Information Collection

FinEx Materials User Testing

IC 225297 under ICR 201605-3170-009 · OMB 3170-0036.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

FinEx Materials User Testing

Agency IC Tracking Number:

DI 00464

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.