Information Collection

Credit Matters Survey

IC 207878 under ICR 201409-3170-001 · OMB 3170-0044.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	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

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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	7,500	7,500
Annual IC Time Burden (Hours)	1,700	1,700
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.