Information Collection

Financial Coaching Survey Host Sites and Partners

IC 237510 under ICR 202002-3170-001 · OMB 3170-0036.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3170-0036 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0036 financial coaching hosts site OMB.pdf	Other-Survey
0036 financial coaching local network OMB.pdf	Other-Survey
financial coaching email OMB.pdf	Other-Recruiting Email
0036 finacial coaching ic template OMB.pdf Supporting Statement	IC Document

IC Title:

Financial Coaching Survey Host Sites and Partners

Agency IC Tracking Number:

DI00656 (NEW)

IC Status: Unchanged

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-Survey	0036 financial coaching hosts site OMB.pdf	Yes	Yes	Fillable Fileable
Other-Survey	0036 financial coaching local network OMB.pdf	Yes	Yes	Fillable Fileable
Other-Recruiting Email	financial coaching email OMB.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: 500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement	0036 finacial coaching ic template OMB.pdf	08/22/2019

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