Information Collection

MEM Follow-up Survey 2022 (Sample 4/Wave 2)

IC 262111 under ICR 202312-3170-002 · OMB 3170-0080.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3170-0080 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
MEM Follow-up Survey 2022 (Sample 4/Wave 2)	Form
MEM Follow-up Survey 2022 (Sample 4/Wave 2)	Form
Follow-up Survey MEM S4W2 Survey draft.docx	Form
Follow-up Survey MEM S4W2 Survey draft.docx	Form

IC Title:

MEM Follow-up Survey 2022 (Sample 4/Wave 2)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 12 CFR 1021

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	N/A	Follow-up Survey	MEM S4W2 Survey draft.docx		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title: CFPB.022 Market and Consumer Research Records

FR Citation: 83 FR 23435

Number of Respondents: 1,500

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	Previously Approved
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	375	375
Annual IC Cost Burden (Dollars)	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.