Financial Assistance (FA) and Technical Assistance (TA) Component Application

Financial Assistance (FA) and Technical Assistance Component Application - CDFI Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1559-0021 can be found here:

Documents and Forms

Document Name Document Type
Form CDFI 0001 Financial Assistance (FA) and Technical Assistance (TA) Component Application Form
CDFI 0001 Financial Assistance and Technical Assistance Component FY09 CDFI Application Final Draft 7 11 08.doc www.cdfifund.gov Form

Information Collection (IC) Details

IC Title:	Financial Assistance (FA) and Technical Assistance (TA) Component Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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
Form	CDFI 0001	Financial Assistance and Technical Assistance Component Application	FY09 CDFI Application Final Draft 7 11 08.doc	http://www.cdfifund.gov	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Previously Approved
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	1,200	1,200
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.