Customer Compliant Form

ICR 200511-1557-001

OMB: 1557-0232

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
20142
Migrated
ICR Details
1557-0232 200511-1557-001
Historical Active
TREAS/OCC
Customer Compliant Form
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 12/28/2005
Retrieve Notice of Action (NOA) 11/16/2005
(1) Add to the form a statement of the consequences of failing to display a currently valid control number. (2) Add "Miss" to the alternative customer titles included. (3) Kindly put more clearly and simply the question "Have you addressed your complaint with the bank?"
  Inventory as of this Action Requested Previously Approved
12/31/2008 12/31/2008
2,149 0 0
142 0 0
0 0 0

The Customer Complaint Form was developed as a courtesy for those that contact the OCC's Customer Assistance Group and wish to file a formal, written compliant.

None
None


No

1
IC Title Form No. Form Name
Customer Compliant Form

  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 2,149 0 0 2,149 0 0
Annual Time Burden (Hours) 142 0 0 142 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
11/16/2005


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