Information Collection

Native American CDFI Assistance (NACA) Program Application

IC 20186 under ICR 201203-1559-003 · OMB 1559-0025.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CDFI - 0001 Native American CDFI Assistance (NACA) Program Application	Form and Instruction
Persistent Poverty Determination Final.doc	Other-Commitment
CDFI - 0001 Overview of the Combined Application for Financial Assis FY 2012 NACA Program Application Guidance Final and Cleared.pdf www.cdfifund.gov/what_we_do/programs_id.asp?programID=3	Form and Instruction

IC Title:

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 - 0001	Overview of the Combined Application for Financial Assistance or Technical Assistance	FY 2012 NACA Program Application Guidance Final and Cleared.pdf	www.cdfifund.gov/what_we_do/programs_id.asp?programID=3	Yes	Yes	Fillable Fileable
Other-Commitment			Persistent Poverty Determination Final.doc		Yes	No	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 80

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	8,000	8,000
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.