Form 3170-XXXX Consumer Advisory Board Member Survey

OMB Control Number: 3170-XXXX
Expiration Date: XX/XX/XXXX

Consumer Advisory Board
Post-Meeting Survey
I.

Planning/Pre-meeting activities: Please rate your satisfaction with CAB meeting
planning activities. (1 = unsatisfied with the condition … 5= highly satisfied)

Communication
Were you satisfied with the timeliness of communication regarding important dates?
Were you satisfied with the timeliness of communication regarding meeting agenda
items?
Were you satisfied with the timeliness of requests for input during the meeting
planning process?
Agenda Creation
Were you satisfied that CAB members were given the opportunity to provide
meaningful input during agenda planning?
Was the meeting agenda aligned with your understanding of the CAB mission and
goals?
Accommodations
Were you satisfied with the location of the CAB meeting (conference rooms, audio
& visual)?
Did the hotel and meeting location meet your expectations?

II.

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1 2 3
Travel: Please rate your satisfaction with travel related activities and processes.
(1 = unsatisfied with the condition … 5= highly satisfied)

4

5

Communications
Were travel rules and guidelines clearly explained?
Was it clear who to contact with questions about travel or accommodations?
Were questions about travel and accommodations answered accurately and in a
timely manner?
Travel reimbursement
Was it clear who to contact to obtain reimbursement for travel related expenses?
Were reimbursements received in a timely manner; within 30 days of submission of
receipts?

III.

1
1

2
2

3
3

4
4

5
5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

Meeting Management: Please rate the performance of the team with regard to meeting
facilitation. (1 = disagree … 5 = strongly agree)

Communication
Meeting goals were clearly communicated in advance of the meeting.
Stated meeting goals align with mission (CAB, CFPB).
Meeting activities and events aligned with agenda and goals.
Materials provided
Meeting materials were provided in the agreed upon timeframe in advance of the
meeting.
Meeting materials were well-organized, easy to navigate, and supported the agenda
and goals.

1

1
1
1

2
2
2

3
3
3

4
4
4

5
5
5

1

2

3

4

5

1

2

3

4

5

OMB Control Number: 3170-XXXX
Expiration Date: XX/XX/XXXX

IV.

Meeting Outcomes: Please rate your satisfaction with CAB outcomes.
(1 = unsatisfied with the condition … 5= highly satisfied)

Committee Meetings
Committee meetings met intended goals and objectives.
The rhythm and pace of the each day was effective for adequately obtaining
information and providing input.
Publicity, public communication of CAB activities
Input provided by CAB members and CFPB staff are used to make improvements in
CAB operations.
Public session goals and objectives meet the needs of the public and CAB members
Public session topic was relevant and discussion was useful
CAB members had the opportunity to review and provide input on prior meeting
summaries in advance of publication to the Bureau website.
Overall Effectiveness
[List agenda items]
Breakout session topics were relevant and engaging.
Bureau presenters provided expected clarity and demonstrated expertise.
CAB members were able to share experiences and opinions with the group and
Bureau staff.

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1
1

2
2

3
3

4
4

5
5

1

2

3

4

5

1
1

2
2

3
3

4
4

5
5

1

2

3

4

5

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-XXXX. It expires on MM/DD/YYYY. The time required to complete this information collection is estimated
to average approximately 10 minutes per response, including the time for reviewing any instructions, searching existing data
sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The obligation
to respond 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].
The Bureau will treat the information collected consistent with its confidentiality regulations at 12 C.F.R. Part 1070, et seq.

2