Information Collection

Survey

IC 220507 under ICR 201603-3170-002 · OMB 3170-0063.

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.