Information Collection

Qualitative Testing of Integrated Mortgage Loan Disclosure Forms

IC 200353 under ICR 201111-3170-001 · OMB 3170-0003.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Design1_MIMOSA.PDF	Other-Design Sample
Design2_SASSAFRAS.PDF	Other-Design Sample
Round 7 Moderators Guide_Consumer_FINAL DISCLOSURE 12-5 OMB.DOCX	Other-Moderator's Guide
Round 7 Moderators Guide_Industry_12-5 OMB.DOCX	Other-Moderator's Guide
OMB Memo on Round 7 draft v2 12-5-11.docx Supporting Statement	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Design Sample	Design1_MIMOSA.PDF	Yes	No	Printable Only
Other-Design Sample	Design2_SASSAFRAS.PDF	Yes	No	Printable Only
Other-Moderator's Guide	Round 7 Moderators Guide_Consumer_FINAL DISCLOSURE 12-5 OMB.DOCX	Yes	No	Printable Only
Other-Moderator's Guide	Round 7 Moderators Guide_Industry_12-5 OMB.DOCX	Yes	No	Printable Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 14

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	280	280
Annual IC Time Burden (Hours)	1,691	1,691
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement	OMB Memo on Round 7 draft v2 12-5-11.docx	12/13/2011

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.