Annual Certification and Data Collection Report Form

ICR 201506-1559-006

OMB: 1559-0046

Federal Form Document

IC Document Collections
ICR Details
1559-0046 201506-1559-006
Historical Active
TREAS/CDFIF
Annual Certification and Data Collection Report Form
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 12/21/2015
Retrieve Notice of Action (NOA) 09/14/2015
  Inventory as of this Action Requested Previously Approved
12/31/2018 36 Months From Approved
850 0 0
6,800 0 0
0 0 0

The primary intent of the Annual Certification and Data Collection Report Form is to ensure that Community Development Financial Institutions (CDFI) continue to meet the requirements to be certified CDFIs. It is also an annual method to ensure that organizational information is up-to-date. The financial and portfolio data will be used by the CDFI Fund to gain insight on the CDFI industry. Information provided in these sections will not impact a CDFI's certification status or applications for CDFI Fund programs.

US Code: 12 USC 4701 Name of Law: null
  
None

Not associated with rulemaking

  79 FR 39064 07/09/2014
80 FR 52540 08/31/2015
Yes

1
IC Title Form No. Form Name
Annual Certification and Data Collection Report Form 201508 - 2, 201508 - 1, 201508-1 Certification Amendment Form ,   CDFI Fund Annual Certification and Data Collection Report Form

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 850 0 0 850 0 0
Annual Time Burden (Hours) 6,800 0 0 6,800 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new collection.

$0
No
No
No
No
No
Uncollected
Brette Fishman 202 653-0365 fishmanb@cdfi.treas.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/14/2015


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