Information Collection

Debt Collection Disclosure Testing: Consumer Bill of Rights

IC 217660 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⚠️ Notice: This information collection may be referencing outdated material.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
Testing Screener 7-24-15(FINAL).pdf	Other-Screener
Moderator's Guide 7 27 15 (FINAL).pdf	Other-Moderator's Guide
Debt_Collection_Consent Form_6_30_15 (FINAL).pdf	Other-Informed Consent
20150706 RMR Debt Collection Disclosure Testing Consumer Bill of Rights Phone Confirmation Privacy Act Statement.pdf	Other-PAS-Phone
20150706 RMR Debt Collection Disclosure Testing Consumer Bill of Rights Web Screener Privacy Act Statement.pdf	Other-PAS-Web
20150727 RMR Debt Collection Disclosure Testing Consumer Bill of Rights One on One Interviews Privacy Act Statement.pdf	Other-PAS-Interviews
IC Template DC Bill of Rights 8.11.15 (FINAL).pdf IC Template - Bill of Rights	IC Document

IC Title:

Debt Collection Disclosure Testing: Consumer Bill of Rights

Agency IC Tracking Number:

TI 10549

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-Screener	Testing Screener 7-24-15(FINAL).pdf	Yes	Yes	Fillable Fileable
Other-Moderator's Guide	Moderator's Guide 7 27 15 (FINAL).pdf	No		Paper Only
Other-Informed Consent	Debt_Collection_Consent Form_6_30_15 (FINAL).pdf	No		Paper Only
Other-PAS-Phone	20150706 RMR Debt Collection Disclosure Testing Consumer Bill of Rights Phone Confirmation Privacy Act Statement.pdf	No		Paper Only
Other-PAS-Web	20150706 RMR Debt Collection Disclosure Testing Consumer Bill of Rights Web Screener Privacy Act Statement.pdf	Yes	Yes	Fillable Fileable
Other-PAS-Interviews	20150727 RMR Debt Collection Disclosure Testing Consumer Bill of Rights One on One Interviews Privacy Act Statement.pdf	No		Paper Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title: CFPB.022 Market and Consumer Research Records_

FR Citation: 77 FR 67802

Number of Respondents: 140

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	260	260
Annual IC Time Burden (Hours)	65	65
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
IC Template - Bill of Rights	IC Template DC Bill of Rights 8.11.15 (FINAL).pdf	08/11/2015

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