Information Collection

CEE Usability Testing (ASK and PFC)

IC 210043 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⚠️ Notice: This information collection may be referencing outdated material.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
Ask CFPB UX_Screener_2013-1-13.pdf	Other-Screener (ASK)
Ask CFPB UX_Consent Form_2013-1-13.pdf	Other-Consent Form (ASK)
Ask CFPB UX 2014_Materials_2013_1_13.pdf	Other-Focus Group Materials (ASK)
PFC UX_Screener_2013-1-13.pdf	Other-Screener (PFC)
PFC UX_Consent Form_2013-1-13.pdf	Other-Consent Form (PFC)
PFC UX 2014_Materials_2013-1-13.pdf	Other-Focus Group Materials (PFC)
IC Template 3170-0024 vs4_Ask UX_2014-1-13.pdf 3170-0024 - IC Template for ASK	IC Document
IC Template 3170-0024 vs4_PFC_2014-1-13.pdf 3170-0024 - IC Template for PFC	IC Document

IC Title:

CEE Usability Testing (ASK and PFC)

Agency IC Tracking Number:

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 (ASK)	Ask CFPB UX_Screener_2013-1-13.pdf	Yes	Yes	Fillable Fileable
Other-Consent Form (ASK)	Ask CFPB UX_Consent Form_2013-1-13.pdf	No		Paper Only
Other-Focus Group Materials (ASK)	Ask CFPB UX 2014_Materials_2013_1_13.pdf	No		Paper Only
Other-Screener (PFC)	PFC UX_Screener_2013-1-13.pdf	Yes	Yes	Fillable Fileable
Other-Consent Form (PFC)	PFC UX_Consent Form_2013-1-13.pdf	No		Paper Only
Other-Focus Group Materials (PFC)	PFC UX 2014_Materials_2013-1-13.pdf	No		Printable Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 30 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
3170-0024 - IC Template for ASK	IC Template 3170-0024 vs4_Ask UX_2014-1-13.pdf	01/14/2014
3170-0024 - IC Template for PFC	IC Template 3170-0024 vs4_PFC_2014-1-13.pdf	01/14/2014

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