Information Collection

Concept Evaluation Survey

IC 221206 under ICR 201509-3170-002 · OMB 3170-0024.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Concept Evaluation Survey

Agency IC Tracking Number:

TI 10765

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.