CEE Usability Testing (ASK and PFC)

Generic Clearance for the Collection of Qualitative Feedback on the Service Delivery of the Consumer Financial Protection Bureau

⚠️ Notice: This information collection may be referencing outdated material.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

Information Collection (IC) Details

IC Title:	CEE Usability Testing (ASK and PFC)	Agency IC Tracking Number:

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 (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 %

	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

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.