Information Collection

The Community Development Financial Institutions Program - Certification Application

IC 41269 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form CDFI Form 0005 The Community Development Financial Institutions Program - Certification Application Form
CDFI Form 0005 Certification Application Cert_App_-_CDFI_-_2011 - FINAL - approved by OMB - reformatted - v2b.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CDFI Form 0005	Certification Application	Cert_App_-_CDFI_-_2011 - FINAL - approved by OMB - reformatted - v2b.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: 290	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	Previously Approved
Annual Number of Responses for this IC	290	120	170
Annual IC Time Burden (Hours)	10,875	4,500	6,375
Annual IC Cost Burden (Dollars)	0	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.