Information Collection

Consumer Online Complaint Form

IC 183689 under ICR 202002-7100-016 · OMB 7100-0135.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 7100-0135 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FR 1379c Consumer Online Complaint Form	Form
FR 1379c Consumer Online Complaint Form FR1379c_20200229_f.pdf forms.federalreserveconsumerhelp.gov/secure/complaint/formComplaintIntro	Form

IC Title:

Consumer Online Complaint Form

Agency IC Tracking Number:

FR 1379c

Is this a Common Form? No

IC Status: Modified

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	FR 1379c	Consumer Online Complaint Form	FR1379c_20200229_f.pdf	https://forms.federalreserveconsumerhelp.gov/secure/complaint/formComplaintIntro	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,719

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	Previously Approved
Annual Number of Responses for this IC	6,719	6,719
Annual IC Time Burden (Hours)	1,120	1,120
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.