FinEx Materials User Testing

Generic Information Collection Plan for Qualitative Consumer Education, Engagement and Experience Information Collections

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3170-0036 can be found here:

Documents and Forms

Document Name Document Type
FinEx materials user testing participant screening questions 1-19-17.pdf Other-Screener
FinEx materials user testing consent form 1-19-17.pdf Other-Consent Form
FinEx materials user testing recruitment email 1-19-17.pdf Other-Recruitment Email
FinEx materials user testing focus group discussion guide 1-19-17.pdf Other-Discussion Guide
3170-0036 - CEE Generic IC Template FinEx materials user testing 1-19-17.pdf IC Submission Template IC Document
Auto Loan Shopping Sheet.pdf Auto Loan Shopping Sheet IC Document
Behind on Bills.pdf Behind on Bills IC Document
CFPB FinEx resource inventory.pdf FinEx Resource Inventory IC Document
Families and Money - MoneyChoices.pdf Money Choices IC Document
Families and Money - MoneyCircle.pdf Money Circle IC Document
Families and Money - MoneyStyle.pdf Money Style IC Document
FinEx materials user testing privacy statement 1-19-17.docx.pdf FinEx UX Privacy Statement IC Document
CFPB financial well being scale scoring sheet.pdf Scoring Scale IC Document
CFPB financial well being scale questionnaire.pdf Scale Questionaire IC Document

Information Collection (IC) Details

IC Title:	FinEx Materials User Testing	Agency IC Tracking Number:	DI 00464

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screener	FinEx materials user testing participant screening questions 1-19-17.pdf	Yes	Yes	Fillable Fileable
Other-Consent Form	FinEx materials user testing consent form 1-19-17.pdf	No		Paper Only
Other-Recruitment Email	FinEx materials user testing recruitment email 1-19-17.pdf	Yes	Yes	Fillable Fileable
Other-Discussion Guide	FinEx materials user testing focus group discussion guide 1-19-17.pdf	No		Paper Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

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

Number of Respondents: 160	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 53 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	296	296
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
IC Submission Template	3170-0036 - CEE Generic IC Template FinEx materials user testing 1-19-17.pdf	01/24/2017
Auto Loan Shopping Sheet	Auto Loan Shopping Sheet.pdf	01/24/2017
Behind on Bills	Behind on Bills.pdf	01/24/2017
FinEx Resource Inventory	CFPB FinEx resource inventory.pdf	01/24/2017
Money Choices	Families and Money - MoneyChoices.pdf	01/24/2017
Money Circle	Families and Money - MoneyCircle.pdf	01/24/2017
Money Style	Families and Money - MoneyStyle.pdf	01/24/2017
FinEx UX Privacy Statement	FinEx materials user testing privacy statement 1-19-17.docx.pdf	01/24/2017
Scoring Scale	CFPB financial well being scale scoring sheet.pdf	01/24/2017
Scale Questionaire	CFPB financial well being scale questionnaire.pdf	01/24/2017

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