Consumer Complaint Form

ICR 200808-1550-005

OMB: 1550-0126

Federal Form Document

Forms and Documents
IC Document Collections
IC ID
Document
Title
Status
186326 New
ICR Details
1550-0126 200808-1550-005
Historical Active
TREAS/OTS
Consumer Complaint Form
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 11/14/2008
Retrieve Notice of Action (NOA) 08/28/2008
  Inventory as of this Action Requested Previously Approved
11/30/2011 36 Months From Approved
1,180 0 0
295 0 0
0 0 0

The OTS Consumer Complaint Form provides a model for the public to provide information to OTS to assist with the investigation of their complaint. The data collected via the form or letter is critical to investigating a complaint and will be used to create a record of the consumer's contact and will be entered into a database of information that can be incorporated into OTS's supervisory process.

US Code: 12 USC 1, et seq Name of Law: Banks and Banking
   US Code: 15 USC 57a(f) Name of Law: Commerce anr Trade
  
None

Not associated with rulemaking

  73 FR 92 05/12/2008
73 FR 168 08/28/2008
No

1
IC Title Form No. Form Name
Consumer Complaint Form OTS Form 1723 Consumer Complaint 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 1,180 0 0 1,180 0 0
Annual Time Burden (Hours) 295 0 0 295 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
OTS is citing an increase in the burden due to the fact that this is a new collection.

No
No
Uncollected
Uncollected
Uncollected
Uncollected
Cassandra McConnell 2029065750 cassandra.mcconnell

  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.
08/28/2008


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