Information Collection

Protecting Older Account Holders Focus Groups

IC 229046 under ICR 201605-3170-009 · OMB 3170-0036.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
OlderAcctHolders_Screener.final.pdf Other-Screener
OlderAcctHoldersReminder Email_Phone script.final.pdf Other-Reminders
OlderAcctHolders_Consent.final.pdf Other-Consent Form
OlderAcctHolders_Moderator's Guide.final.pdf Other-Moderator's Guide
OlderAcctHolders_IC Template.FINAL.pdf
IC Submission Template
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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-Screener OlderAcctHolders_Screener.final.pdf Yes Yes Fillable Fileable
Other-Reminders OlderAcctHoldersReminder Email_Phone script.final.pdf Yes Yes Fillable Fileable
Other-Consent Form OlderAcctHolders_Consent.final.pdf No   Paper Only
Other-Moderator's Guide OlderAcctHolders_Moderator's Guide.final.pdf No   Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 258 0 258 0 0 0
Annual IC Time Burden (Hours) 65 0 65 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
IC Submission Template OlderAcctHolders_IC Template.FINAL.pdf 11/15/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.