IC Template for Flashcards Development

Request for Approval under the “GENERIC CLEARANCE FOR QUALITATIVE
CONSUMER EDUCATION, ENGAGEMENT, AND EXPERIENCE INFORMATION
COLLECTIONS”

(OMB Control Number: 3170-0036)
1. TITLE OF INFORMATION COLLECTION: Flashcards Content Development
2. PURPOSE:
The Flashcards project will develop a digital product that will deliver a skill development intervention to financial
education practitioners, to enhance understanding and use of research-based best practices in consumer decisionmaking. In order to determine the specific skill development needs most relevant to particular audience segments
within the world of financial education practitioners, the Bureau will conduct a brief market research study. The
results of this study will determine the relevant audiences and particular topics of the “flashcards” digital
interventions. These “flashcards” digital interventions will be developed as digital products and undergo pilot
testing.

3. DESCRIPTION OF RESPONDENTS:
Respondents will be up to 20 financial education practitioners, most of whom are associated with national financial
education organizations (e.g., AFCPE, NEFE, NFCC, etc.).

4. TYPE OF COLLECTION (ADMINISTRATION OF THE INSTRUMENT):
a.

How will you collect the information? (Check all that apply)
[
[
[
[

] Web-based or other forms of Social Media
] In-person
] Small Discussion Group
] Other, Explain ______________________

[ X ] Telephone
[ ] Mail
[ ] Focus Group

b. Will interviewers or facilitators be used?
[ X ] Yes [ ] No [ ] Not Applicable
5. FOCUS GROUP OR SURVEY:
If you plan to conduct a focus group or survey, please provide answers to the following
questions:
a. Do you have a customer list or something similar that defines the universe of potential
respondents and do you have a sampling plan for selecting from this universe?
[ X ] Yes [ ] No [ ] Not Applicable
b. If the answer is yes, please provide a description below. If the answer is no, please
provide a description of how you plan to identify your potential group of respondents and
how you will select them?
The sample of 20 individuals to be interviewed will be developed by the Bureau’s Office of Financial Education.
It will include approximately 10 contacts who are well-known to the Bureau’s Office of Financial Education and
are leading experts in the field of financial education practice. The remaining 10 contacts will be front-line
practitioners who will be recommended by experts from financial education organizations not associated with the
study.
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6. INFORMATION COLLECTION PROCEDURES
Please summarize the procedures that will be used to collect data from respondents.
Potential respondents will be contacted via email and/or phone by CFPB’s Office of Financial Education to
invite voluntary participation in the study. The names of those invitees who agree to participate will be
added to a list with contact and organizational information and provided to contractor GMMB by CFPB’s
Office of Financial Education. GMMB will email the potential participants and set up a time for a onehour phone interview. During the hour, the interviewer from GMMB will ask the questions in the
discussion guide developed for this purpose by Office of Financial Education in conjunction with GMMB.
Notes from the interviews will be used as the basis of a report to CFPB on trends and findings in the data.

7. PERSONALLY IDENTIFIABLE INFORMATION:
a. Is personally identifiable information (PII) collected? [X] Yes [ ] No
b. If Yes, is the information that will be collected included in records that are subject
to the Privacy Act of 1974? [X ] Yes [ ] No [ ] Not Applicable
c. If Applicable, has a System or Records Notice (SORN) been published?
[X Yes [ ] No [ ] Not Applicable
If applicable, what is the Federal Register citation for the SORN? 79 FR 78839.
https://www.federalregister.gov/articles/2014/12/31/2014-30655/privacy-act-of-1974-asamended

d. If applicable, what is the link the Privacy Impact Assessment (PIA)?
www.consumerfinance.gov/f/201412_cfpb_pia_industry-expert-community-input-andengagement.pdf

8. INCENTIVES:
a. Is an incentive provided to participants? [ ] Yes [ X ] No
b. If Yes, provide the amount or value of the incentive? $____NA_____.
c. If Yes, provide a statement justifying the use and amount of the incentive.
NA
9. ASSURANCES OF CONFIDENTIALITY:
a. Will a pledge of confidentiality be made to respondents? [ ] Yes [ X] No
b. If Yes, please cite the statue, regulation, or contractual terms supporting the pledge.
We will make the following statement on the phone to interviewees before the interview begins:
Please know that your name will not be attributed to any specific comments and your responses will not be
identifiable by anyone outside the study

10. JUSTIFICATION OF SENSITIVE QUESTIONS (if applicable): Not applicable.
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11. BURDEN HOURS:
Category of Respondent

Practitioner Interviewees
Totals

Number of
Respondents
20
20

Frequency

Number of
Responses

once
once

1
1

Response
Time
(hours)

Burden
(hours)

1
1

12. FEDERAL COST: The estimated annual cost to the Federal government is $________.
The cost of the interviews is TBD, and is a component of the total $175,000 contract with GMMB.

13. CERTIFICATION:
By submitting this document, the Bureau certifies the following to be true:
 The collection is voluntary.
 The collection is low-burden for respondents.
 The collection is non-controversial and does not raise issues of concern to other federal
agencies.
 Information gathered will not be used for the purpose of substantially informing influential
policy decisions.
 The collection is not statistically significant; the results are not intended to be generalizable
beyond the survey population.
 The results will not be used to measure regulatory compliance or for program evaluation.

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20
20

Instructions
(will be deleted prior to submission to OMB)
1.

TITLE OF INFORMATION COLLECTION: Provide the name of the collection that is the subject of the request.
(e.g. Community Education Project Librarian and Patron Interviews)

2.

PURPOSE: Provide a brief description of the purpose of this collection and how it will be used. If this is part of a larger
study or effort, please include this in your explanation.

3.

DESCRIPTION OF RESPONDENTS: Provide a brief description of the targeted group or groups for this collection of
information. These groups must have experience with the program.

4.

TYPE OF COLLECTION: Check all that apply. If you are requesting approval of other instruments
under the generic that are all related, you only need to complete one form. If you are requesting
approval for multiple unrelated collections then you must complete a form for each instrument.

5.

FOCUS GROUPS OR SURVEY: If you are conducting a focus group or survey please provide answers to the
following questions:
a. Identify if you have or will have a list of potential respondents (e.g., conference participants).
b. The selection of your targeted respondents. Please provide a description of how you plan to identify your
potential group of respondents and how you will select them.

6.

INFORMATION COLLECTION PROCEDURES: Please summarize the procedures that will be used to collect data
from respondents.

7.

PERSONALLY IDENTIFIABLE INFORMATION (PII): Provide answers to the questions. Also, if
PII will be collected, please consult with the Bureau’s Privacy office before submitting this request to the
PRA Team. If applicable, provide a link to the Privacy Impact Assessment (PIA) and the System of
Records Notice (SORN) citation should provide the title and Federal Register citation.

8.

INCENTIVES: An incentive is defined as a positive motivational influence; something that induces action or
motivates effort. Incentives are most appropriately used in Federal statistical surveys with hard-to-find populations or
respondents whose failure to participate would jeopardize the quality of the survey data. More information on the use of
incentives, please see OMB’s “Guidance on Agency Survey and Statistical Information Collections” (pages 68-70). This
guidance is available on OMB’s website at
http://www.whitehouse.gov/sites/default/files/omb/assets/omb/inforeg/pmc_survey_guidance_2006.pdf. If you answer yes to
the question regarding incentives, please describe the incentive and provide a justification for the use of an incentive as
well as the amount.

9.

ASSURANCES OF CONFIDENTIALITY: If an assurance of confidentiality is provided, please cite the authority for
such a pledge.

10. JUSTIFICATION OF SENSITIVE QUESTIONS: Please provide a justification for asking questions that could be
considered sensitive in nature (e.g., age, gender, sexual orientation, income, religion, etc.)
11. BURDEN ESTIMATES:
Category of Respondents: List the individual collections that you are requesting to be approved under this request. For
example, phone survey, web survey, training materials evaluation, conference feedback.
No. of Respondents: Provide an estimate of the Number of respondents.
Participation Time: Provide an estimate of the amount of time required for a respondent to participate (e.g. fill out
a survey or participate in a focus group)
Burden: Provide the Annual burden hours: Multiply the Number of responses and the participation time.
This estimate should be expressed as hours. Please round to the nearest whole hour.
12. FEDERAL COST: Provide an estimate of the annual cost to the Federal government for conducting the information
collection. Do NOT include costs that the Bureau would incur even without the collection.
13. CERTIFICATION: Please read the certification carefully. If you incorrectly certify, the collection will be
returned as improperly submitted or it will be disapproved.

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Template Paperwork Act Statement (to be placed on collection instrument(s) either
at the bottom of the first or last page)
Paperwork Reduction Act
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to
a collection of information unless it displays a valid OMB control number. The OMB control number for this collection is 3170-0036.
It expires on 06/30/2016. The time required to complete this information collection is estimated to average approximately [One hour]
per response. Responding to this collection of information is voluntary. Comments regarding this collection of information, including
the estimated response time, suggestions for improving the usefulness of the information, or suggestions for reducing the burden to
respond to this collection should be submitted to Bureau at the Consumer Financial Protection Bureau (Attention: PRA Office), 1700
G Street NW, Washington, DC 20552, or by email to [email protected].

Paper Forms: The information is included either on the form, questionnaire, as part of the instructions, or
in a cover letter or memorandum that accompanies the collection of information. The following should
appear at the top right corner of all paper forms and surveys.
OMB No. 3170-0036
Expiration Date: 06/30/2016
Electronic Forms: The information is included either in the instructions, near the title of electronic collection
instrument, or for on-line applications, on the first screen viewed by the respondent. This information can also be
provided in a separate window with a link titled, “Paperwork Reduction Act Statement”.
Sample Privacy/Confidentiality Statements – USE ONLY IF APPLICABLE
[Standard CFPB Statement]
The Bureau will not disclose any personally identifiable information collected except to the extent that it is required to do so by
law and as provided in the Privacy Act Statement listed below. Additionally, the Bureau will treat the information collected
consistent with its confidentiality regulations at 12 C.F.R. Part 1070, et seq.
[Sample statement for when there is no legal authority for a pledge of confidentiality]
Privacy: Responses to this data collection will be used only for statistical purposes. The reports prepared for this study will summarize findings
across the sample and will not associate responses with a specific organization or individual. We will not provide information that identifies you
or your affiliation to anyone outside the study team, except as required by law.

Note: The above language is provided by the Office of Management and Budget’s Statistical and Science Policy office for
studies where there was no real statutory basis for the agency to protect the confidentiality of respondents—This doesn’t mean
that the agency would not resist providing identifiable information and would seek to provide aggregate nonidentifiable
information that would help serve whatever purpose the information was requested for; however, the agency could be legally
compelled to provide identifiable information. This statement is not intended to replace any required Privacy Act statements.

.
PLEASE MAKE SURE THAT ALL INSTRUMENTS, INSTRUCTIONS, AND SCRIPTS ARE SUBMITTED
WITH THE REQUEST

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