Information Collection

Community Development Financial Institutions Program - Certification Application (State, Local or Tribal Gov)

IC 214253 under ICR 202211-1559-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Community Development Financial Institutions Program - Certification Application (State, Local or Tribal Gov) Form and Instruction
CDFI Form 0005 Certification Application 1559-0028 CDFI Certification Application 10.3.22.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Community Development Financial Institutions Program - Certification Application (State, Local or Tribal Gov)	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 and Instruction	CDFI Form 0005	Certification Application	1559-0028 CDFI Certification Application 10.3.22.docx		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: 72	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	72	62	10
Annual IC Time Burden (Hours)	2,880	2,505	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.