IC Submission Template

Request for Approval under the “Generic Information Collection Plan for the
Collection of Qualitative Feedback on the Service Delivery of the Consumer
Financial Protection Bureau” (OMB Control Number: 3170-0024)
1. TITLE OF INFORMATION COLLECTION: Feedback Survey for Online Training
Modules for Librarians

2. PURPOSE:
The Dodd-Frank Wall Street Reform and Consumer Protection Act of 2010 (Pub. L. 111-203) directs
the Consumer Financial Protection Bureau (CFPB) to develop and implement “initiatives intended to
educate and empower consumers to make better informed decisions” (12 U.S.C. § 5493(d)). As part of
fulfilling this mission, the CFPB works with libraries to provide information, materials, and training
about financial literacy to help their patrons make better, more informed financial decisions.
Collectively, these tools and resources are known as the Libraries program which is managed by
CFPB’s Office of Financial Education.
Online training is a more efficient delivery mechanism that will allow greater outreach and impact to
regional and rural library systems. To expand the scope of this training for librarians, the CFPB will
implement an online training program with up to eight self-study modules about various financial
literacy topics. With this online training program, librarians will have more flexibility in learning
about CFPB financial education information, tools and resources. CFPB desires to employ a short
satisfaction survey at the end of each training module to provide feedback that CFPB can use to assess
and improve the training materials.

3. DESCRIPTION OF RESPONDENTS:
Survey respondents will be librarians and other library staff who have completed one or more of the
CFPB online training modules and voluntarily participate in the satisfaction survey at the end of each
CFPB module.

4. TYPE OF COLLECTION (ADMINISTRATION OF THE INSTRUMENT):
a.

How will you collect the information? (Check all that apply)

[X] Web-based or other forms of Social Media
[ ] In-person
[ ] Small Discussion Group
[ ] Other, Explain ______________________

[ ] Telephone
[ ] Mail
[ ] Focus Group

b. Will interviewers or facilitators be used?
[ ] Yes [X] No [ ] Not Applicable

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5. FOCUS GROUP OR SURVEY:
If you plan to conduct a focus group or survey, please provide answers to the following
questions:
a. Do you have a customer list or something similar that defines the universe of potential
respondents and do you have a sampling plan for selecting from this universe?
[ ] Yes [ ] No [X] Not Applicable
b. If the answer is yes, please provide a description below. If the answer is no, please
provide a description of how you plan to identify your potential group of respondents and
how you will select them?
6. PERSONALLY IDENTIFIABLE INFORMATION:
a. Is personally identifiable information (PII) collected? [ ] Yes [X] No
b. If Yes, is the information that will be collected included in records that are subject to
the Privacy Act of 1974? [ ] Yes [ ] No [ X ] Not Applicable
If applicable, what is the link to the Privacy Impact Assessment (PIA)?

c. If Applicable, has a System or Records Notice (SORN) been published?
[ ] Yes [X ] No [ ] Not Applicable
If yes, cite the SORN.
Title:___________________________________
___ FR _______________.

7. INCENTIVES:
a. Is an incentive provided to participants? [ ] Yes [X] No
b. If Yes, provide the amount or value of the incentive? $___________.
c. If Yes, provide a statement justifying the use and amount of the incentive.
8. BURDEN ESTIMATES:
Information Collection

Feedback Survey
Totals

Number of
Respondents

Frequency
(Responses
per
Respondent)

Number of
Annual
Responses

Response
Time
(hours)

Burden
Hours

500
500

2x
///////////////////

1,000
1,000

.08
///////////////////////

80
80

9. FEDERAL COST: The estimated annual cost to the Federal government is

$500
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CERTIFICATIONS:

CERTIFICATION PURSUANT TO 5 CFR 1320.9, AND THE RELATED PROVISIONS
OF 5 CFR 1320.8(b)(3) :
By submitting this document, the Bureau certifies the following to be true:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It uses plain, coherent, and unambiguous terminology that is understandable to
respondents;
(d) Its implementation will be consistent and compatible with current reporting and
recordkeeping practices;
(e) It indicates the retention period for recordkeeping requirements;
(f) It informs respondents of the information called for under 5 CFR 1320.8(b)(3):
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(g) It was developed by an office that has planned and allocated resources for the efficient and
effective management and use of the information to be collected;
(h) It uses effective and efficient statistical survey methodology; and
(i) It makes appropriate use of information technology.

CERTIFICATION FOR INFORMATION COLLECTIONS SUBMITTED UNDER A
GENERIC INFORMATION COLLECTION PLAN
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By submitting this document, the Bureau certifies the following to be true:
The collection is voluntary.
The collection is low-burden for respondents and low-cost for the Federal Government.
The collection is non-controversial and does not raise issues of concern to other federal
agencies.
The results are not intended to be disseminated to the public.
Information gathered will not be used for the purpose of substantially informing influential
policy decisions.
The collection is targeted to the solicitation of opinions from respondents who have
experience with the program or may have experience with the program in the future.
The data collection is not statistically significant, the sample is not intended to be
representative, and the results will not be used to make inferences beyond the survey
sample. The results will not be used to measure regulatory compliance or for program
evaluation.

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