Information Collection

Consumer Response Consumer Research to Support a Unified Submission Intake Form

IC 218040 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⚠️ Notice: This information collection may be referencing outdated material.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
Unified Submission - Moderator's Interview Guide FINAL.pdf	Other-Interview Guide
IC - Consumer Research for Unified Submission FINAL.pdf IC Submission	IC Document

IC Title:

Consumer Response Consumer Research to Support a Unified Submission Intake Form

Agency IC Tracking Number:

TI 10619

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-Interview Guide			Unified Submission - Moderator's Interview Guide FINAL.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
IC Submission	IC - Consumer Research for Unified Submission FINAL.pdf	08/27/2015

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