Financial Condition Monitoring Report

Bond Guarantee Program

Documents and Forms

Document Name Document Type
Form 5 Financial Condition Monitoring Report Form and Instruction
5 Financial Condition Monitoring Report FCM Report Template (updated 02-19-25).xlsx www.cdfifund.gov/programs-training/Programs/cdfi-bond/Pages/compliance-step.aspx#step5 Form and Instruction
5 Financial Condition Monitoring Report FCM Report Template (updated 02-19-25).xlsx www.cdfifund.gov/programs-training/Programs/cdfi-bond/Pages/compliance-step.aspx#step5 Form and Instruction

Information Collection (IC) Details

IC Title:	Financial Condition Monitoring Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 18 CFR 1808

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	5	Financial Condition Monitoring Report	FCM Report Template (updated 02-19-25).xlsx	https://www.cdfifund.gov/programs-training/Programs/cdfi-bond/Pages/compliance-step.aspx#step5	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	160	0	160
Annual IC Time Burden (Hours)	280	13	267
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.