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Consumer Response Customer Survey
Consumer Response Customer Response Survey
OMB: 3170-0069
IC ID: 224625
OMB.report
CFPB
OMB 3170-0069
ICR 201607-3170-004
IC 224625
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3170-0069 can be found here:
2023-07-20 - Extension without change of a currently approved collection
2023-05-16 - No material or nonsubstantive change to a currently approved collection
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
Form No.
Form Name
Instrument File
URL
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
Federal Enterprise Architecture Business Reference Module
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 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
93,700
0
93,700
0
0
0
Annual IC Time Burden (Hours)
4,685
0
4,685
0
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.