Streamlined CDFI Participation Questionnaire

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3133-0188 can be found here:

Documents and Forms

Document Name Document Type
FINAL_GEN IC_Electronic Participation Questionnaire_screen-shots_022317.pdf Other-Screen Shots - Questionnaire
Fast-Track_Streamline_Questionnaire_022117.pdf Fast-Track Generic Template_Streamline CDFI Questionnaire IC Document
Program Guide_Streamline CDFI Certification Application.pdf Program Guide IC Document

Information Collection (IC) Details

IC Title:	Streamlined CDFI Participation Questionnaire	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screen Shots - Questionnaire			FINAL_GEN IC_Electronic Participation Questionnaire_screen-shots_022317.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast-Track Generic Template_Streamline CDFI Questionnaire	Fast-Track_Streamline_Questionnaire_022117.pdf	02/22/2017
Program Guide	Program Guide_Streamline CDFI Certification Application.pdf	02/23/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.