Information Collection

Consumer Response Company Response Survey

IC 224625 under ICR 202306-3170-001 · OMB 3170-0069.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
PRA and Privacy Statements.docx	Other-PRA and Privacy Statements
PRA and Privacy Statements.docx	Other-PRA and Privacy Statements
Company Response Survey (Web and Phone).pdf	Other-Survey
Company Response Survey (Web and Phone).pdf	Other-Survey

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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-PRA and Privacy Statements			PRA and Privacy Statements.docx		No		Printable Only
Other-Survey			Company Response Survey (Web and Phone).pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title: CFPB.005, Consumer Response Database

FR Citation: 83 FR 32640

Number of Respondents: 66,700

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	66,700	18,800	47,900
Annual IC Time Burden (Hours)	4,669	839	3,830
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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