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Evaluation Instruments
Evaluation of Financial Empowerment Training Program
OMB: 3170-0067
IC ID: 222549
OMB.report
CFPB
OMB 3170-0067
ICR 201607-3170-003
IC 222549
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3170-0067 can be found here:
2023-02-24 - Revision of a currently approved collection
2019-10-18 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Instrument 1 30-day FRN.pdf
Other-Train-the-Trainer Feedback Sur
Instrument 2 Trainer Survey 30-day FRN.pdf
Other-Trainer Survey for Your Money,
Instrument 3a Pre-Training Survey 30-day FRN.pdf
Other-Pre-Training Survey for Your M
Instrument 3b Post-Training Survey 30-day FRN.pdf
Other-Post-Training Survey for Your
Instrument 4 30-day FRN.pdf
Other-Follow-Up Survey for Your Mone
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Evaluation Instruments
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Train-the-Trainer Feedback Survey
Instrument 1 30-day FRN.pdf
No
Paper Only
Other-Trainer Survey for Your Money, Your Goals
Instrument 2 Trainer Survey 30-day FRN.pdf
No
Paper Only
Other-Pre-Training Survey for Your Money, Your Goals
Instrument 3a Pre-Training Survey 30-day FRN.pdf
No
Paper Only
Other-Post-Training Survey for Your Money, Your Goals
Instrument 3b Post-Training Survey 30-day FRN.pdf
No
Paper Only
Other-Follow-Up Survey for Your Money, Your Goals users
Instrument 4 30-day FRN.pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Financial Sector Oversight
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
15,750
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
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
47,750
0
0
47,750
0
0
Annual IC Time Burden (Hours)
10,338
0
0
10,338
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.