View Information Collection Request (ICR) Package
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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:
3170-0011
ICR Reference No:
202304-3170-001
Status:
Active
Previous ICR Reference No:
202205-3170-001
Agency/Subagency:
CFPB
Agency Tracking No:
Title:
Consumer Response Intake Form
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
06/07/2023
Retrieve Notice of Action (NOA)
Date Received in OIRA:
04/20/2023
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
02/28/2026
02/28/2026
02/28/2026
Responses
2,150,000
0
2,150,000
Time Burden (Hours)
415,000
0
415,000
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 New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
2,150,000
2,150,000
0
0
0
0
Annual Time Burden (Hours)
415,000
415,000
0
0
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
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
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:
04/20/2023
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