Pilot Intake Form

ICR 201107-1505-005

OMB: 1505-0236

Federal Form Document

Forms and Documents
Document
Name
Status
Justification for No Material/Nonsubstantive Change
2011-07-20
Supporting Statement A
2011-06-10
IC Document Collections
IC ID
Document
Title
Status
198060 Modified
198053 Unchanged
ICR Details
1505-0236 201107-1505-005
Historical Active 201106-1505-002
TREAS/DO
Pilot Intake Form
No material or nonsubstantive change to a currently approved collection   No
Emergency 06/10/2011
Approved without change 07/20/2011
Retrieve Notice of Action (NOA) 07/20/2011
  Inventory as of this Action Requested Previously Approved
12/31/2011 12/31/2011 12/31/2011
75,000 0 75,000
9,688 0 9,688
0 0 0

The Pilot Intake Form was designed to aid consumers in the submission of a complaint, question, or comment relating to credit cards. The pilot implementation will inform future improvements to the permanent version of the Consumer Response Intake Form and technical assistance.
The Department of the Treasury (“Treasury”), on behalf of itself and the Consumer Financial Protection Bureau (“CFPB”), respectfully requests emergency processing and approval of the collection of information discussed below because normal clearance procedures are reasonably likely to prevent or disrupt the collection of information. Emergency clearance of an information collection request is needed for piloting the Credit Card Specific Consumer Response Intake Form (“Pilot Intake Form”), a web-based, consumer intake data collection form, which will inform the development and implementation of the permanent consumer contact intake form (“Consumer Response Intake Form”). The pilot is scheduled to begin on June 21, 2011. The CFPB initiated a timely review of a comprehensive intake form for the permanent data collection system under normal clearance procedures pursuant to 5 C.F.R. 1320, with an initial 60-day comment period beginning on March 9, 2011. See 76 Fed. Reg. 13018 (March 9, 2011). However, with the formal comment period for the permanent system collection request likely expiring in early July 2011, the CFPB will not have the benefit of the Office of Management and Budget approval by the anticipated pilot launch date. As with any exploratory program, an adequate timeframe must be provided to test the Pilot Intake Form and related processes and obtain the results which may inform the development of the permanent system. The CFPB’s designated transfer date is July 21, 2011, at which time certain consumer financial protection functions of seven federal agencies will transfer to the CFPB. An inadequate timeframe for testing the Pilot Intake Form may preclude the meaningful assessment needed to ensure the timely implementation of the consumer response intake infrastructure contemplated by Title X of the Dodd-Frank Wall Street Reform and Consumer Protection Act, Pub. L. 111-2013, 124 Stat. 1376 (“Dodd-Frank”). See Dodd-Frank §§1013(b)(3)(A), 1021(c)(2), and 1034.

PL: Pub.L. 111 - 203 1013(b)(3) Name of Law: Dodd–Frank Wall Street Reform and Consumer Protection Act
  
PL: Pub.L. 111 - 203 1013(b)(3) Name of Law: Dodd–Frank Wall Street Reform and Consumer Protection Act

Not associated with rulemaking

No

2
IC Title Form No. Form Name
Web Intake Form
Paper and Telephone Intake 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 75,000 75,000 0 0 0 0
Annual Time Burden (Hours) 9,688 9,688 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
This is a new collection.

No
No
No
Yes
No
Uncollected
Lea Mosena 202 435-7152

  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.
07/20/2011


© 2024 OMB.report | Privacy Policy