Generic Clearance for Development and/or Testing of Model Forms, Disclosures, Tools, and Other Similar Related Materials

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Disclosure Generic Exhibit B - Consent Form.pdf	Supplementary Document	Uploaded 2012-09-27	Available
Disclosure Generic Exhibit A - Testing Protocol.pdf	Supplementary Document	Uploaded 2012-09-27	Available
Supporting Statement B Revised Final.pdf	Supporting Statement B	Uploaded 2012-11-13	Available
Supporting Statement A Revised Final.docx	Supporting Statement A	Uploaded 2012-11-13	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
217660	Debt Collection Disclosure Testing: Consumer Bill of Rights	Other-Screener	New
217538	Small Dollar Lending Rule Disclosure Testing (Payday)	Other-Discussion Guide	New
216191	Credit Cards Rewards and Deferred Interest Products Focus Groups	Other-Test Disclosure - Aireline Miles Marketing	New
216181	Prepaid Interview Testing Phase 2	Other-Interview Protocol	New
215751	Overdraft Opt-In Model Form Testing	Other-Discussion Guide	New
215621	Testing of Model Bankruptcy Periodic Forms for Mortgage Servicing	Other-Discussion Guide	New
214852	Debt Collection Disclosure Forms Focus Groups and User Experience Study (Round 2)	Other-Privacy Statement	New
213877	Pilot Study of Mortgage eClosings and CFPB Educational Materials	Other-Study Introduction Letter	New
211925	Unmoderated Usability Testing of the Mortgage Closing Product	Other-Recruitment	New
211613	Debt Collection Disclosure Focus Groups	Other-Informed Consent	New
209918	Pre-Paid Disclosure Forms User Testing (Interviews)	Other-Screener for Candidates	New
208946	Consumer Focus Groups Relating to Prepaid Products Rulemaking and Model Form Development	Other-Focus Group Moderator Guide	New
204508	Mortgage Servicing	Instruction	New

ICR Details

OMB Control No: 3170-0022	ICR Reference No: 201206-3170-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: CFPB	Agency Tracking No:
Title: Generic Clearance for Development and/or Testing of Model Forms, Disclosures, Tools, and Other Similar Related Materials
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/21/2012
	Date Received in OIRA: 06/20/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2015	36 Months From Approved
Responses	25,050	0	0
Time Burden (Hours)	8,925	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The Bureau of Consumer Financial Protection (Bureau), as part of its continuing effort to reduce paperwork and respondent burden, invites the general public and other Federal agencies to take this opportunity to comment on proposed and/or continuing information collections, as required by the Paperwork Reduction Act of 1995. The Bureau is soliciting comments regarding a proposed generic information collection titled, "Generic Clearance for Development and/or Testing of Model Forms, Disclosures, Tools, and Other Similar Related Materials." The proposed collection has been submitted to the Office of Management and Budget for review and approval. The proposed collection will allow the Bureau to collect information in connection with the development and testing of new model forms, disclosures, tools, and similar related materials pursuant to the CFPB's authority with respect to Federal consumer financial laws and the Dodd- Frank Wall Street Reform and Consumer Protection Act, Public Law 111–203, as well as testing of existing model forms and disclosures.

---

Authorizing Statute(s): PL: Pub.L. 111 - 203 1032, 1418, 1420, 1463 Name of Law: Dodd-Frank Wall Street Reform and Consumer Protection
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 67668	11/11/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 36489	06/19/2012
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 13

table that charts list of burden

IC Title	Form No.	Form Name
Prepaid Interview Testing Phase 2
Pre-Paid Disclosure Forms User Testing (Interviews)
Credit Cards Rewards and Deferred Interest Products Focus Groups
Pilot Study of Mortgage eClosings and CFPB Educational Materials
Unmoderated Usability Testing of the Mortgage Closing Product
Debt Collection Disclosure Focus Groups
Mortgage Servicing
Debt Collection Disclosure Testing: Consumer Bill of Rights
Small Dollar Lending Rule Disclosure Testing (Payday)
Testing of Model Bankruptcy Periodic Forms for Mortgage Servicing
Overdraft Opt-In Model Form Testing
Debt Collection Disclosure Forms Focus Groups and User Experience Study (Round 2)
Consumer Focus Groups Relating to Prepaid Products Rulemaking and Model Form Development

---

ICR Summary of Burden

table that charts list of burden

	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	25,050	0	0	25,050	0	0
Annual Time Burden (Hours)	8,925	0	0	8,925	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new collection.

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Yes

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 06/20/2012

---