Information Collection

Cognitive Testing for 2021 Unbnanked and Underbanked Household Survey

IC 243414 under ICR 201912-3064-002 · OMB 3064-0198.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0198 can be found here:

Documents and Forms

Document Name Document Type
FDIC_Screener_2020-08-31.docx Other-Screener Script
hhsurvey_2021instrument_20200831_CogTest_Qs.docx Other-Questions for Cognitive Test
Justification Memo 0198 - Cognitive Testing for 2021 Household Survey.docx Justification Memo Cognitive Testing 2021 Household Survey IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Cognitive Testing for 2021 Unbnanked and Underbanked Household Survey	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
Other-Screener Script			FDIC_Screener_2020-08-31.docx		Yes	Yes	Fillable Fileable
Other-Questions for Cognitive Test			hhsurvey_2021instrument_20200831_CogTest_Qs.docx		No		Paper Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	52	52
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification Memo Cognitive Testing 2021 Household Survey	Justification Memo 0198 - Cognitive Testing for 2021 Household Survey.docx	09/01/2020

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