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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.