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OMB Control No: 3170-0011	ICR Reference No: 202511-3170-001
Status: Active	Previous ICR Reference No: 202304-3170-001
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 without change	Conclusion Date: 03/24/2026
	Date Received in OIRA: 02/17/2026
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2029	36 Months From Approved	03/31/2026
Responses	6,000,000	0	2,150,000
Time Burden (Hours)	1,123,334	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:
	90 FR 54643	11/28/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 4066	01/30/2026
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 Adjustment in Estimate
Annual Number of Responses	6,000,000	2,150,000	3,850,000
Annual Time Burden (Hours)	1,123,334	415,000	708,334
Annual Cost Burden (Dollars)	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 Bureau is considering adding four questions to improve complaint intake. Item 13 adds a 'Whistleblower' option for individuals submitting complaints about company practices that should not be forwarded to the company. This change will enhance the Bureau’s ability to safeguard protected disclosures. Item 19 adds four questions capturing whether consumers contacted consumer reporting agencies and what, if any, responses they received. These changes will enhance the Bureau’s ability to implement Section 611(e) of the Fair Credit Reporting Act (FCRA), which requires the Bureau to collect information about certain complaints. In addition, they are intended to enhance the efficiency of the complaint system by enabling better idenfication of prior FCRA disputes. Beginning in early 2020, the CFPB has experienced a precipitous increase in consumer complaints—from approximately 540,000 complaints in 2020 to 3.18M in 2024. While the program itself is unchanged and in anticipation of continued year over year increases in line with recent years, the program expects to see significant increases in the number of respondents.

Annual Cost to Federal Government: $16,800,000

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: Christopher Bernstein 202 304-6984

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