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pdfAttachment B: Request for Approval under the “Generic Clearance for the Collection of Qualitative
Feedback on the Service Delivery of the Consumer Financial Protection Bureau”
(OMB Control Number 3170-0024)
Credit Card Focus Group Participant Survey
For Questions 1 through 3, please answer based on the credit card that you use most often for
your personal use.
1. Why do you use this credit card most often? (If you use this card most often because you
have only one card, then please say so and skip to Question 3.)
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
2. The following is a list of features of some credit cards. For each, please tell me whether or
not this is a reason that you use this card most frequently. If you don’t understand what is
meant by the feature listed, then check “Don’t Understand”.
a) Interest rate, including a promotional rate
 Yes
 No
 Don’t Understand
b) Customer service
 Yes
 No
 Don’t Understand
c) Rules for resolving disputes when customer
service doesn’t work
 Yes
 No
 Don’t Understand
d) Rewards (such as frequent flier miles)
 Yes
 No
 Don’t Understand
e) Sponsorship by an organization, like a school
 Yes
 No
 Don’t Understand
f) Fees, including annual fees or promotional deals
 Yes
 No
 Don’t Understand
g) Ease of applying (for instance, if it’s your only
card)
 Yes
 No
 Don’t Understand
h) General reputation of the brand
 Yes
 No
 Don’t Understand
3. Please do not look at your credit card when answering the following question: What is the
name of the company or bank to whom you make your monthly payment? Their name
typically appears on the back of your card if it is a store or airline card.
____________________________________________
4. Have you or your spouse ever sued someone in court or been sued by someone?
 Yes  Do you think the process was fair?  Yes  No
 No
5. Have you or your spouse ever participated in a class action, for example by filing a claim?
 Yes  Do you think the process was fair?  Yes  No
 Please Continue on Back
Attachment B: Request for Approval under the “Generic Clearance for the Collection of Qualitative
Feedback on the Service Delivery of the Consumer Financial Protection Bureau”
(OMB Control Number 3170-0024)
 No
6. Have you or your spouse ever participated in a binding arbitration proceeding?
 Yes  Do you think the process was fair?  Yes  No
 No
7. If there are any words or phrases used in Questions 1 through 6 that you don’t
understand, please circle them now.
Paperwork Reduction Act
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a
collection of information unless it displays a valid OMB control number. The OMB control number for this collection is 3170-0024. It
expires on 12/31/2015. The time required to complete this information collection is estimated to average approximately 5 minutes per
response, including the time for reviewing any instructions, searching existing data sources, gathering and maintaining the data needed,
and completing and reviewing the collection of information. Responding to this collection of information is voluntary. Comments
regarding this collection of information, including the estimated response time, suggestions for improving the usefulness of the
information, or suggestions for reducing the burden to respond to this collection should be submitted to Bureau at the Consumer Financial
Protection Bureau (Attention: PRA Office), 1700 G Street NW, Washington, DC 20552, or by email to PRA@cfpb.gov.
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| File Type | application/pdf | 
| File Title | Instructions | 
| Author | Ewa Carlton | 
| File Modified | 2014-01-23 | 
| File Created | 2014-01-23 |