Information Collection

Financial Assistance (FA) and Technical Assistance (TA) Component Application

IC 45559 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form CDFI Form 0001 Financial Assistance (FA) and Technical Assistance (TA) Component Application 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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Financial Assistance (FA) and Technical Assistance (TA) Component Application	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:

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

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	15	0	15
Annual IC Time Burden (Hours)	1,500	300	1,200
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.