Information Collection

Financial Well-Being Users Survey

IC 256052 under ICR 202207-3170-001 · OMB 3170-0036.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Financial Well-Being Scale Survey Financial Well-Being Users Survey	Form
Financial Well-Being Scale Users Survey_participant invitation email.docx	Other-Invitation Email
Financial Well-Being Scale Users Survey_participant invitation email.docx	Other-Invitation Email
Financial Well-Being Scale Survey Financial Well-Being Scale Users Survey_survey instrument.docx	Form
Financial Well-Being Scale Survey Financial Well-Being Scale Users Survey_survey instrument.docx	Form
3170-0036_Generic_IC_Template_Financial Well-Being Scale Users Survey.docx 3170-0036 (Financial Well-Being Scale Users Survey) supporting statement	IC Document
3170-0036_Generic_IC_Template_Financial Well-Being Scale Users Survey.docx 3170-0036 (Financial Well-Being Scale Users Survey) supporting statement	IC Document

IC Title:

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Invitation Email			Financial Well-Being Scale Users Survey_participant invitation email.docx		Yes	Yes	Fillable Fileable
Form	N/A	Financial Well-Being Scale Survey	Financial Well-Being Scale Users Survey_survey instrument.docx		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title: CFPB.021 - CFPB Consumer Education and Engagement Records

FR Citation: 85 FR 3662

Number of Respondents: 1,000

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	1,000	1,000
Annual IC Time Burden (Hours)	333	333
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
3170-0036 (Financial Well-Being Scale Users Survey) supporting statement	3170-0036_Generic_IC_Template_Financial Well-Being Scale Users Survey.docx	09/21/2022

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