Information Collection

Evaluation Instruments

IC 222549 under ICR 201607-3170-003 · OMB 3170-0067.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3170-0067 can be found here:

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of instruments
Document Type	Instrument File	Available 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

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 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	47,750	47,750
Annual IC Time Burden (Hours)	10,338	10,338
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.