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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CDFI Form 001 Financial Assistance (FA) and Technical Assistance (TA) Component Application - CDFI Program	Form and Instruction	Modified	Available
1559-0021 Non substantive Chg - CDFI Final.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2011-10-17	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
20181	Financial Assistance (FA) and Technical Assistance (TA) Component Application - CDFI Program	Form and Instruction	Modified

ICR Details

OMB Control No: 1559-0021	ICR Reference No: 201110-1559-002
Status: Historical Active	Previous ICR Reference No: 201003-1559-002
Agency/Subagency: TREAS/CDFIF	Agency Tracking No:
Title: Financial Assistance (FA) and Technical Assistance (TA) Component Application - CDFI Program
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/21/2011
	Date Received in OIRA: 10/17/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2013	02/28/2013	02/28/2013
Responses	200	0	200
Time Burden (Hours)	20,100	0	20,000
Cost Burden (Dollars)	0	0	0

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Abstract: The CDFI Fund provides financial assistance in the form of grants, loans, equity investments and deposits to community development financial institutions providing capital and financial services to underserved markets.

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Authorizing Statute(s): US Code: 12 USC 4701 Name of Law: Community Development Banking and Financial Institutions Act of 1994
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 9334	03/03/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 69378	12/31/2009
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Financial Assistance (FA) and Technical Assistance (TA) Component Application - CDFI Program	CDFI Form 001	FY 2011 CDFI Program Combined Application - Financial Assistance and Technical Assistance

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	200	200	0	0	0	0
Annual Time Burden (Hours)	20,100	20,000	0	100	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This submission reflects the addition of one question to the CDFI Program 2012 Application, which will gather information on how an applicant is collaborating with other federal agencies on neighborhood revitalization strategies. The question is being added to determine the degree to which applicants are participating in such strategies as part of a national initiative. The inclusion of the additional question will increase the burden per respondent by 30 minutes; with a program change of 100 hours due to agency discretion. Total burden requested is 20,100.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/17/2011

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