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⚠️ Notice: This information collection may be referencing outdated material.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	0	200
Annual IC Time Burden (Hours)	20,100	100	20,000
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.