Consumer Advisory Boards, Groups and Committees

Forms and Documents

Document Name	Status
Form 3170-XXXX FBI Name Check Form Form and Instruction	Unchanged
Form 3170-XXXX CFPB Travel Form Form and Instruction	Unchanged
Form 3170-XXXX TSA Travel Information Form Form and Instruction	Unchanged
Form 3170-XXXX Consumer Advisory Board Post Meeting Survey Form and Instruction	Unchanged
Form 3170-XXXX Application to Serve as a Small Entity Representative Form	Unchanged
Form 3170-XXXX Certifications Form	Unchanged
Form 3170-XXXX Application to Serve on Advisory Board Form and Instruction	Modified
3170-0037 - Justification for Change (New Application Form).pdf Justification for No Material/Nonsubstantive Change	2013-12-09
Advisory Boards Groups and Committees Supporting Statement (Revised 5.23.2013).pdf Supporting Statement A	2013-05-23

IC Document Collections

IC ID	Document Title	Status
207063	FBI Name Check Form Form and Instruction	Unchanged
206685	CFPB Travel Form Form and Instruction	Unchanged
204968	TSA Travel Information Form Form and Instruction	Unchanged
204967	Consumer Advisory Board Post Meeting Survey Form and Instruction	Unchanged
204701	Application to Serve as a Small Entity Representative Form	Unchanged
204700	Certifications Form	Unchanged
204699	Application to Serve on Advisory Board Form and Instruction	Modified

ICR Details

OMB Control No: 3170-0037	ICR Reference No: 201312-3170-001
Status: Historical Active	Previous ICR Reference No: 201304-3170-003
Agency/Subagency: CFPB	Agency Tracking No:
Title: Consumer Advisory Boards, Groups and Committees
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/10/2013
	Date Received in OIRA: 12/09/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2016	07/31/2016	07/31/2016
Responses	6,400	0	6,400
Time Burden (Hours)	2,071	0	2,496
Cost Burden (Dollars)	0	0	0

---

Abstract: On July 21, 2010, President Barack Obama signed into law the Dodd-Frank Wall Street Reform and Consumer Protection Act, P.L. 111-203, 124 Stat. 1376 (2010) (Dodd-Frank Act). Title X of the Dodd-Frank Act created the Consumer Financial Protection Bureau (CFPB or the Bureau) and provides that the Director of the CFPB "shall establish a Consumer Advisory Board to advise and consult with the Bureau in the exercise of its functions under the Federal consumer financial laws, and to provide information on emerging practices in the consumer financial products or services industry, including regional trends, concerns, and other relevant information."

---

Authorizing Statute(s): PL: Pub.L. 111 - 203 1014(b) Name of Law: Dodd-Frank Wall Street Reform and Consumer Protection Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 11073	02/24/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 32594	06/01/2012
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 7

IC Title	Form No.	Form Name
CFPB Travel Form	3170-XXXX	CFPB Travel Form
Application to Serve on Advisory Board	3170-XXXX, N/A	Application to Serve on Advisory Board ,   Application to Serve on Advisory Board
Certifications	3170-XXXX, 3170-XXXX, 3170-XXXX	Certification Regarding Financial Interests (Academic Research Council) ,   Certification for Entity-Specific Projects (Academic Research Council) ,   Certification for Non-Entity-Specific Projects (Academic Research Council)
Consumer Advisory Board Post Meeting Survey	3170-XXXX	Consumer Advisory Board Member Survey
TSA Travel Information Form	3170-XXXX	TSA Travel Information Form
Application to Serve as a Small Entity Representative	3170-XXXX	Application to Serve as a Small Entity Representative
FBI Name Check Form	3170-XXXX	FBI Name Check Form

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	6,400	6,400	0	0	0	0
Annual Time Burden (Hours)	2,071	2,496	0	-425	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Forms

Short Statement: Streamlined the application form.

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Yes

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/09/2013

---