2019 Fintech Forward Feedback Survey Form

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3038-0107 can be found here:

Documents and Forms

Document Name Document Type
Form 3038-0107 2019 Fintech Forward Feedback Survey Form Form
3038-0107 Fintech Forward 2019 Feedback Survey Fintech Forward 2019 Feedback Survey - 10-2019.docx Form
FinTechForward2019_fast-track PRA submission form - 10-09-2019.docx Fintech Forward Fast Track Submission Request IC Document

Information Collection (IC) Details

IC Title:	2019 Fintech Forward Feedback Survey Form	Agency IC Tracking Number:

IC Status: New

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	3038-0107	Fintech Forward 2019 Feedback Survey	Fintech Forward 2019 Feedback Survey - 10-2019.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title: CFTC SORN-53	FR Citation: 84 FR 17814

Number of Respondents: 350	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	350	350
Annual IC Time Burden (Hours)	58	58
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fintech Forward Fast Track Submission Request	FinTechForward2019_fast-track PRA submission form - 10-09-2019.docx	04/01/2020

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