Consumer Advisory Boards, Groups and Committees

Forms and Documents

Document Name	Status
Form 3170-XXXX FBI Name Check Form Form and Instruction	Removed
Form 3170-XXXX CFPB Travel Form Form and Instruction	Removed
Form 3170-XXXX TSA Travel Information Form Form and Instruction	Removed
Form 3170-XXXX Consumer Advisory Board Post Meeting Survey Form and Instruction	Removed
Form 3170-XXXX Application to Serve as a Small Entity Representative Form	Removed
Form 3170-XXXX Certifications Form	Removed
3170-0037 Supporting Statement (CAB) 2016 Renewal (30-day FRN).pdf Supporting Statement A	2016-07-12

IC Document Collections

IC ID	Document Title	Status
207063	FBI Name Check Form Form and Instruction	Removed
206685	CFPB Travel Form Form and Instruction	Removed
204968	TSA Travel Information Form Form and Instruction	Removed
204967	Consumer Advisory Board Post Meeting Survey Form and Instruction	Removed
204701	Application to Serve as a Small Entity Representative Form	Removed
204700	Certifications Form	Removed
204699	Application and Related Forms Other-Application to Serve as a Small Entity Rep	Modified

ICR Details

OMB Control No: 3170-0037	ICR Reference No: 201607-3170-001
Status: Historical Active	Previous ICR Reference No: 201411-3170-001
Agency/Subagency: CFPB	Agency Tracking No:
Title: Consumer Advisory Boards, Groups and Committees
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/13/2016
	Date Received in OIRA: 07/12/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2019	36 Months From Approved	09/30/2016
Responses	805	0	6,400
Time Burden (Hours)	503	0	2,071
Cost Burden (Dollars)	0	0	0

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Abstract: The Consumer Advisory Board (CAB) and other Advisory Groups may invite individuals with special expertise to advise the groups on an ad hoc basis (Special Advisors). The selection-related information will allow the Bureau to obtain information on the qualifications of individuals nominated to the CAB and will aid the Bureau in selecting members for other Advisory Groups. The selection-related information from potential Special Advisors will aid the Bureau in selecting Special Advisors to the CAB and other Advisory Groups. The selection-related information will also aid the Bureau in determining the appropriateness of participation in particular matters. The information collected/advice from members and Special Advisors will aid the Bureau in the exercise of its functions. The feedback collected will allow the Bureau to evaluate and improve its advisory group program. Information collected will be used to issue travel orders or provide reimbursement for travel expenses, as applicable.

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Authorizing Statute(s): PL: Pub.L. 111 - 203 1014(b) Name of Law: Dodd-Frank Wall Street Reform and Consumer Protection Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 24567	04/26/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 45134	07/12/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Certifications	3170-XXXX, 3170-XXXX, 3170-XXXX	Certification Regarding Financial Interests (Academic Research Council) ,   Certification for Entity-Specific Projects (Academic Research Council) ,   Certification for Non-Entity-Specific Projects (Academic Research Council)
Application to Serve as a Small Entity Representative	3170-XXXX	Application to Serve as a Small Entity Representative
TSA Travel Information Form	3170-XXXX	TSA Travel Information Form
Consumer Advisory Board Post Meeting Survey	3170-XXXX	Consumer Advisory Board Member Survey
CFPB Travel Form	3170-XXXX	CFPB Travel Form
FBI Name Check Form	3170-XXXX	FBI Name Check Form
Application and Related Forms

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	805	6,400	0	0	-5,595	0
Annual Time Burden (Hours)	503	2,071	0	0	-1,568	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: No program changes are proposed with this renewal. The burden has been adjusted to reflect the Bureau’s experience over the past three years with using the forms associated CAB and other Advisory Boards.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Yes

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/12/2016

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