Information Collection

Certification of Material Events Form

IC 192127 under ICR 201701-1559-002 · OMB 1559-0037.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1559-0037 can be found here:

Documents and Forms

Document Name Document Type
Form 201701 Certification of Material Events Form Form and Instruction
201701 Certification of Material Events Form Certification of Material Events Form (201701).pdf www.cdfifund.gov/Documents/Approved%20Certification%20of%20Material%20Events%20Form.pdf#search=material%20event Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Certification of Material Events Form	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	201701	Certification of Material Events Form	Certification of Material Events Form (201701).pdf	https://www.cdfifund.gov/Documents/Approved%20Certification%20of%20Material%20Events%20Form.pdf#search=material%20event	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: 200	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.