Information Collection

Conflict of Interest Package for CDFI Fund Non-Federal Readers

IC 20163 under ICR 200701-1559-004 · OMB 1559-0011.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CDFI-0016 Conflict of Interest Package for CDFI Fund Non-Federal Readers	Form and Instruction
CDFI-0016 Conflict of Interest Package for CDFI Fund Non-Federal R 2007 COI NonFed Standard Pkg.pdf www.cdfifund.gov	Form and Instruction

IC Title:

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CDFI-0016	Conflict of Interest Package for CDFI Fund Non-Federal Readers	2007 COI NonFed Standard Pkg.pdf	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: 150

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 60 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	112	112
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.