Information Collection

Client Information for the Client Management System

IC 214382 under ICR 201710-3170-001 · OMB 3170-0051.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Financial Coaching Data Capture for PRA Extension_08.28.2017.xlsx	Other-Data Capture
Financial_Well-Being_Questions_Financial_Coaching_08.07.2017.xlsx	Other-Well-Being Questions
cfpb_financial_coaching_program_handout_PRINT_v3.pdf	Other-Program Handout

IC Title:

Agency IC Tracking Number:

DI00542

Is this a Common Form? No

IC Status: Modified

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-Data Capture	Financial Coaching Data Capture for PRA Extension_08.28.2017.xlsx	Yes	Yes	Fillable Fileable
Other-Well-Being Questions	Financial_Well-Being_Questions_Financial_Coaching_08.07.2017.xlsx	Yes	Yes	Fillable Fileable
Other-Program Handout	cfpb_financial_coaching_program_handout_PRINT_v3.pdf	No		Paper Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title: CFPB.021 â Consumer Education and Engagement Records

FR Citation: 77 FR 60382

Number of Respondents: 7,200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	14,400	7,200	-2,800	10,000
Annual IC Time Burden (Hours)	3,600	0	-1,400	5,000
Annual IC Cost Burden (Dollars)	0	0	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.