Information Collection

Government Boarding Form

IC 218375 under ICR 202407-3170-003 · OMB 3170-0057.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Government Boarding Form	Form and Instruction
Boarding Form (CFPB Government Portal) REVISED Boarding Form (CFPB Government Portal).docx	Form and Instruction
Boarding Form (CFPB Government Portal) REVISED Boarding Form (CFPB Government Portal).docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 12 CFR 1070.43(b)(2)

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 and Instruction	N/A	Boarding Form (CFPB Government Portal)	REVISED Boarding Form (CFPB Government Portal).docx		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title: CFPB.005 - Consumer Response System

FR Citation: 83 FR 32640

Number of Respondents: 15

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	3	3
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.