Information Collection

The Community Development Financial Institutions Program - Certification Application

IC 214253 under ICR 201812-1559-001 · OMB 1559-0028.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1559-0028 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CDFI Form 0005 The Community Development Financial Institutions Program - Certification Application	Form and Instruction
CDFI Form 0005 Certification Application Cert_App_-_CDFI_-_2011 - FINAL - approved by OMB - reformatted - v2b (1).pdf	Form and Instruction

IC Title:

The Community Development Financial Institutions Program - Certification Application

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 Form 0005	Certification Application	Cert_App_-_CDFI_-_2011 - FINAL - approved by OMB - reformatted - v2b (1).pdf		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: 10

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	10	5	5
Annual IC Time Burden (Hours)	375	187	188
Annual IC Cost Burden (Dollars)	0	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.