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Agency Information Collection Activities: Comment Request

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Bureau of Consumer Financial Protection.


Notice and request for comment.


In accordance with the Paperwork Reduction Act of 1995 (PRA), the Bureau of Consumer Financial Protection (Bureau) is requesting to renew the Office of Management and Budget (OMB) approval for an existing information collection titled, “CFPB's Consumer Response Intake Form.”


Written comments are encouraged and must be received on or before September 18, 2017 to be assured of consideration.


You may submit comments, identified by the title of the information collection, OMB Control Number (see below), and docket number (see above), by any of the following methods:

  • Electronic: Follow the instructions for submitting comments.
  • Mail: Consumer Financial Protection Bureau (Attention: PRA Office), 1700 G Street, NW., Washington, DC 20552.
  • Hand Delivery/Courier: Consumer Financial Protection Bureau (Attention: PRA Office), 1275 First Street NE., Washington, DC 20002.

Please note that comments submitted after the comment period will not be accepted. In general, all comments received will become public records, including any personal information provided. Sensitive personal information, such as account numbers Start Printed Page 33071or Social Security numbers, should not be included.

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Documentation prepared in support of this information collection request is available at Requests for additional information should be directed to the Consumer Financial Protection Bureau, (Attention: PRA Office), 1700 G Street NW., Washington, DC 20552, (202) 435-9575, or email: Please do not submit comments to this mailbox.

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Title of Collection: CFPB's Consumer Response Intake Form.

OMB Control Number: 3170-0011.

Type of Review: Extension with change to a currently approved collection.

Affected Public: Individuals or households.

Estimated Number of Respondents: 3,000,000.

Estimated Total Annual Burden Hours: 387,500.

Abstract: The Intake Form is designed to aid consumers in the submission of complaints, inquiries, and feedback and to help the Bureau fulfill its statutory requirements.[1] Consumers are able to complete and submit information through the Intake Form electronically on the Bureau's Web site. Alternatively, respondents may request that the Bureau mail a paper copy of the Intake Form, and then mail or fax it back to the Bureau; or call to submit a complaint by telephone. The questions within the Intake Form prompt respondents for a description of, and key facts about, the complaint at issue, the desired resolution, contact and account information, information about the company they are submitting a complaint about, and previous action taken to attempt to resolve the complaint.

Request for Comments: Comments are invited on: (a) Whether the collection of information is necessary for the proper performance of the functions of the Bureau, including whether the information will have practical utility; (b) The accuracy of the Bureau's estimate of the burden of the collection of information, including the validity of the methods and the assumptions used; (c) Ways to enhance the quality, utility, and clarity of the information to be collected; and (d) Ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques or other forms of information technology. Comments submitted in response to this notice will be summarized and/or included in the request for OMB approval. All comments will become a matter of public record.

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Dated: July 11, 2017.

Darrin A. King,

Paperwork Reduction Act Officer, Bureau of Consumer Financial Protection.

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1.  See Dodd-Frank Wall Street Reform and Consumer Protection Act, Public Law 111-203, Title X, Sections 1013(b)(3), 1021(c)(2), and 1034, codified at 12 U.S.C. 5493(b)(3), 5511(c)(2), and 5534.

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[FR Doc. 2017-15110 Filed 7-18-17; 8:45 am]