Information Collection

Financial Assessment, Counseling, and Follow-up

IC 214385 under ICR 201412-3170-005 · OMB 3170-0053.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ROADS_PRA Question Set AB (FINAL)_OMB comments_CFPB responses Df 3.18....pdf	Other-Question Set
ROADS_Privacy Act _PRA Statements(FINAL).pdf	Other-Privacy and PRA Statements
ROADS PRA question detail 3.18.15.xlsx	Other-Question Detail

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Question Set	ROADS_PRA Question Set AB (FINAL)_OMB comments_CFPB responses Df 3.18....pdf	Yes	Yes	Fillable Fileable
Other-Privacy and PRA Statements	ROADS_Privacy Act _PRA Statements(FINAL).pdf	No		Printable Only
Other-Question Detail	ROADS PRA question detail 3.18.15.xlsx	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15,120

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	37,800	37,800
Annual IC Time Burden (Hours)	42,488	42,488
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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