OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Screening/Participation Instruments

IC 197102 under ICR 201110-1505-002 · OMB 1505-0233.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
SPANISHmoderatorguidemay19.docx Other-Moderator Guide (Spanish)
Spanishrecruitingscript_May13.docx Other-Recruitment Script (Spanish)
spanishtranslationfollowuprecruitingmaterials.docx Other-Recruiting Followup (Spanish)
PRA tool acknowledgement letter to participants 051911 - Final.doc Other-Acknowledgement Letter
PRa tool consent forms 051911 - Final.docx Other-Consent Form
PRA tool consumer recruitment phone script 051911 - Final.doc Other-Recruitment Script Consumer
PRA tool industry recruitment phone script 051911 - Final.doc Other-Recruitment Script Industry
PRA tool moderators guide consumer 051911 - Final.doc Other-Moderator's Guide Consumer
PRA tool moderators guide industry 051911 - Final.doc Other-Moderator's Guide Industry
PRA tool participant questionnaire 051911 - Final.doc Other-Participant Questionnaire
PRA tool participant reminder telephone script 051911 - Final.doc Other-Participant Reminder
PRA Tool Scenario Cards 051911 - Final.doc Other-Scenario Cards
Option1_ANL.PDF Other-Sample (Ficus & Beech)
Option1_B.pdf Other-Sample (Fir & Balsam)
Option2_ANL.PDF Other-Sample (Pecan & Laurel)
Option2_B.PDF Other-Sample (Poplar & Lilac)
Opt1_A_ESP_BALSAM_v2.pdf Other-Sample
Opt1_A_ESP_BEECH_v2.pdf Other-Sample
Opt1_A_ESP_FICUS_v2.pdf Other-Sample
Opt1_A_ESP_FIR_v2.pdf Other-Sample
Opt2_A_ESP_LAUREL_v2.pdf Other-Sample
Opt2_A_ESP_LILAC_v2.pdf Other-Sample
Opt2_A_ESP_PECAN_v2.pdf Other-Sample
Opt2_A_ESP_POPLAR_v2.pdf Other-Sample
Revised_recruiting_script_060911.docx Other-Recruiting Script
moderators guide consumer 0620 compare with 0511.doc Other-Moderator's Guide
Revised Confidentiality Statement and Consent Form 060611 clean.docx Other-Consent
Revised_part__questionnaire_060911 clean.docx Other-Questionnaire
Round 2 Moderators Guide_Consumer_062011 v2.docx Other-Moderator's Guide
Round 2_Moderator Guide_Industry_0621 clean.docx Other-Moderator's Guide
Round 3 Moderators Guide_Consumer_072711_OMBOGC.docx Other-Moderator's Guide
Round 4 Moderators Guide_Consumer 083111 clean.docx Other-Moderator's Guide
FINAL 10-6-11 Round 5 Moderators Guide_Consumer-to CFPB.DOCX Other-Moderator's Guide
Round 5_Moderator Guide_Industry 101111 to CFPB.DOCX Other-Moderator's Guide
Description of Study-Overview.doc
Description of Study/Overview		IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Moderator Guide (Spanish) SPANISHmoderatorguidemay19.docx No   Paper Only
Other-Recruitment Script (Spanish) Spanishrecruitingscript_May13.docx No   Paper Only
Other-Recruiting Followup (Spanish) spanishtranslationfollowuprecruitingmaterials.docx No   Paper Only
Other-Acknowledgement Letter PRA tool acknowledgement letter to participants 051911 - Final.doc No   Paper Only
Other-Consent Form PRa tool consent forms 051911 - Final.docx No   Paper Only
Other-Recruitment Script Consumer PRA tool consumer recruitment phone script 051911 - Final.doc No   Paper Only
Other-Recruitment Script Industry PRA tool industry recruitment phone script 051911 - Final.doc No   Paper Only
Other-Moderator's Guide Consumer PRA tool moderators guide consumer 051911 - Final.doc No   Paper Only
Other-Moderator's Guide Industry PRA tool moderators guide industry 051911 - Final.doc No   Paper Only
Other-Participant Questionnaire PRA tool participant questionnaire 051911 - Final.doc No   Paper Only
Other-Participant Reminder PRA tool participant reminder telephone script 051911 - Final.doc No   Paper Only
Other-Scenario Cards PRA Tool Scenario Cards 051911 - Final.doc No   Paper Only
Other-Sample (Ficus & Beech) Option1_ANL.PDF Yes No Printable Only
Other-Sample (Fir & Balsam) Option1_B.pdf Yes No Printable Only
Other-Sample (Pecan & Laurel) Option2_ANL.PDF Yes No Printable Only
Other-Sample (Poplar & Lilac) Option2_B.PDF Yes No Printable Only
Other-Sample Opt1_A_ESP_BALSAM_v2.pdf Yes No Printable Only
Other-Sample Opt1_A_ESP_BEECH_v2.pdf Yes No Printable Only
Other-Sample Opt1_A_ESP_FICUS_v2.pdf Yes No Printable Only
Other-Sample Opt1_A_ESP_FIR_v2.pdf Yes No Printable Only
Other-Sample Opt2_A_ESP_LAUREL_v2.pdf Yes No Printable Only
Other-Sample Opt2_A_ESP_LILAC_v2.pdf Yes No Printable Only
Other-Sample Opt2_A_ESP_PECAN_v2.pdf Yes No Printable Only
Other-Sample Opt2_A_ESP_POPLAR_v2.pdf Yes No Printable Only
Other-Recruiting Script Revised_recruiting_script_060911.docx Yes No Printable Only
Other-Moderator's Guide moderators guide consumer 0620 compare with 0511.doc No   Printable Only
Other-Consent Revised Confidentiality Statement and Consent Form 060611 clean.docx Yes No Printable Only
Other-Questionnaire Revised_part__questionnaire_060911 clean.docx Yes Yes Fillable Fileable
Other-Moderator's Guide Round 2 Moderators Guide_Consumer_062011 v2.docx No   Printable Only
Other-Moderator's Guide Round 2_Moderator Guide_Industry_0621 clean.docx No   Printable Only
Other-Moderator's Guide Round 3 Moderators Guide_Consumer_072711_OMBOGC.docx No   Printable Only
Other-Moderator's Guide Round 4 Moderators Guide_Consumer 083111 clean.docx No   Printable Only
Other-Moderator's Guide FINAL 10-6-11 Round 5 Moderators Guide_Consumer-to CFPB.DOCX Yes No Printable Only
Other-Moderator's Guide Round 5_Moderator Guide_Industry 101111 to CFPB.DOCX Yes No Printable Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 230 0 0 0 0 230
Annual IC Time Burden (Hours) 315 0 0 0 0 315
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
Description of Study/Overview Description of Study-Overview.doc 04/05/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.