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Credit Matters Survey
Randomized Evaluation of the Credit Matters Loan at St. Louis Community Credit Union and Credit Matters Counseling offered by BALANCE Financial Fitness Program
OMB: 3170-0044
IC ID: 207878
OMB.report
CFPB
OMB 3170-0044
ICR 201409-3170-001
IC 207878
( )
Documents and Forms
Document Name
Document Type
SLCCU Baseline Survey Revised 070214.pdf
Other-Baseline Survey
FinCap Informed Consent Post Pilot 092414 CLEAN.pdf
Other-Informed Consent
Credit Matters Scripts for Intervention 14 04 24.pdf
Other-Script for Intervention
Credit Matters Scripts for Intervention 14 04 24.pdf
Other-Scripts for Intervention
Credit Matters Loan Brochure.pdf
Credit Matters Loan Brochure
IC Document
BALANCE Credit Matters Counseling Curriculum.pdf
BALANCE Credit Matters Counseling Curriculum
IC Document
Survey Question Sources 070214.pdf
Survey Question Sources
IC Document
FinCap Baseline Survey Post Pilot 092414 TRACKED.pdf
Revised Baseline Survey with Tracked Changes
IC Document
FinCap Informed Consent Post Pilot 092414 TRACKED.pdf
Revised Informed Consent with Tracked Changes
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Credit Matters Survey
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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-Baseline Survey
SLCCU Baseline Survey Revised 070214.pdf
Yes
Yes
Fillable Fileable
Other-Informed Consent
FinCap Informed Consent Post Pilot 092414 CLEAN.pdf
No
Paper Only
Other-Script for Intervention
Credit Matters Scripts for Intervention 14 04 24.pdf
Yes
Yes
Fillable Fileable
Other-Scripts for Intervention
Credit Matters Scripts for Intervention 14 04 24.pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Financial Sector Oversight
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,500
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
7,500
0
0
0
0
7,500
Annual IC Time Burden (Hours)
1,700
0
0
0
0
1,700
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Credit Matters Loan Brochure
Credit Matters Loan Brochure.pdf
02/04/2014
BALANCE Credit Matters Counseling Curriculum
BALANCE Credit Matters Counseling Curriculum.pdf
02/04/2014
Survey Question Sources
Survey Question Sources 070214.pdf
07/03/2014
Revised Baseline Survey with Tracked Changes
FinCap Baseline Survey Post Pilot 092414 TRACKED.pdf
09/26/2014
Revised Informed Consent with Tracked Changes
FinCap Informed Consent Post Pilot 092414 TRACKED.pdf
09/26/2014
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.