Survey

Financial Well-Being National Survey

Documents and Forms

Document Name Document Type
Appendices_FWB_PRA_030416.pdf Other-Survey & Respondent-facing mat
Appendix F_GfK Welcome Booklet.pdf Panelist Welcome Booklet IC Document

Information Collection (IC) Details

IC Title:	Survey	Agency IC Tracking Number:

Is this a Common Form? No		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-Survey & Respondent-facing materials			Appendices_FWB_PRA_030416.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title: CFPB.022 Market and Consumer Research Records SORN	FR Citation: 77 FR 67802

Number of Respondents: 6,115	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	6,115	6,115
Annual IC Time Burden (Hours)	2,038	2,038
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Panelist Welcome Booklet	Appendix F_GfK Welcome Booklet.pdf	03/08/2016

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