Information Collection

Usability Test for Consumer Satisfaction Survey of the CFPB Consumer Complaint Intake Form

IC 210221 under ICR 201307-3170-002 · OMB 3170-0042.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3170-0042 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CR Usability Testing Survey Communications.pdf	Other-Survey Communications
CR Questionaire Mock Up Usability Test.pdf	Other-CR Usability Survey Instrument
IC Form 3170-0042 CR Usability Testing.pdf IC Request Form for CR Usability Survey	IC Document
Generic Clearance 3170-0042 Survey Ques Inventory Correlation Table 1-28-2014.xlsx CR Generic Inventory Correlation Table	IC Document

IC Title:

Usability Test for Consumer Satisfaction Survey of the CFPB Consumer Complaint Intake Form

Agency IC Tracking Number:

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-Survey Communications			CR Usability Testing Survey Communications.pdf		Yes	Yes	Fillable Fileable
Other-CR Usability Survey Instrument			CR Questionaire Mock Up Usability Test.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: 20

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	20	20
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
IC Request Form for CR Usability Survey	IC Form 3170-0042 CR Usability Testing.pdf	01/30/2014
CR Generic Inventory Correlation Table	Generic Clearance 3170-0042 Survey Ques Inventory Correlation Table 1-28-2014.xlsx	01/30/2014

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