Annual Certification and Data Collection Report Form

Forms and Documents

Document Name	Status
Form 201508 - 2 Annual Certification and Data Collection Report Form Form and Instruction	Modified
1559-0046 - Supporting Statement - Annual Certification Report Form (revised 09-2018).docx Supporting Statement A	2018-09-19

IC Document Collections

IC ID	Document Title	Status
217988	Annual Certification and Data Collection Report Form Form and Instruction	Modified

ICR Details

OMB Control No: 1559-0046	ICR Reference No: 201708-1559-001
Status: Historical Inactive	Previous ICR Reference No: 201506-1559-006
Agency/Subagency: TREAS/CDFIF	Agency Tracking No:
Title: Annual Certification and Data Collection Report Form
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 04/29/2019
	Date Received in OIRA: 10/19/2018
Terms of Clearance: CDFI is reconsidering this report form and will resubmit this ICR once it has finalized its plans for this reporting requirement.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2018	36 Months From Approved	04/30/2019
Responses	850	0	850
Time Burden (Hours)	6,800	0	6,800
Cost Burden (Dollars)	0	0	0

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Abstract: The primary intent of the Annual Certification and Data Collection Report Form is to ensure that Community Development Financial Institutions (CDFI) continue to meet the requirements to be certified CDFIs. It is also an annual method to ensure that organizational information is up-to-date. The financial and portfolio data will be used by the CDFI Fund to gain insight on the CDFI industry. Information provided in these sections will not impact a CDFI's certification status or applications for CDFI Fund programs.

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Authorizing Statute(s): US Code: 12 USC 4701 Name of Law: null
  

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:
	82 FR 14941	03/23/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 49457	10/01/2018
Did the Agency receive public comments on this ICR? Yes

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

IC Title	Form No.	Form Name
Annual Certification and Data Collection Report Form	201708, 201508 - 2	Certification Amendment Form ,   Annual Certification and Data Collection Report Form

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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: The number of respondents has increased by a net of 200 to a total of 1,050 due to the on-going program activity of certifying new entities as CDFIs, thus increasing the overall pool of certified CDFIs required to submit the Form. The estimated average hours for CDFIs to complete the Form increased by .25 hours to a total of 8.25 hours due to the addition of nine “yes or no” questions, and one simple calculation question. The CDFI Fund also added data regarding the cost of completing the Annual Certification and Data Collection Report.

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Annual Cost to Federal Government: $0

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 10/19/2018

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