Application for the Bureau’s Advisory Committees

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Financial Disclosure Form	Form	New	Available
Financial Disclosure Form	Form	New	Repair queued
FBI Name check Request - Advisory Committee	Form	New	Available
FBI Name Check Form	Form	New	Repair queued
Application to Serve as a Small Entity Representative	Form	New	Repair queued
Application To Serve as a Small Entity Representative	Form	New	Repair queued
CBAU and CUAC Application	Form	New	Available
Application to Serve on the Community Bank Advisory Council or Credit Union Advisory Council	Form	New	Repair queued
Academic Research Council Application	Form	New	Available
Application to Serve on the Academic Research Council	Form	New	Repair queued
Consumer Advisory Board Application	Form	New	Available
Application to Serve on the Consumer Advisory Board	Form	New	Repair queued
Travel Information Form	Form	Modified	Available
CFPB Travel Information Form	Form	Modified	Repair queued
3170-0037 Supporting Statement.docx	Supporting Statement A	Uploaded 2023-01-25	Repair queued
3170-0037 30-day FRN (published).pdf	Supplementary Document	Uploaded 2023-01-11	Repair queued
3170-0037 60-day FRN (published).pdf	Supplementary Document	Uploaded 2022-12-20	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
257662	Financial Disclosure Form	Form	New	Financial Disclosure Form
257662	Financial Disclosure Form	Form	New
257658	FBI Name Check Form	Form	New	FBI Name check Request - Advisory Committee
257658	FBI Name Check Form	Form	New
257656	Application To Serve as a Small Entity Representative	Form	New	Application to Serve as a Small Entity Representative
257656	Application To Serve as a Small Entity Representative	Form	New
257655	Application to Serve on the Community Bank Advisory Council or Credit Union Advisory Council	Form	New	CBAU and CUAC Application
257655	Application to Serve on the Community Bank Advisory Council or Credit Union Advisory Council	Form	New
257654	Application to Serve on the Academic Research Council	Form	New	Academic Research Council Application
257654	Application to Serve on the Academic Research Council	Form	New
257650	Application to Serve on the Consumer Advisory Board	Form	New	Consumer Advisory Board Application
257650	Application to Serve on the Consumer Advisory Board	Form	New
204699	CFPB Travel Information Form	Form	Modified	Travel Information Form
204699	CFPB Travel Information Form	Form	Modified

ICR Details

OMB Control No: 3170-0037	ICR Reference No: 202212-3170-005
Status: Historical Active	Previous ICR Reference No: 201911-3170-002
Agency/Subagency: CFPB	Agency Tracking No:
Title: Application for the Bureau’s Advisory Committees
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/30/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/25/2023
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2026	36 Months From Approved	03/31/2023
Responses	735	0	735
Time Burden (Hours)	491	0	491
Cost Burden (Dollars)	0	0	0

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Abstract: The Director of the Consumer Financial Protection Bureau (CFPB or the Bureau) may invite individuals with special expertise to serve on the Bureau’s advisory committees. The selection-related material will allow the Bureau to obtain information on the qualifications of individuals nominated to an advisory committee and will aid the Bureau in selecting members for service on an advisory committee. The selection-related information will also aid the Bureau in determining the appropriateness of participation in particular matters. The information collected from applicants will aid the Bureau in the exercise of its functions. The feedback collected will allow the Bureau to evaluate and improve its advisory committee program. Information collected will be used for vetting candidates, issue travel orders or provide reimbursement for travel expenses, as applicable.

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Authorizing Statute(s): PL: Pub.L. 111 - 203 1014(b) Name of Law: Dodd-Frank Wall Street Reform and Consumer Protection Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 64775	10/26/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 1566	01/11/2023
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 7

table that charts list of burden

IC Title	Form No.	Form Name
Application To Serve as a Small Entity Representative	N/A	Application to Serve as a Small Entity Representative
Application to Serve on the Academic Research Council	N/A	Academic Research Council Application
Application to Serve on the Community Bank Advisory Council or Credit Union Advisory Council	N/A	CBAU and CUAC Application
Application to Serve on the Consumer Advisory Board	N/A	Consumer Advisory Board Application
CFPB Travel Information Form	N/A	Travel Information Form
FBI Name Check Form	N/A	FBI Name check Request - Advisory Committee
Financial Disclosure Form	N/A	Financial Disclosure Form

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	735	735	0	0	0	0
Annual Time Burden (Hours)	491	491	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: There are no program or burden estimate changes.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Yes

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 01/25/2023

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