Information Collection

National Survey of Unbanked and Underbanked Households (English Version)

IC 186195 under ICR 202210-3064-001 · OMB 3064-0167.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6494/03 National Survey of Unbanked and Underbanked Households (English Version)	Form and Instruction
Form 6494/03 National Survey of Unbanked and Underbanked Households (English Version)	Form and Instruction
6494/03 2019 National Survey of Unbanked and Underbanked Househo 2019 Unbanked Underbanked Household Survey Questionnaire.pdf	Form and Instruction
6494/03 2019 National Survey of Unbanked and Underbanked Househo 2019 Unbanked Underbanked Household Survey Questionnaire.pdf	Form and Instruction
Justification Memo 0167 - Non substatntive revision to upload 2019 Survey Questionnaire as an IC form..docx Justification Memo for Non Substantive Revision	IC Document
Justification Memo 0167 - Non substatntive revision to upload 2019 Survey Questionnaire as an IC form..docx Justification Memo for Non Substantive Revision	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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
Form and Instruction	6494/03	2019 National Survey of Unbanked and Underbanked Households	2019 Unbanked Underbanked Household Survey Questionnaire.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: 40,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	40,000	40,000
Annual IC Time Burden (Hours)	6,000	6,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification Memo for Non Substantive Revision	Justification Memo 0167 - Non substatntive revision to upload 2019 Survey Questionnaire as an IC form..docx	04/22/2019

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