Information Collection

Financial Inclusion Forum Survey

IC 219195 under ICR 201403-1505-003 · OMB 1505-0231.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0231 can be found here:

Documents and Forms

Document Name Document Type
Financial Inclusion Forum Survey.pdf docs.google.com/forms/d/1Ti_-V-EirTjthc7M2BzJnOqWcCnPk_5_dsLsvxJHyCs/viewform?c=0&w=1 Other-Survey
Fast-Track_Generic_Clearance_Submission_Template-FIF Survey2.doc FIF Survey Fast-Track Generic Justification IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Financial Inclusion Forum Survey	Agency IC Tracking Number:	IA

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			Financial Inclusion Forum Survey.pdf	https://docs.google.com/forms/d/1Ti_-V-EirTjthc7M2BzJnOqWcCnPk_5_dsLsvxJHyCs/viewform?c=0&w=1	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	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	150	150
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
FIF Survey Fast-Track Generic Justification	Fast-Track_Generic_Clearance_Submission_Template-FIF Survey2.doc	12/07/2015

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