Information Collection

Evaluation of the Credit Matters Loan: Pilot Test Survey Instrument

IC 208988 under ICR 201210-3170-001 · OMB 3170-0024.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3170-0024 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Informed Consent for Survey Test.pdf	Other-Informed Consent
SLCCU Survey.pdf	Other-Survey
IC Template 3170-0024 Credit Matters Loan Pilot 102213 Revised.pdf IC Template for Credit Matters Test of Instrument	IC Document

IC Title:

Evaluation of the Credit Matters Loan: Pilot Test Survey Instrument

Agency IC Tracking Number:

FinCap Survey Test

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Informed Consent			Informed Consent for Survey Test.pdf		No		Paper Only
Other-Survey			SLCCU Survey.pdf		No		Paper Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
IC Template for Credit Matters Test of Instrument	IC Template 3170-0024 Credit Matters Loan Pilot 102213 Revised.pdf	10/23/2013

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