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Application Forms
Application Forms for Financial Empowerment Training Programs
OMB: 3170-0068
IC ID: 222949
OMB.report
CFPB
OMB 3170-0068
ICR 202109-3170-003
IC 222949
( )
Documents and Forms
Document Name
Document Type
3170-0068 Tax Time Savings Application Form - OMB.pdf
Other-Application
3170-0068 Tax Time Savings Application Form - OMB.pdf
Other-Application
Your Money, Your Goals Cohort application
3170-0068 Updated 2022 YMYG application.pdf
Form and Instruction
Your Money, Your Goals Cohort application
3170-0068 Updated 2022 YMYG application.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Application 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
3170-0068 Tax Time Savings Application Form - OMB.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
Your Money, Your Goals Cohort application
3170-0068 Updated 2022 YMYG application.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:
CFPB.021 CFPB Consumer Education and Engagement Records, 77 F.R. 60382
FR Citation:
83 FR 23435
Number of Respondents:
275
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
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
275
0
0
0
0
275
Annual IC Time Burden (Hours)
825
0
0
0
0
825
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.