Evaluation Instruments

Evaluation of Financial Empowerment Training Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3170-0067 can be found here:

Documents and Forms

Document Name Document Type
3170-0067 (2019 Renewal) Instrument 1 Trainer Survey 02-20-19 OMB.pdf Other-Trainer Survey
3170-0067 (2019) Instrument 2 Pre-Training Survey 02-20-19 OMB.pdf Other-Pre-Training Survey
3170-0067 (2019) Instrument 3 Post-Training Survey 02-20-19 OMB.pdf Other-Post-Training Survey

Information Collection (IC) Details

IC Title:	Evaluation Instruments	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Trainer Survey	3170-0067 (2019 Renewal) Instrument 1 Trainer Survey 02-20-19 OMB.pdf	Yes	Yes	Fillable Fileable
Other-Pre-Training Survey	3170-0067 (2019) Instrument 2 Pre-Training Survey 02-20-19 OMB.pdf	Yes	Yes	Fillable Fileable
Other-Post-Training Survey	3170-0067 (2019) Instrument 3 Post-Training Survey 02-20-19 OMB.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: 7,500	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	15,300	-15,750	-16,700	47,750
Annual IC Time Burden (Hours)	1,899	-6,428	-2,011	10,338
Annual IC Cost Burden (Dollars)	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.