Information Collection

Cognitive Testing for 2021 Unbnanked and Underbanked Household Survey

IC 243414 under ICR 201912-3064-002 · OMB 3064-0198.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0198 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
FDIC_Screener_2020-08-31.docx	Other-Screener Script
hhsurvey_2021instrument_20200831_CogTest_Qs.docx	Other-Questions for Cognitive Test
Justification Memo 0198 - Cognitive Testing for 2021 Household Survey.docx Justification Memo Cognitive Testing 2021 Household Survey	IC Document

IC Title:

Cognitive Testing for 2021 Unbnanked and Underbanked Household Survey

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
Other-Screener Script			FDIC_Screener_2020-08-31.docx		Yes	Yes	Fillable Fileable
Other-Questions for Cognitive Test			hhsurvey_2021instrument_20200831_CogTest_Qs.docx		No		Paper Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	52	52
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification Memo Cognitive Testing 2021 Household Survey	Justification Memo 0198 - Cognitive Testing for 2021 Household Survey.docx	09/01/2020

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