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⚠️ Notice: This information collection may be referencing outdated material.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
Form CDFI Form 0005 Certification Application Community Development Financial Institutions Program - Certification Application (Private Sector)	Form and Instruction
CDFI Form 0005 Certification Application 1559-0028 CDFI Certification Application 10.3.22.docx	Form
CDFI Form 0005 Certification Application CDFI Certification Application.CLEAN. FINAL.9.8.23 - Approval by Acting Director.docx	Form and Instruction

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 and Instruction	CDFI Form 0005				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: 1,442

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
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,442	1,152	290
Annual IC Time Burden (Hours)	79,310	68,435	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.

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