Application Forms

Application Forms for Financial Empowerment Training Programs

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3170-0068 can be found here:

Documents and Forms

Document Name Document Type
3170-0068 Tax Time Savings Application Form - OMB.pdf Other-Application
3170-0068 Updated YMYG application OMB.pdf Other-Application

Information Collection (IC) Details

IC Title:	Application Forms	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Application			3170-0068 Tax Time Savings Application Form - OMB.pdf		Yes	Yes	Fillable Fileable
Other-Application			3170-0068 Updated YMYG application OMB.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title: CFPB.021 CFPB Consumer Education and Engagement Records, 77 F.R. 60382	FR Citation: 83 FR 23435

Number of Respondents: 275	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	275	-50	0	325
Annual IC Time Burden (Hours)	825	-250	-550	1,625
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

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.