Information Collection

The Community Development Financial Institutions Program - Certification Application

IC 41269 under ICR 201109-1559-001 · OMB 1559-0028.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1559-0028 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CDFI Form 0005 The Community Development Financial Institutions Program - Certification Application	Form and Instruction
CDFI_Cert_App_Tables.xls www.cdfifund.gov	Other-Tables
CDFI Form 0005 CDFI Certification Application Cert App - CDFI - 2011.doc www.cdfifund.gov	Form and Instruction

IC Title:

The Community Development Financial Institutions Program - Certification 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:

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 0005	CDFI Certification Application	Cert App - CDFI - 2011.doc	www.cdfifund.gov	Yes	No	Printable Only
Other-Tables			CDFI_Cert_App_Tables.xls	www.cdfifund.gov	Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	11,250	11,250
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.