National Survey of Unbanked and Underbanked Households (English Version)

National Survey of Unbanked and Underbanked Households

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0167 can be found here:

Documents and Forms

Document Name Document Type
Form 6494/03 National Survey of Unbanked and Underbanked Households (English Version) Form and Instruction
6494/03 2019 National Survey of Unbanked and Underbanked Househo 2019 Unbanked Underbanked Household Survey Questionnaire.pdf Form and Instruction
Justification Memo 0167 - Non substatntive revision to upload 2019 Survey Questionnaire as an IC form..docx Justification Memo for Non Substantive Revision IC Document

Information Collection (IC) Details

IC Title:	National Survey of Unbanked and Underbanked Households (English Version)	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
Form and Instruction	6494/03	2019 National Survey of Unbanked and Underbanked Households	2019 Unbanked Underbanked Household Survey Questionnaire.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40,000	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	40,000	40,000
Annual IC Time Burden (Hours)	6,000	6,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification Memo for Non Substantive Revision	Justification Memo 0167 - Non substatntive revision to upload 2019 Survey Questionnaire as an IC form..docx	04/22/2019

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