CFPB's Consumer Response Intake Form Improvement Study, Second Iteration (Intake Form Improvement Study II)

Generic Clearance for Consumer Complaint and Information Collection System (Testing and Feedback)

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
CR3_UX Study_Informed Consent_2014-11-12.pdf Other-Informed Consent
CR3_UX Study_Screener_FINAL.pdf Other-Screener
CR3_Moderator's Guide_2014-11-12.pdf Other-Moderator's Guide
IC Form 3170-0042 CR UX Study II.pdf IC Form CR UX Ph II IC Document

Information Collection (IC) Details

IC Title:	CFPB's Consumer Response Intake Form Improvement Study, Second Iteration (Intake Form Improvement Study II)	Agency IC Tracking Number:	10366

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-Informed Consent	CR3_UX Study_Informed Consent_2014-11-12.pdf	Yes	Yes	Fillable Fileable
Other-Screener	CR3_UX Study_Screener_FINAL.pdf	Yes	Yes	Fillable Fileable
Other-Moderator's Guide	CR3_Moderator's Guide_2014-11-12.pdf	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title: Consumer Education and Engagement Records	FR Citation: 77 FR 60382

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	255	255
Annual IC Time Burden (Hours)	34	34
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
IC Form CR UX Ph II	IC Form 3170-0042 CR UX Study II.pdf	11/17/2014

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