Customer Complaint Form

ICR 202107-1557-002

OMB: 1557-0232

Federal Form Document

Forms and Documents
Document
Name
Status
Justification for No Material/Nonsubstantive Change
2021-07-14
Supporting Statement A
2021-06-02
IC Document Collections
IC ID
Document
Title
Status
20142 Modified
ICR Details
1557-0232 202107-1557-002
Received in OIRA 202101-1557-004
TREAS/OCC
Customer Complaint Form
No material or nonsubstantive change to a currently approved collection   No
Regular 07/14/2021
  Requested Previously Approved
07/31/2024 07/31/2024
10,000 10,000
3,300 3,300
0 0

The Customer Complaint Form was developed as a courtesy for those who contact the OCC's Customer Assistance Group and wish to file a formal, written complaint. The OCC is updating its mailing address through this nonmaterial change.

US Code: 15 USC 57a(f)(1) Name of Law: The Federal Trade Commission Act
  
None

Not associated with rulemaking

  86 FR 14682 03/17/2021
86 FR 31580 06/14/2021
No

1
IC Title Form No. Form Name
Customer Complaint Form N/A, N/A Declaracion de la Ley de Privacidad ,   Customer Complaint Form

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 10,000 10,000 0 0 0 0
Annual Time Burden (Hours) 3,300 3,300 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The increase in burden is due to an increase in the time required to complete the narrative portion of the form.

$0
No
    Yes
    Yes
No
No
No
No
Michelle Parham 713 336-4343 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
07/14/2021


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