Survey of CDFIs to Gather Feedback onthe Effectiveness of the CDFI Programs

Assessment of CDFI Fund Technical Assistance, Financial Assistance, Certification and Training

Documents and Forms

Document Name Document Type
Assessment Survey.doc cdfifund.gov Other-Survey

Information Collection (IC) Details

IC Title:	Survey of CDFIs to Gather Feedback onthe Effectiveness of the CDFI Programs	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 12 CFR 1805

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			Assessment Survey.doc	http://cdfifund.gov	Yes	Yes	Fillable Fileable

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 1 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	7	7
Annual IC Cost Burden (Dollars)	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.