Information Collection

Debt Collection Survey

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

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Debt Collection Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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 %

	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

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.