Information Collection

Transaction Receipts

IC 224545 under ICR 202112-3170-001 · OMB 3170-0014.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3170-0014 can be found here:

Documents and Forms

Document Name Document Type
102016_cfpb_PrepaidDisclosures.pdf Other-Model FOrm and Disclosure-prep
102016_cfpb_PrepaidDisclosures.pdf Other-Model FOrm and Disclosure-prep
Model Forms and disclosures for remittances.pdf Other-Model Forms and disclosures re
Model Forms and disclosures for remittances.pdf Other-Model Forms and disclosures re

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Transaction Receipts	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 1005

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Model FOrm and Disclosure-prepaid rule			102016_cfpb_PrepaidDisclosures.pdf		Yes	No	Printable Only
Other-Model Forms and disclosures remittances			Model Forms and disclosures for remittances.pdf		Yes	No	Printable Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,000,000	-3,247,128	7,247,128
Annual IC Time Burden (Hours)	80,000	-3,342,163	3,422,163
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.