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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.