Consumer Response Intake Form (Web)

Consumer Response Intake Form

OMB: 3170-0011

IC ID: 198357

Documents and Forms
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Other-Screenshot Intake Form with Pa
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Information Collection (IC) Details

View Information Collection (IC)

Consumer Response Intake Form (Web)
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screen shot Screenshot 1.png Yes Yes Fillable Fileable
Other-Screen Shot Screenshot 2.png Yes Yes Fillable Fileable
Other-Screen Shot Screenshot 3.png Yes Yes Fillable Fileable
Other-Screen Shot Screenshot 4 - Mortgage ONLY.png Yes Yes Fillable Fileable
Other-Screen Shot Screenshot 4.png Yes Yes Fillable Fileable
Other-Screen Shot 10.6.11 intake screenshot 1.1.png Yes Yes Fillable Fileable
Other-Screen Shot 10.6.11 Mortgage intake screenshot 3.png Yes Yes Fillable Fileable
Other-Screen Shot 10.6.11 Mortgage intake screenshot 5.png Yes Yes Fillable Fileable
Other-Screen Shot Steering Committee Mortgage intake screenshot 1.2.png Yes Yes Fillable Fileable
Other-Screen Shot Steering Committee Mortgage intake screenshot 1.png Yes Yes Fillable Fileable
Other-Screen Shot Steering Committee Mortgage intake screenshot 2.png Yes Yes Fillable Fileable
Other-Screen Shot Steering Committee Mortgage intake screenshot 4.png Yes Yes Fillable Fileable
Other-Screen Shot 10.6.11 intake screenshot 1.1.png Yes Yes Fillable Fileable
Other-Screen Shot Steering Committee Mortgage intake screenshot 1.png Yes Yes Fillable Fileable
Other-Screen Shot Steering Committee Mortgage intake screenshot 1.2.png Yes Yes Fillable Fileable
Other-Screen Shot 2.17.12 - 2 - Student loan.png Yes Yes Fillable Fileable
Other-Screen Shot 2.17.12 - 2 - Vehicle and consumer loans.png Yes Yes Fillable Fileable
Other-Screen Shot 2.17.12 - 3 - Bank accounts and services.png Yes Yes Fillable Fileable
Other-Screen Shot 2.17.12 - 3 - Student loan.png Yes Yes Fillable Fileable
Other-Screen Shot 2.17.12 - 3 - Vehicle and consumer loans.png Yes Yes Fillable Fileable
Other-Screen Shot 2.17.12 - 4 - Bank accounts and services.png Yes Yes Fillable Fileable
Other-Screen Shot 2.17.12 - 4 - Student loan.png Yes Yes Fillable Fileable
Other-Screen Shot 2.17.12 - 4 - Vehicle and consumer loans.png Yes Yes Fillable Fileable
Other-Screen Shot 2.17.12 - 5 - Bank accounts and services.png Yes Yes Fillable Fileable
Other-Screen Shot 2.17.12 - 5 - Student loan.png Yes Yes Fillable Fileable
Other-Screen Shot 2.17.12 - 5 - Vehicle and consumer loans.png Yes Yes Fillable Fileable
Other-Screen Shot 2.17.12 - Universal confirmation page.png Yes Yes Fillable Fileable
Other-Screen Shots Screenshots for Debt Collection Complaint (July 2013).pdf Yes Yes Fillable Fileable
Other-Screen Shot Steering Committee Mortgage intake screenshot 2.png Yes Yes Fillable Fileable
Other-Screen Shot Steering Committee Mortgage intake screenshot 4.png Yes Yes Fillable Fileable
Other-Screen Shot 10.6.11 Mortgage intake screenshot 3.png Yes Yes Fillable Fileable
Other-Screen Shot 10.6.11 Mortgage intake screenshot 5.png Yes Yes Fillable Fileable
Other-Screen Shot 2.17.12 - 1 - Bank accounts and services.png Yes Yes Fillable Fileable
Other-Screen Shot 2.17.12 - 1 - Student loan.png Yes Yes Fillable Fileable
Other-Screen Shot 2.17.12 - 1 - Vehicle and consumer loans.png Yes Yes Fillable Fileable
Other-Screen Shot 2.17.12 - 1.1 - Bank accounts and services.png Yes Yes Fillable Fileable
Other-Screen Shot 2.17.12 - 1.1 - Student loan - Federal.png Yes Yes Fillable Fileable
Other-Screen Shot 2.17.12 - 1.1 - Vehicle and consumer loans - vehicle loan, vehicle lease, installment loan.png Yes Yes Fillable Fileable
Other-Screen Shot 2.17.12 - 1.2 - Student loan - Not sure.png Yes Yes Fillable Fileable
Other-Screen Shot 2.17.12 - 1.2 - Vehicle and consumer loans - personal line of credit.png Yes Yes Fillable Fileable
Other-Screen Shot 2.17.12 - 1.3 - Student loan - Non-federal.png Yes Yes Fillable Fileable
Other-Screen Shot 2.17.12 - 2 - Bank accounts and services.png Yes Yes Fillable Fileable
Other-Screenshot Intake Form with Payday Lending Attachment 1 Screenshots Web Version Payday Intake Form 3170_0011.pdf Yes Yes Fillable Fileable
Other-Screenshot Attachment A Screenshots Credit Reporting Intake Form 3170-0011 (12-11-13).pdf Yes Yes Fillable Fileable
Other-Screenshot 3170_0011 Updated Website Intake Form Screenshots 7-2-2014 (A).pdf Yes Yes Fillable Fileable

Economic Development Industry Sector Income Stabilization

 

2,250,000 0
   
Individuals or Households
 
   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 0 0 0 -2,250,000 0 2,250,000
Annual IC Time Burden (Hours) 0 0 0 -262,500 0 262,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.
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