Information Collection

Financial Assistance (FA) and Technical Assistance (TA) Component Application - CDFI Program

IC 20181 under ICR 200912-1559-002 · OMB 1559-0021.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1559-0021 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CDFI Form 0001 Financial Assistance (FA) and Technical Assistance (TA) Component Application - CDFI Program	Form and Instruction
CDFI Form 0001 FY 2009 CDFI Program Combined Application for Financial FY 2009 Combined CDFI FA TA Application.2009 renew.doc www.cdfifund.gov	Form and Instruction
CDFI Form 0001 FY 2009 CDFI Program Combined Application Chart Workbook FY 2009 Excel Charts Workbook.2009 renew.xls www.cdfifund.gov	Form and Instruction

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:

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 Form 0001	FY 2009 CDFI Program Combined Application for Financial Assistance and/or Technical Assistance	FY 2009 Combined CDFI FA TA Application.2009 renew.doc	www.cdfifund.gov	Yes	Yes	Fillable Fileable
Form and Instruction	CDFI Form 0001	FY 2009 CDFI Program Combined Application Chart Workbook	FY 2009 Excel Charts Workbook.2009 renew.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: 185

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	185	0	185
Annual IC Time Burden (Hours)	18,500	3,700	14,800
Annual IC Cost Burden (Dollars)	0	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.