Financial Condition Monitoring Report

Bond Guarantee Program

Documents and Forms

Document Name Document Type
Form 5 Financial Condition Monitoring Report Form and Instruction
5 Financial Condition Monitoring Report Financial Condition Monitoring Report.xlsx www.cdfifund.gov/programs-training/Programs/cdfi-bond/Pages/compliance-step.aspx#step5 Form and Instruction
5 Financial Condition Monitoring Report Financial Condition Monitoring Report.xlsx www.cdfifund.gov/programs-training/Programs/cdfi-bond/Pages/compliance-step.aspx#step5 Form and Instruction

Information Collection (IC) Details

IC Title:	Financial Condition Monitoring Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 18 CFR 1808

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	5	Financial Condition Monitoring Report	Financial Condition Monitoring Report.xlsx	https://www.cdfifund.gov/programs-training/Programs/cdfi-bond/Pages/compliance-step.aspx#step5	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	160	40	120
Annual IC Time Burden (Hours)	267	67	200
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.