Information Collection

Debt Collection Survey

IC 210380 under ICR 201402-3170-004 · OMB 3170-0047.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Debt collection survey(CLEAN).pdf	Other-Survey
CFPB_Debt Survey Cover Letters-vs2 - 10-22-14(CLEAN).pdf	Other-Survey Cover Letter
Privacy Act Statement alternatives 10-23-14 final.pdf Test Privacy Act Statements	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

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			Debt collection survey(CLEAN).pdf		Yes	Yes	Fillable Fileable
Other-Survey Cover Letter			CFPB_Debt Survey Cover Letters-vs2 - 10-22-14(CLEAN).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: 3,300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,300	3,300
Annual IC Time Burden (Hours)	1,100	1,100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Test Privacy Act Statements	Privacy Act Statement alternatives 10-23-14 final.pdf	10/23/2014

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