Information Collection Request

Annual Certification and Data Collection Report Form

ICR 202212-1559-001 · OMB 1559-0046 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
CDFI Transaction Level Report Form Form and Instruction New Repair queued
Form Revision_2022 Annual Certification and Data Collection Report Form - Transaction Level Report. (TLR) Form and Instruction New Available
CDFI Fund Annual Certification and Data Collection Report Form & Instructions Form and Instruction Modified Repair queued
Form Revision_2022 Annual Certification and Data Collection Report Form - ACR Form and Instruction Modified Available
Supporting Statement - 1559-0046.docx Supporting Statement A Uploaded 2022-12-14 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
257372 Annual Certification and Data Collection Report Form - Transaction Level Report. (TLR) Form and Instruction NewCDFI Transaction Level Report Form
257372 Annual Certification and Data Collection Report Form - Transaction Level Report. (TLR) Form and Instruction New
217988 Annual Certification and Data Collection Report Form - ACR Form and Instruction ModifiedCDFI Fund Annual Certification and Data Collection Report Form & Instructions
217988 Annual Certification and Data Collection Report Form - ACR Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2026 36 Months From Approved
2,210 0 0
44,200 0 0
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Annual Certification and Data Collection Report Form - ACR N/A
Annual Certification and Data Collection Report Form - Transaction Level Report. (TLR) N/A

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,210 0 0 1,360 0 850
Annual Time Burden (Hours) 44,200 0 0 37,400 0 6,800
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No