Customer Complaint Form

Documents and Forms

Document Name Document Type
CAMP Complaint Submission - CAMP Consumer Portal.pdf Other-Consumer Portal
CAMP Complaint Submission - CAMP Consumer Portal.pdf Other-Consumer Portal
Privacy Act Statement.docx Other-Privacy Act Statement
Privacy Act Statement.docx Other-Privacy Act Statement
Customer Complaint Form (English) customer-complaint-form-English.pdf Form
Customer Complaint Form (English) customer-complaint-form-English.pdf Form
Customer Complaint Form (Spanish Revised) PREVIEW_Complaint Form -Consumer Spanish Revised 9.2.25.pdf Form
Customer Complaint Form (Spanish Revised) PREVIEW_Complaint Form -Consumer Spanish Revised 9.2.25.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Customer Complaint Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Consumer Portal			CAMP Complaint Submission - CAMP Consumer Portal.pdf	Yes	Yes	Fillable Fileable
Form	N/A	Customer Complaint Form (English)	customer-complaint-form-English.pdf	Yes	Yes	Fillable Fileable Signable
Other-Privacy Act Statement			Privacy Act Statement.docx	Yes	No	Printable Only
Form	N/A	Customer Complaint Form (Spanish Revised)	PREVIEW_Complaint Form -Consumer Spanish Revised 9.2.25.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	10,000	10,000
Annual IC Time Burden (Hours)	3,300	3,300
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.