Target audience screener questions (Black)

Generic Information Collection Plan for the Collection of Qualitative Feedback on Bureau Service Delivery

Target audience screener questions (Black)

OMB: 3170-0024

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Target audience screeners – Black

Privacy Notice

The information you provide to the Consumer Financial Protection Bureau (Bureau) will be used to better understand the needs of traditionally underserved consumers and minority groups, and what the Bureau can do to better reach them.

The Bureau will collect demographic information to determine whether you meet the criteria of those specific communities and are eligible to participate in this study. The Bureau will also capture audio recording during the study for note-taking purposes and to summarize the results from the study. No personally identifiable information (PII), to include your name or contact information, will be linked or associated with the feedback you provide or included in the results.

The collection of information is authorized by Pub. L. No. 111-203, Title X, Sections 1013 and 1022, codified at 12 U.S.C. §§ 5493 and 5512.


Participation is voluntary.

Black

1. What is your race or ethnicity? (single select)

  • I prefer not to answer (reject)

  • I identify with two or more races or ethnicities (reject)

  • American Indian or Alaska Native (reject)

  • Asian (reject)

  • Black or African American (accept)

  • Hispanic or Latino/Latina/Latinx (reject)

  • Middle Eastern or North African (reject)

  • Native Hawaiian and Pacific Islander (reject)

  • White (reject)

  • My race or ethnicity is not listed here (reject)

2. Some questions in this study will ask you about personal finance topics. Are you comfortable discussing personal finance today? (single select)

  • Yes, I’m comfortable talking about personal finance today. (accept)

  • No, I would prefer not to discuss personal finance today. (reject)



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