Concept Evaluation Survey

Generic Information Collection Plan for the Collection of Qualitative Feedback on Bureau Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3170-0024 can be found here:

Documents and Forms

Document Name Document Type
ARC Concept Evaluation Survey Draft v4_26 OMB.pdf Other-Screener & Survey - English
Concept Evaluation Survey_in SPANISH_v4_26 OMB.pdf Other-Screener & Survey - Spanish
3170-0024_IC_Template for CEE Creative Testing_v4_26 OMB.pdf IC Template IC Document

Information Collection (IC) Details

IC Title:	Concept Evaluation Survey	Agency IC Tracking Number:	TI 10765

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screener & Survey - English			ARC Concept Evaluation Survey Draft v4_26 OMB.pdf		Yes	Yes	Fillable Fileable
Other-Screener & Survey - Spanish			Concept Evaluation Survey_in SPANISH_v4_26 OMB.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title: CFPB.021-Consumer Education and Engagement SORN	FR Citation: 79 FR 78839

Number of Respondents: 5,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	8,000	8,000
Annual IC Time Burden (Hours)	1,250	1,250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
IC Template	3170-0024_IC_Template for CEE Creative Testing_v4_26 OMB.pdf	04/27/2016

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