Information Collection

Consumer Response Customer Survey

IC 224625 under ICR 201607-3170-004 · OMB 3170-0069.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3170-0069 can be found here:

Documents and Forms

Document Name Document Type
cfpb_feedback_form_paper_042017r2.pdf Other-Paper-based Survey
cfpb_feedback_form_phone_042017.pdf Other-Telephone Surey
cfpb_feedback_form_web_20170414.pdf Other-Web-based Survey
UPDATED Company Response Survey PHONE SCRIPT_04.20.17 (OMB).pdf Other-Phone Script

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Consumer Response Customer Survey	Agency IC Tracking Number:

Is this a Common Form? No		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-Web-based Survey	cfpb_feedback_form_web_20170414.pdf	Yes	Yes	Fillable Fileable
Other-Paper-based Survey	cfpb_feedback_form_paper_042017r2.pdf	No		Paper Only
Other-Telephone Surey	cfpb_feedback_form_phone_042017.pdf	No		Paper Only
Other-Phone Script	UPDATED Company Response Survey PHONE SCRIPT_04.20.17 (OMB).pdf	No		Paper Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title: CFPB.005, Consumer Response Database	FR Citation: 79 FR 21440

Number of Respondents: 93,700	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 33 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	93,700	93,700
Annual IC Time Burden (Hours)	4,685	4,685
Annual IC Cost Burden (Dollars)	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.