Overdraft Opt-In Model Form Testing

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3170-0022 can be found here:

Documents and Forms

Document Name Document Type
Overdraft Disclosure Discussion Guide-Final.docx.pdf Other-Discussion Guide
cfpb_overdraft_menubook.pdf Other-Testing Exhibits
Overdraft Studies - Qualitative Privacy Statement and Notice-final.pdf Other-Privacy Act Statement
Overdraft_Screener- final.pdf Other-Recruitment screener
Overdraft IC Request-Final.pdf IC Submission Template IC Document
A-9.pdf Model Form A-9 IC Document

Information Collection (IC) Details

IC Title:	Overdraft Opt-In Model Form Testing	Agency IC Tracking Number:	TI 10115

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Discussion Guide	Overdraft Disclosure Discussion Guide-Final.docx.pdf	No		Printable Only
Other-Testing Exhibits	cfpb_overdraft_menubook.pdf	No		Printable Only
Other-Privacy Act Statement	Overdraft Studies - Qualitative Privacy Statement and Notice-final.pdf	No		Printable Only
Other-Recruitment screener	Overdraft_Screener- final.pdf	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title: Market and Consumer Research Records	FR Citation: 77 FR 67802

Number of Respondents: 288	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	360	360
Annual IC Time Burden (Hours)	74	74
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
IC Submission Template	Overdraft IC Request-Final.pdf	03/19/2015
Model Form A-9	A-9.pdf	03/19/2015

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