Information Collection

Community Development Financial Institutions Program - Certification Application (Private Sector)

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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form CDFI Form 0005 Community Development Financial Institutions Program - Certification Application (Private Sector)	Form
CDFI Form 0005 Certification Application 1559-0028 CDFI Certification Application 10.3.22.docx	Form

IC Title:

Community Development Financial Institutions Program - Certification Application (Private Sector)

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	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: 1,460

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,460	1,170	290
Annual IC Time Burden (Hours)	58,400	47,525	10,875
Annual IC Cost Burden (Dollars)	0	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.