Screening/Participation Instruments

Qualitative Testing of Integrated Mortgage Loan Disclosure Forms

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0233 can be found here:

Documents and Forms

Document Name Document Type
PRA tool Acknowledgement Letter to Participants 0511.doc Other-Acknowledgement Letter
PRA tool consent forms 051111.doc Other-Consent Form
PRA tool consumer recruitment phone script.doc Other-Recruitment Script
PRA tool industry recruitment phone script.doc Other-Recruitment Script
PRA tool moderators guide consumer 0511.docx Other-Moderator's Guide
PRA tool moderators guide industry 0511.docx Other-Moderator's Guide
PRA tool participant questionaire 051111.doc Other-Participant Questionaire
PRA tool Participant Reminder Telephone Script 0511.doc Other-Participant Reminder
PRA tool scenario cards 051111.doc Other-Scenario Cards
Description of Study-Overview.doc Description of Study/Overview IC Document

Information Collection (IC) Details

IC Title:	Screening/Participation Instruments	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Recruitment Script	PRA tool industry recruitment phone script.doc	No	Paper Only
Other-Moderator's Guide	PRA tool moderators guide consumer 0511.docx	No	Paper Only
Other-Consent Form	PRA tool consent forms 051111.doc	No	Paper Only
Other-Recruitment Script	PRA tool consumer recruitment phone script.doc	No	Paper Only
Other-Moderator's Guide	PRA tool moderators guide industry 0511.docx	No	Paper Only
Other-Acknowledgement Letter	PRA tool Acknowledgement Letter to Participants 0511.doc	No	Paper Only
Other-Participant Reminder	PRA tool Participant Reminder Telephone Script 0511.doc	No	Paper Only
Other-Scenario Cards	PRA tool scenario cards 051111.doc	No	Paper Only
Other-Participant Questionaire	PRA tool participant questionaire 051111.doc	No	Paper Only

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 230	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	230	230
Annual IC Time Burden (Hours)	315	315
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Description of Study/Overview	Description of Study-Overview.doc	04/05/2011

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