Information Collection

Reverse Mortgage Discussion Guide Usability Testing

IC 227255 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⚠️ Notice: This information collection may be referencing outdated material.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
Screener_ReverseMortgageDiscussionGuide.pdf	Other-Screeners
Moderator Guide.pdf	Other-Moderator Guide
AppointmentConfirmationEmails_ReverseMortgageDiscussionGuide.pdf	Other-Confirmation Emails
AppointmentReminderEmails_ReverseMortgageDiscussionGuide.pdf	Other-Reminder Emails
Information Sheet_In Person Interviews.pdf	Other-Information Sheet_In Person In
Information Sheet_Remote Interviews.pdf	Other-Information Sheet_Remote Inter
Reverse Mortgages IC Template.pdf IC Submission Template	IC Document
cfpb_reverse_mortgage_booklet_r10.pdf CFPB Reverse Mortgage Booklet (Item tested)	IC Document

IC Title:

Reverse Mortgage Discussion Guide Usability Testing

Agency IC Tracking Number:

DI 00503

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-Screeners	Screener_ReverseMortgageDiscussionGuide.pdf	Yes	Yes	Fillable Fileable
Other-Moderator Guide	Moderator Guide.pdf	No		Printable Only
Other-Confirmation Emails	AppointmentConfirmationEmails_ReverseMortgageDiscussionGuide.pdf	Yes	Yes	Fillable Fileable
Other-Reminder Emails	AppointmentReminderEmails_ReverseMortgageDiscussionGuide.pdf	Yes	Yes	Fillable Fileable
Other-Information Sheet_In Person Interviews	Information Sheet_In Person Interviews.pdf	No		Printable Only
Other-Information Sheet_Remote Interviews	Information Sheet_Remote Interviews.pdf	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title: CFPB.022 â CFPB Market and Consumer Research

FR Citation: 77 FR 67802

Number of Respondents: 150

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	184	184
Annual IC Time Burden (Hours)	23	23
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
IC Submission Template	Reverse Mortgages IC Template.pdf	06/21/2017
CFPB Reverse Mortgage Booklet (Item tested)	cfpb_reverse_mortgage_booklet_r10.pdf	06/21/2017

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