Information Collection

Financial Well-Being Users Survey

IC 240982 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⚠️ Notice: This information collection may be referencing outdated material.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
Financial Well-Being Scale Users Survey_participant invitation email OMB.docx	Other-Invitation Email
Financial Well-Being Scale Users Survey_survey instrument OMB.docx	Other-Survey
3170-0036_Generic_IC_Template_Financial Well-Being Scale Users Survey OMB.docx IC Submission Template	IC Document

IC Title:

Financial Well-Being Users 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-Invitation Email			Financial Well-Being Scale Users Survey_participant invitation email OMB.docx		Yes	Yes	Fillable Fileable
Other-Survey			Financial Well-Being Scale Users Survey_survey instrument OMB.docx		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title: CFPB.021 â CFPB Consumer Education and Engagement Records

FR Citation: 85 FR 3662

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	330	330
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
IC Submission Template	3170-0036_Generic_IC_Template_Financial Well-Being Scale Users Survey OMB.docx	03/27/2020

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