Information Collection

National Survey of Unbanked and Underbanked Households (English Version)

IC 186195 under ICR 201904-3064-002 · OMB 3064-0167.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0167 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6494/03 National Survey of Unbanked and Underbanked Households (English Version)	Form and Instruction
6494/03 2019 National Survey of Unbanked and Underbanked Househo 2019 Unbanked Underbanked Household Survey Questionnaire.pdf	Form and Instruction
Justification Memo 0167 - Non substatntive revision to upload 2019 Survey Questionnaire as an IC form..docx Justification Memo for Non Substantive Revision	IC Document

IC Title:

National Survey of Unbanked and Underbanked Households (English Version)

Agency IC Tracking Number:

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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	6494/03	2019 National Survey of Unbanked and Underbanked Households	2019 Unbanked Underbanked Household Survey Questionnaire.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	40,000	40,000
Annual IC Time Burden (Hours)	6,000	6,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification Memo for Non Substantive Revision	Justification Memo 0167 - Non substatntive revision to upload 2019 Survey Questionnaire as an IC form..docx	04/22/2019

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.