Debt Collection Disclosure Testing: Consumer Bill of Rights

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⚠️ Notice: This information collection may be referencing outdated material.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
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

Information Collection (IC) Details

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:

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 %

	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

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.