Financial Assistance (FA) and Technical Assistance (TA) 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⚠️ Notice: This information collection may be referencing outdated material.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 Form 001 Financial Assistance (FA) and Technical Assistance (TA) Component Application - CDFI Program Form and Instruction
FY_2011_CDFI_Program_Application_Workbook.xls www.cdfifund.gov Other-Charts and Tables
CDFI Form 001 FY 2011 CDFI Program Combined Application - Financial As FY_2011_CDFI_Program_Combined_Application.doc www.cdfifund.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Financial Assistance (FA) and Technical Assistance (TA) Component Application - CDFI Program	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 and Instruction	CDFI Form 001	FY 2011 CDFI Program Combined Application - Financial Assistance and Technical Assistance	FY_2011_CDFI_Program_Combined_Application.doc	www.cdfifund.gov	Yes	Yes	Fillable Fileable
Other-Charts and Tables			FY_2011_CDFI_Program_Application_Workbook.xls	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: 200	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	200	15	185
Annual IC Time Burden (Hours)	20,000	1,500	18,500
Annual IC Cost Burden (Dollars)	0	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.