Information Collection

Customer Experience Surveys

IC 250907 under ICR 202112-3170-003 · OMB 3170-0024.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3170-0024 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Customer Experience Surveys	Form and Instruction
Pre-Event Survey Customer Experience Surveys	Form and Instruction
Post-Event Survey Customer Experience Surveys	Form and Instruction
General Engagement Survey Customer Experience Surveys	Form and Instruction
Pre-Event Survey Pre-Event Survey.pdf	Form and Instruction
Pre-Event Survey Pre-Event Survey.pdf	Form and Instruction
Post-Event Survey Post-Event Survey.pdf	Form and Instruction
Post-Event Survey Post-Event Survey.pdf	Form and Instruction
General Engagement Survey General Engagement Survey.pdf	Form and Instruction
General Engagement Survey General Engagement Survey.pdf	Form and Instruction
3170-0024 (Customer Experience Surveys) supporting statement.docx 3170-0024 (Customer Experience Surveys) supporting statement.docx	IC Document
3170-0024 (Customer Experience Surveys) supporting statement.docx 3170-0024 (Customer Experience Surveys) supporting statement.docx	IC Document

IC Title:

Customer Experience Surveys

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.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title: CFPB.013 (External Contact Database)

FR Citation: 77 FR 2689

Number of Respondents: 20,802

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20,802	20,802
Annual IC Time Burden (Hours)	1,040	1,040
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
3170-0024 (Customer Experience Surveys) supporting statement.docx		03/07/2022

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

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