Information Collection

Full Survey

IC 268420 under ICR 202406-3170-001 · OMB 3170-0083.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3170-0083 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Consumer Recruiting Email Templates_Privacy.docx	Other-Recruitment Email
Consumer Recruiting Email Templates_Privacy.docx	Other-Recruitment Email
20240202 Consumer Complaint Survey Recruitment PAS.pdf	Other-Privacy act Statement Recruitm
20240202 Consumer Complaint Survey Recruitment PAS.pdf	Other-Privacy act Statement Recruitm
CFPB Consumer Questionnaire_final_Privacy.docx	Other-Survey Instrument
CFPB Consumer Questionnaire_final_Privacy.docx	Other-Survey Instrument

IC Title:

Full Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 12 CFR 1013

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Recruitment Email	Consumer Recruiting Email Templates_Privacy.docx	Yes	Yes	Fillable Fileable
Other-Privacy act Statement Recruitment Email	20240202 Consumer Complaint Survey Recruitment PAS.pdf	Yes	Yes	Fillable Fileable
Other-Survey Instrument	CFPB Consumer Questionnaire_final_Privacy.docx	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,000

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6,000	6,000
Annual IC Time Burden (Hours)	1,200	1,200
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.