Information Collection

Money Smart for Older Adults (MSOA)

IC 251998 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⚠️ Notice: This information collection may be referencing outdated material.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
Money Smart for Older Adults (MSOA)	Form and Instruction
MSOA Participant Evaluation Form MSOA Participant Evaluation Form.pdf	Form and Instruction
MSOA Participant Evaluation Form MSOA Participant Evaluation Form.pdf	Form and Instruction
MSOA Participant Evaluation Form (Spanish version) MSOA Participant Evaluation Form (Spanish version).pdf	Form and Instruction
MSOA Participant Evaluation Form (Spanish version) MSOA Participant Evaluation Form (Spanish version).pdf	Form and Instruction
MSOA TTT Evaluation Form OMB MSOA TTT Evaluation Form OMB.pdf	Form and Instruction
MSOA TTT Evaluation Form OMB MSOA TTT Evaluation Form OMB.pdf	Form and Instruction
3170-0024 (Money Smart for Older Adults) supporting statement.docx 3170-0024 (Money Smart for Older Adults) supporting statement.docx	IC Document
3170-0024 (Money Smart for Older Adults) supporting statement.docx 3170-0024 (Money Smart for Older Adults) supporting statement.docx	IC Document

IC Title:

Money Smart for Older Adults (MSOA)

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.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	MSOA Participant Evaluation Form	MSOA Participant Evaluation Form.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	MSOA Participant Evaluation Form (Spanish version)	MSOA Participant Evaluation Form (Spanish version).pdf	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	MSOA TTT Evaluation Form OMB	MSOA TTT Evaluation Form OMB.pdf	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10,000

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	10,000	10,000
Annual IC Time Burden (Hours)	710	710
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
3170-0024 (Money Smart for Older Adults) supporting statement.docx	3170-0024 (Money Smart for Older Adults) supporting statement.docx	04/07/2022

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