Information Collection

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

IC 45559 under ICR 201003-1559-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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	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

IC Title:

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

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

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

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 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-15	15
Annual IC Time Burden (Hours)	-1,500	1,500
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.