Disability Funds Financial Assistance Application

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 2018-02 Disability Funds Financial Assistance Application	Form and Instruction	New	Available
Supporting Statement - CDFI Program and NACA Program DF-FA Application (12-13-2017).docx	Supporting Statement A	Uploaded 2017-12-13	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
229087	Disability Funds Financial Assistance Application	Form and Instruction	New

ICR Details

OMB Control No: 1559-0048	ICR Reference No: 201711-1559-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: TREAS/CDFIF	Agency Tracking No:
Title: Disability Funds Financial Assistance Application
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 01/12/2018
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/08/2018
	Date Received in OIRA: 12/14/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2018	6 Months From Approved
Responses	30	0	0
Time Burden (Hours)	360	0	0
Cost Burden (Dollars)	21,074	0	0

---

Abstract: The Consolidated Appropriations Act of 2017 (Act; P.L. 115-31) provided the CDFI Fund up to $3 million to provide “technical and financial assistance to CDFIs that fund projects to help individuals with disabilities.” The CDFI Fund created the Disability Funds-Financial Assistance (DF-FA) Application in response to this Congressional directive. The CDFI Fund intends to provide DF-FA awards to certified CDFIs with a track record of serving individuals with disabilities. For purposes of the DF-FA awards selection process, Disability will mean a person with a physical or mental impairment that substantially limits one or more major life activities; a person who has a history or record of such an impairment; or a person who is perceived by others as having such an impairment, as defined by the Americans with Disabilities Act (ADA). Applicants selected to receive DF-FA awards will have a demonstrated track record of serving individuals with disabilities, specifically by providing financial products and services and/or development services that have a primary purpose of benefiting individuals with disabilities. Additionally, successful applicants will demonstrate that they will increase and/or expand their financial products and services, and/or development services, to address the challenges of individuals with disabilities, in areas such as: asset development; affordable, accessible, and safe housing; employment opportunities; and access to assistive products and services that support health and community living. The CDFI Fund will administer DF-FA awards in conjunction with the annual Community Development Financial Institutions Program (CDFI Program) and Native American CDFI Assistance Program (NACA Program) application process.

Emergency Justfication: The CDFI Fund requests an Emergency PRA Review in order to be responsive to the Congressional directive included in the Consolidated Appropriations Act of 2017 (the Act; P.L. 115-31), to provide up to $3 million to CDFIs that fund projects that help individuals with disabilities. The approval of the Disability Funds Financial Assistance Application (the DF-FA Application) is a time sensitive request as the appropriated funds expire on September 30, 2018. Furthermore, the Joint Explanatory Statement accompanying the Act requires the CDFI Fund to submit a report, no later than the end of fiscal year 2019, to the Committees on Appropriations of the House and Senate, the Committee on Financial Services of the House, and the Committee on Banking, Housing, and Urban Affairs of the Senate, which shall include the number of awards, amount of each award, and anticipated projects funded (if funds are disbursed for this purpose) as well as findings and recommendations related to the efficacy of award efforts and impacts on the disability community. In order to meet this Congressional requirement, the CDFI Fund must award the DF-FA funds through its FY 2018 CDFI Program and NACA Program funding round.

---

Authorizing Statute(s): PL: Pub.L. 115 - 31 6 Name of Law: Consolidated Appropriations Act of 2017
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
Disability Funds Financial Assistance Application	2018-02	Disability Funds Financial Assistance Application v2

---

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	30	0	0	30	0	0
Annual Time Burden (Hours)	360	0	0	360	0	0
Annual Cost Burden (Dollars)	21,074	0	0	21,074	0	0

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

Burden Increase Due to: Changing Regulations

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

Burden Reduction Due to:

Short Statement: The Consolidated Appropriations Act of 2017 (Act; P.L. 115-31) provided the CDFI Fund up to $3 million to provide “technical and financial assistance to CDFIs that fund projects to help individuals with disabilities.” The CDFI Fund created the Disability Funds-Financial Assistance (DF-FA) Application in response to this Congressional directive. The estimated number of hours to complete the DF-FA Application is based on the number of questions, character limits per question, and the complexity of the information that applicants are required to provide. The CDFI Fund estimates that 30 private sector applicants will complete the DF-FA Application, and that it will take each applicant approximately 12 hours to complete. This results in a total burden estimate of 360 hours. It is anticipated that Financial Managers will complete the application for applicants at a cost of $58.54 per hour for a total estimate of $21,074.00. Only private sector (for-profit and non-profit) applicants may apply for DF-FA. Therefore, the total cost burden estimate is based on private sector hourly rate costs.

---

Annual Cost to Federal Government:

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.     No

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

---

Common Form ICR:  No

---

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: 12/14/2017

---