFPB	Agency Tracking No:
Title: Consumer Response Intake Form
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/09/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/05/2022
Terms of Clearance: Supporting statement updated during OMB review to reflect public comments.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2026	36 Months From Approved	02/28/2023
Responses	2,150,000	0	3,000,000
Time Burden (Hours)	415,000	0	387,500
Cost Burden (Dollars)	0	0	0

Abstract: The Intake Form is designed to aid the public in the submission of complaints, inquiries, and feedback to the CFPB and to help the CFPB fulfill the aforementioned statutory requirements. Consumers who wish to submit complaints, inquiries, and feedback may submit relevant information using the CFPB’s website where they will find an online version of the Intake Form. Alternatively, they may submit information by telephone and mail using the Intake Form. The Intake Form’s various fields prompt respondents for a description of, and key facts about, their complaints, underlying products and issues, the companies that are the subject of their complaints, and any previous action taken on their complaints. Responses to the Intake Form’s questions help provide the CFPB and the company with the information needed to contact the consumer and/or the consumer’s authorized representative (if applicable), send the complaint to the company for response, and follow-up on the submitted complaint, inquiry, or feedback.

Authorizing Statute(s): PL: Pub.L. 111 - 203 1021(c)(2); 1022(c); 1013(b)(3 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:
	87 FR 31538	05/24/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 60385	10/05/2022
Did the Agency receive public comments on this ICR? Yes

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Consumer Response Intake Form

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	2,150,000	3,000,000	0	-850,000
Annual Time Burden (Hours)	415,000	387,500	27,500	0
Annual Cost Burden (Dollars)	0	0	0	0

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: The CFPB added 72 net new fields and values representing a new product and sub-products, issues, sub-issues, and data-driven questions. Net new data driven questions are included in “Inventory of Questions” attachment. Net new product, sub-product, issue, and sub-issue fields and values are included in the “Collection Instruments” attachment. The CFPB added four optional fields for the Intake Form: • the consumer’s sex; • the consumer’s race; • whether the consumer is of Hispanic, Latino, or Spanish origin; and • preferred language. The CFPB reduced the estimated annual responses by 850,000 based on updated internal analyses. The reduction in estimated annual responses is not due to programmatic changes to the intake form. The CFPB increased the estimated burden by 27,500 hours (from 387,500 hours to 415,000 hours) over the previous clearance due to the aforementioned revisions which provide respondents more selections to consider. These added fields and values improve the form’s clarity, ease of use, and utility to the Bureau. The Bureau anticipates these additions may increase respondents’ individual research and review burden per response. Please note consumers are not required to answer the four additional fields that capture demographic information. In situations where respondents choose to answer, the fields are expected to be easily answerable and impose a minimal amount of additional burden.

Annual Cost to Federal Government: $12,067,980

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

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? No

Agency Contact: Rebecca Deierlein 202 435-9670

View ICR - OIRA Conclusion