Information Collection

Small Dollar Loan Program Application

IC 246863 under ICR 202104-1559-002 · OMB 1559-0051.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1559-0051 can be found here:

Documents and Forms

Document Name Document Type
Small Dollar Loan Program Application Form and Instruction
FY 2021 Small Dollar Loan Program Application Instructio FY 2021 Small Dollar Loan Program Application Instructions.docx www.cdfifund.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Small Dollar Loan Program Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	N/A	FY 2021 Small Dollar Loan Program Application Instructions	FY 2021 Small Dollar Loan Program Application Instructions.docx	www.cdfifund.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	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	Program Change Due to New Statute
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	750	750
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.