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Application and Related Forms
Consumer Advisory Boards, Groups and Committees
OMB: 3170-0037
IC ID: 204699
OMB.report
CFPB
OMB 3170-0037
ICR 201607-3170-001
IC 204699
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3170-0037 can be found here:
2023-01-25 - Extension without change of a currently approved collection
2019-12-02 - Reinstatement with change of a previously approved collection
Documents and Forms
Document Name
Document Type
Application to Serve as a Small Entity Representative 4_6.pdf
Other-Application to Serve as a Smal
cfpb_OD_ARC_Application_040616.pdf
Other-ARC Application
cfpb_OD_CAB_Application_040616.pdf
Other-CAB Application
cfpb_OD_CBAC_CUAC_Application_040616.pdf
Other-CBAC CUAC Application
CFPB Travel Information Form.pdf
Other-CFPB Travel Form
TSA Travel Information Form 4_6.pdf
Other-TSA Travel Form
FBI Name Check Form 4_6.pdf
Other-FBI Name Check Form
Consumer Advisory Board Member Survey 4_6.pdf
Other-CAB Member Survey
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Application and Related Forms
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
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Application to Serve as a Small Entity Rep
Application to Serve as a Small Entity Representative 4_6.pdf
Yes
Yes
Fillable Fileable
Other-ARC Application
cfpb_OD_ARC_Application_040616.pdf
Yes
Yes
Fillable Fileable
Other-CAB Application
cfpb_OD_CAB_Application_040616.pdf
No
Fillable Fileable
Other-CBAC CUAC Application
cfpb_OD_CBAC_CUAC_Application_040616.pdf
Yes
Yes
Fillable Fileable
Other-CFPB Travel Form
CFPB Travel Information Form.pdf
Yes
Yes
Fillable Fileable
Other-TSA Travel Form
TSA Travel Information Form 4_6.pdf
Yes
Yes
Fillable Fileable
Other-FBI Name Check Form
FBI Name Check Form 4_6.pdf
Yes
Yes
Fillable Fileable
Other-CAB Member Survey
Consumer Advisory Board Member Survey 4_6.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Financial Sector Oversight
Privacy Act System of Records
Title:
Advisory Boards and Committees
FR Citation:
77 FR 12034
Number of Respondents:
425
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
80 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
805
0
0
-895
0
1,700
Annual IC Time Burden (Hours)
503
0
0
-772
0
1,275
Annual IC Cost Burden (Dollars)
0
0
0
0
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.