Certification of Material Events Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1559-0037 can be found here:

Documents and Forms

Document Name Document Type
Form 201701 Certification of Material Events Form Form and Instruction
201701 Certification of Material Events Form 1559-0037 Material Event Form (May 2023) 8.16.23.docx www.cdfifund.gov/Documents/Approved%20Certification%20of%20Material%20Events%20Form.pdf#search=material%20event Form and Instruction
201701 Certification of Material Events Form 1559-0037 Material Event Form (May 2023) 8.16.23.docx www.cdfifund.gov/Documents/Approved%20Certification%20of%20Material%20Events%20Form.pdf#search=material%20event Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Certification of Material Events Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	201701	Certification of Material Events Form	1559-0037 Material Event Form (May 2023) 8.16.23.docx	https://www.cdfifund.gov/Documents/Approved%20Certification%20of%20Material%20Events%20Form.pdf#search=material%20event	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: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	50	50
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.