Information Collection Request

Consumer Response Intake Form

ICR 202304-3170-001 · OMB 3170-0011 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 3170-0011 can be found here:

Forms and Documents

Forms and supporting documents for this ICR
Document	Type	Status	Availability
Consumer Response Intake Instruments and Product Subproduct Issue and Subissue Values (updated 4-2023).docx	Supplementary Document	Uploaded 2023-04-20	Repair queued
Inventory of Questions for the CFPB's CR Intake Form (updated 4-2023).docx	Supplementary Document	Uploaded 2023-04-20	Repair queued
3170-0011 Nonsubstantive Change Justification (4-20-2023).docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-04-20	Repair queued
3170-0011 supporting statement (revised on 1-31-2023).docx	Supporting Statement A	Uploaded 2023-01-31	Available
3170-0011 30-day FRN (published).pdf	Supplementary Document	Uploaded 2022-10-05	Repair queued
3170-0011 60-day FRN (published).pdf	Supplementary Document	Uploaded 2022-10-03	Repair queued

Information collection document groups
IC ID	Collection	Type	Status	Form
198358	Consumer Response Intake Form	Other-collection instruments	Unchanged

Record metadata
Status	Received in OIRA
Agency/Subagency	CFPB
OMB Control No	3170-0011
Type of Information Collection	No material or nonsubstantive change to a currently approved collection
Previous ICR Reference No	202205-3170-001
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31