Information Collection

Small Dollar Loan Program Application

IC 246863 under ICR 202203-1559-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Small Dollar Loan Program Application	Form and Instruction
FY 2022 Small Dollar Loan Program Application Instructio FY 2022 Small Dollar Loan Program Application Instructions - 03032022.docx cdfifund.gov	Form and Instruction
FY 2022 Small Dollar Loan Program Application Instructio FY 2022 Small Dollar Loan Program Application Instructions - 03032022.docx cdfifund.gov	Form and Instruction

IC Title:

Small Dollar Loan Program 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	N/A	FY 2022 Small Dollar Loan Program Application Instructions	FY 2022 Small Dollar Loan Program Application Instructions - 03032022.docx	cdfifund.gov	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: 100

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: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	6,800	6,800
Annual IC Cost Burden (Dollars)	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.