Information Collection

Overdraft Opt-In Model Form Testing

IC 215751 under ICR 201206-3170-002 · OMB 3170-0022.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.