OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Debt Collection Disclosure Focus Groups

IC 211613 under ICR 201206-3170-002 · OMB 3170-0022.

Documents and Forms
Document Name
Document Type
Other-Informed Consent
Other-Discussion Guide for User Expe
Other-Discussion Guide for Focus Gro
Other-Sample Collection Notice #2
Other-Sample Collection Notice #1
Other-Focus Group activity hand out
Other-Web and Phone Screeners
Other-Privcy Act Statement Handout
Other-Pre-session questionaire
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Debt Collection Disclosure Focus Groups TI 10038
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Informed Consent FINAL Debt Disclosure_Consent Form_2014_5-14-14.pdf No   Paper Only
Other-Discussion Guide for User Experience Group Debt Disclosure UX Discussion Guide_2014-5-14.docx.pdf No   Paper Only
Other-Discussion Guide for Focus Group Debt Disclosure FG Discussion Guide_2014-5-14.docx.pdf No   Paper Only
Other-Sample Collection Notice #2 G-Notice 2_2014-5-14.docx.pdf No   Paper Only
Other-Sample Collection Notice #1 G-Notice 1_2014-5-14.docx.pdf No   Paper Only
Other-Focus Group activity hand out Debt Disclosure FG_Section E_Rights Activity_2014-5-5 PRIV_PRA.docx.pdf No   Paper Only
Other-Web and Phone Screeners Debt Disclosure_Screener.pdf Yes Yes Fillable Fileable
Other-Privcy Act Statement Handout Debt Disclosure Privacy Statement_2014-5-14.docx.pdf No   Printable Only
Other-Pre-session questionaire Debt Disclosure_Pre-Session Questionnaire_2014-5-14.pdf Yes Yes Fillable Fileable

Economic Development Financial Sector Oversight

CFPB Consumer Education and Engagement Records  77 FR 60382

140 0
   
Individuals or Households
 
   50 %

  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 290 0 290 0 0 0
Annual IC Time Burden (Hours) 105 0 105 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Submission Template IC Template_Debt Disclosure 5-14-14.pdf 05/21/2014
Debt Collection Recruitment Plan Debt Disclosure_Recruitment Plan.pdf 05/14/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.