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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

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.