Information Collection

2019 Fintech Forward Feedback Survey Form

IC 241066 under ICR 201909-3038-003 · OMB 3038-0107.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3038-0107 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3038-0107 2019 Fintech Forward Feedback Survey Form	Form
3038-0107 Fintech Forward 2019 Feedback Survey Fintech Forward 2019 Feedback Survey - 10-2019.docx	Form
FinTechForward2019_fast-track PRA submission form - 10-09-2019.docx Fintech Forward Fast Track Submission Request	IC Document

IC Title:

2019 Fintech Forward Feedback Survey Form

Agency IC Tracking Number:

IC Status: New

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	3038-0107	Fintech Forward 2019 Feedback Survey	Fintech Forward 2019 Feedback Survey - 10-2019.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title: CFTC SORN-53

FR Citation: 84 FR 17814

Number of Respondents: 350

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	350	350
Annual IC Time Burden (Hours)	58	58
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fintech Forward Fast Track Submission Request	FinTechForward2019_fast-track PRA submission form - 10-09-2019.docx	04/01/2020

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